Needlestick Injuries among Healthcare Workers: Why They Do Not Report their Incidence?

Farahnaz Joukar, Fariborz Mansour‑Ghanaei, MohammadReza Naghipour, Mehrnaz Asgharnezhad

Abstract


Background: Needlestick injuries (NSIs) among healthcare workers (HCWs) pose an important health challenge and several pieces of evidence show that in many cases HCWs do not report the injury.

Materials and Methods: This multicenter descriptive cross‑sectional study was performed in eight teaching hospitals of Rasht, Iran. Using consecutive sampling methods, 1010 nurses were enrolled from October 2014 to January 2015. A three‑part self‑administered questionnaire was used. It included questions on demographic features, NSI‑related questions, and questions on the knowledge of hepatitis B and C viruses (HCV, HBV).

Results: Among the 1010 participants, 580 (57.42%) showed a positive history of NSI; the total number of occurrences of NSI was 914. The major item causing NSI was the syringe with needle (315; 34.47%). In this way, NSIs occurred most frequently during recapping and injection [339 (37.10%) and 147 (16.10%), respectively]. Only 92 (10.07%) of all NSI positive participations had referred to the infection control units of their hospitals. The others mostly answered the question of “Why did you not report the incident?” with being too busy at work at the time of injury (140; 27.58%). The results showed that among participants with <5 years elapsed since their vaccination, the risk of NSI reduced to 60% [p < 0.02, odds ratio (OR) = 0.40, 95% confidence interval (CI) = 0.20–0.80].

Conclusions: It seems that NSI is still a major problem among nurses. Correspondingly, HCWs do not take the reporting system seriously and training them requires an ongoing activity in all hospitals.


Keywords


Knowledge, needlestick injury, nurses, risk factor

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References


Goel V, Kumar D, Lingaiah R, Singh S. Occurrence of needlestick and injuries among healthcare workers of a tertiary care teaching hospital in North India. J Lab Physicians 2017;9:20‑5.

Morinaga K, Hagita K, Yakushiji T, Ohata H, Sueishi K, Inoue T. Analysis of needlestick and similar injuries over 10 years from April 2004 at Tokyo Dental College Chiba Hospital. Bull Tokyo Dent Coll 2016;57:299‑305.

Leigh JP, Markis CA, Iosif A‑M, Romano PS. California’s nurse‑to‑patient ratio law and occupational injury. Int Arch Occup Environ Health 2015;88:477‑84.

Ashat M, Bhatia V, Puri S, Thakare M, Koushal V. Needle stick injury and HIV risk among healthcare workers in North India. Indian J Med Sci 2011;65:371‑8.

Gholami A, Borji A, Lotfabadi P, Asghari A. Risk factors of needlestick and sharps injuries among healthcare workers. Int J Hospital Res 2013;2:31‑8.

Motaarefi H, Mahmoudi H, Mohammadi E, Hasanpour‑Dehkordi A. Factors associated with needlestick injuries in healthcare occupations: A systematic review. J Clin Diagn Res 2016;10:IE01‑4.

Yoshikawa T, Wada K, Lee JJ, Mitsuda T, Kidouchi K, Kurosu H, et al. Incidence rate of needlestick and sharps injuries in 67 Japanese hospitals: a national surveillance study. PLoS One 2013;8:e77524.

Bekele T, Gebremariam A, Kaso M, Ahmed K. Attitude, reporting behaviour and management practice of occupational needle stick and sharps injuries among hospital healthcare workers in Bale zone, Southeast Ethiopia: A cross‑sectional study. J Occup Med Toxicol 2015;10:42.

Azadi A, Anoosheh M, Delpisheh A. Frequency and barriers of underreported needlestick injuries amongst Iranian nurses: A questionnaire survey. J Clin Nurs 2011;20:488‑93.

Geravandi S, Alavi SM, Yari AR, Yousefi F, Hosseini SA, Kamaei S, et al. Epidemiological aspects of needle stick injuries among healthcare workers in Razi Hospital Ahvaz, Iran, in 2015. Arch Hyg Sci 2016;5:85‑91.

Joukar F, Mansour‑Ghanaei F, Naghipour MR, Hasandokht T. Nurses’ knowledge toward hepatitis B and hepatitis C in Guilan, Iran. Open Nurs J 2017;11:34‑42.

Adib‑Hajbaghery M, Lotfi MS. Behavior of healthcare workers after injuries from sharp instruments. Trauma Mon 2013;18:75‑80.

Ghasemi A, Etemad E, Pourmohammadjan N, Rashiri J, Habibzadeh S. Needle stick injuries among health care workers of Ardebil university of medical science. Iran J Infect Dis Trop Med 2009;27:32‑4.

Nasiri E, Mortazavi Y, Siamian H, Shaaban KB. The prevalence and study of the rate of needle stick injuries infected by blood in staffs of special departments of teaching and non teaching hospitals of Mazandaran province in 2003–2005. Iran J Infect Dis Trop Med 2005;10:41‑6.

Geravandi S, Moogahi S, Kayedi N, Yari AR, Hedayat M, Shohre S, et al. Investigation of sharp injuries in an educational hospital, Ahvaz, Iran. Arch Hyg Sci 2017;6:10‑16.

Galougahi MHK. Evaluation of needle stick injuries among nurses of Khanevadeh Hospital in Tehran. Iran J Nurs Midwifery Res 2010;15:172‑7.

Amira C, Awobusuyi J. Needle‑stick injury among healthcare workers in hemodialysis units in Nigeria: A multi‑center study. Int J Occup Environ Med 2014;5:1‑8.

Hashemi S, Torabian S, Mamani M, Moazen DS. The prevalence of needlestick and sharps injuries among healthcare workers in Hamadan, Iran. Sci J Hamadan Univ Med Sci 2012;18:41‑6 [In Persian].

Makade KG, Bhawnani D, Verma N, Alam MN, Umate LV. Knowledge and practices of healthcare workers regarding needle‑stick injury in a tribal setting of Rajnandgaon, Chhattisgarh, India. Int J Community Med Public Health 2016;3:3003‑7.


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