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1

English, Judith Fay Boylan. "Reported Hospital Needlestick Injuries in Relation to Knowledge/Skill, Design, and Management Problems." Infection Control & Hospital Epidemiology 13, no. 5 (May 1992): 259–64. http://dx.doi.org/10.1086/646524.

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AbstractObjectives:To investigate reported needlestick injuries in hospital workers from an adult learner theory perspective: identifying safe needle device knowledge and practice, and flaws in needle designs and management practices surrounding such problems.Design:Exploratory descriptive study of reported needlestick injuries from hollow needled devices in a hospital. Injured healthcare workers were counseled via hospital protocol, then a survey was filled out containing no identifiers of individual or institution.Setting:Seventeen Metropolitan Washington, DC, area hospitals.Participants:All workers reporting needlestick injuries during February 1-28, 1990.Results:Seventy-two injuries were reported; there were no multiple injuries to any individual. Thirty-three (45.8%) were to registered nurses (RNs)-more than any other group of workers. Recapping accounted for a higher percentage than any other activity (10 sticks, 14.1%). Of workers incurring recapping injuries, 3 identified a knowledge of a one-handed spearing technique and did not practice it; 4 neither knew nor practiced it. Eighteen (25.0%) were to “down-stream” housekeepers and aides who did not use such devices in their practice. Disposable needle/syringes caused 49.3% of injuries; hypodermic needles on intravenous lines caused 16.9%. Of the needlesticks, 60.6% were after use and before disposal, 4.2% occurred as the worker was putting an item into a needlebox, and 9.9% occurred from needles protruding from inappropriate bags. Many injuries occurred in the first 2 hours of work after being off the previous day, on Sunday, and on MondayConclusions:Of nurses and medical technologists reporting knowledge of a spearing recapping technique, 97.3% suffered injury via other methods. This strongly suggests that knowledge leads to different action. Safer needled devices and needle-free systems would make a safer workplace. Further study is indicated to identify if and why the first two hours after returning to work on Sunday or Monday are risky for needlestick injuries. Management practices must ensure compliance to safe practice both by employees and related medical staff.
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Mahajan, Supriya, and Ekta Gupta. "Needle Stick Injury in Healthcare Workers." Indian Journal of Health Sciences and Care 6, no. 2 (2019): 80. http://dx.doi.org/10.5958/2394-2800.2019.00016.6.

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3

Wiwanitkit, Viroj. "Hepatitis B, needle stick and medical workers." Journal of Global Infectious Diseases 2, no. 3 (2010): 311. http://dx.doi.org/10.4103/0974-777x.68543.

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Ghimire, Madhusudan, Achala Sharma, Anuj Poudel, and Moushami Ghimire. "Occupational Risk: Needle-Stick Injuries and Its Determinants Among the Healthcare Workers." Journal of Universal College of Medical Sciences 5, no. 1 (January 21, 2018): 45–48. http://dx.doi.org/10.3126/jucms.v5i1.19055.

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INTRODUCTION: Needle-stick injuries are common problems among the healthcare workers; it might impact significantly on workers' health and health care delivery services. Sometimes small pinch of infected needle or sharp instrument may lead to big threat in their life and it may go into mortal outcomes.OBJECTIVE: To explore prevalence of needle-stick injuries and its determinants among the healthcare workers in Banke, Pyuthan and Palpa district of Nepal.MATERIALS & METHODS: A cross-sectional study was undertaken in 2015 and that focused on needle-stick injuries and its determinants. Data were collected by using an unstructured pre tested questionnaire from 359 healthcare workers. SPSS-21 windows process was used to analyze the information. RESULTS: Three hundred fifty-nine health care workers: Doctors (23.70%), Allied health workers (37.60%), Nurses (31.80%), and Laboratory staffs (7.00%) were involved in the study. The mean age of health workers was 32.75 ± 10.478 years. 37.60% of total healthcare workers had needle stick injuries.CONCLUSION: The prevalence of needle-stick injuries was associated strongly with age of healthcare workers, depression, social problems and alcohol consumer and, practice of sleepJournal of Universal College of Medical Sciences (2017) Vol.05 No.01 Issue 15, page : 45-48
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Egwuda, Livinus, and Terhemen Joseph Igbudu. "Needle-stickSharps injuries among healthcare workers in a Tertiary hospital, Makurdi, Nigeria." Asian Pacific Journal of Health Sciences 2, no. 3 (July 2015): 102–8. http://dx.doi.org/10.21276/apjhs.2015.2.3.21.

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Fukuda, Haruhisa, and Kensuke Moriwaki. "Cost-Effectiveness Analysis of Safety-Engineered Devices." Infection Control & Hospital Epidemiology 37, no. 9 (May 26, 2016): 1012–21. http://dx.doi.org/10.1017/ice.2016.110.

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OBJECTIVETo estimate the cost-effectiveness of safety-engineered devices (SEDs) relative to non-SEDs for winged steel needles, intravenous catheter stylets, suture needles, and insulin pen needles.DESIGNDecision analysis modeling.PARTICIPANTSHypothetical cohort of healthcare workers who utilized needle devices.METHODSWe developed a decision-analytic model to estimate and compare the life-cycle costs and benefits for SED and non-SED needle devices. For this cost-effectiveness analysis, we quantified the total direct medical cost per needlestick injury, number of needlestick injuries avoided, and incremental cost-effectiveness ratio. Sensitivity analyses were performed to examine the robustness of the base-case analysis.RESULTSIn the base-case analysis, we calculated the incremental cost-effectiveness ratios of SED winged steel needles, intravenous catheter stylets, suture needles, and insulin pen needles to be $2,633, $13,943, $1,792, and $1,269 per needlestick injury avoided, respectively. Sensitivity analyses showed that the calculated incremental cost-effectiveness ratio values for using SEDs did not fall below zero even after adjusting the values of each parameter.CONCLUSIONThe use of SED needle devices would not produce cost savings for hospitals. Government intervention may be needed to systematically protect healthcare workers in Japan from the risk of bloodborne pathogen infections.Infect Control Hosp Epidemiol 2016;37:1012–1021
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Al-Khalidi, Ghufran Z. S., and Nadia Aziz Nasir. "Knowledge, Attitude, and Practice Regarding Needle Stick Injuries Among Health Care Workers in Baghdad Teaching Hospital and Ghazy Al-Hariri Hospital for Surgical Specialties in 2020." Open Access Macedonian Journal of Medical Sciences 10, E (July 2, 2022): 1–7. http://dx.doi.org/10.3889/oamjms.2022.9963.

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Background: Needle stick injuries are serious occupational hazards in the transmission of a variety of bloodborne diseases, more than twenty pathogens can be transmitted through NSI including hepatitis B virus, hepatitis C virus, and human immunodeficiency virus (AIDS) among healthcare workers. Objectives: Assess the knowledge, attitude and practice of health care workers towards needle stick injuries. Determine the prevalence of needle stick injuries among healthcare workers and its predisposing factors. Methods: Cross-sectional descriptive study, a convenient sample of 260 health care workers was selected from Baghdad Teaching hospital and Ghazy Al Hariri hospital in Baghdad, Iraq. Data were collected by an anonymous questionnaire from January to June 2020. The collected data were analyzed by using statistical package for the social sciences (SPSS version 23). Results Prevalence of NSIs among HCWs was found to be 53.8%, which was higher in nurses (29.3%) and laboratory technicians (28.5%) followed by surgeon doctors (15.7%), assistant surgeons (13.6%) and dentists (12.9%) .The highest number of needle stick injuries occurred by recapping of needles (41.4%) followed by during drug administration (27.9%), from hand to hand (10.7%) and during blood drawing (7.9%). A proportion of (64.5%) of health care workers whom sustained needle stick injury had reported their Injury. Doctors scored better than others regarding mean scores of knowledge, attitude and practice. There was a highly significant association among knowledge, attitude and practice scores of the HCWs (P<0.001). A considerable percentage of the participants (80.2%) were completely immunized against HBV. Conclusions: The study showed a high prevalence of NSIs among health care workers. The score of knowledge was high, moreover acceptable responses were obtained in most attitude and practice statements, except for recapping of needles statements.
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Bashir, Humaira, and Syed Shuja Qadri. "A study on needle stick injuries among health care workers in a tertiary care hospital in India." International Journal of Research in Medical Sciences 7, no. 4 (March 27, 2019): 1032. http://dx.doi.org/10.18203/2320-6012.ijrms20191014.

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Background: Needle stick injury among health workers is regarded as an occupational hazard. Health care workers are at risk of having blood-borne diseases in case they are exposed to blood and other biological samples of the patients. Moreover, staff including doctors working in tertiary care hospitals has high work load which results in increased chances of getting these injuries. The aim and objectives of this study were to find out the prevalence of needle stick injury among different categories of health care workers. Authors also aimed to assess the knowledge, attitude and practices associated with it.Methods: A hospital based cross sectional study design to know the prevalence of needle stick injury among various health care workers of Karpagam Faculty of Medical Sciences and Research, a tertiary level care hospital in Coimbatore, Tamilnadu, India. A total of 250 health care workers were selected for the study purpose. A self-designed, semi-structured, pre-tested questionnaire was used to assess the prevalence of needle stick injuries and the factors associated with it.Results: A majority of health care workers (94%) knew about needle stick injury and 92% were aware that HIV can be transmitted through needle stick injury, 78.4% and 69.65% were aware of Hepatitis-B and Hepatitis-C transmission respectively. About 28.4% of subjects had encountered needle stick injury in their past. Furthermore, it was found that type of exposure and place of exposure was significantly associated with different categories of health care workers (p <0.001).Conclusions: Prevention of health workers against needle stick injury is the best possible way to prevent several bloods borne diseases. There should be a prevention programme which special focus on training of health care workers. Further strategies aiming at preventive measures and reporting of the Needle stick injuries accidents should be made compulsory among health care workers.
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Jagger, Janine C. "Are Australia's healthcare workers stuck with inadequate needle protection?" Medical Journal of Australia 177, no. 8 (October 2002): 405–6. http://dx.doi.org/10.5694/j.1326-5377.2002.tb04876.x.

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10

Alrumayyan., AbeerAbdullah. "OCCUPATIONAL HAZARD: NEEDLE STICK INJURY AMONG HEALTH CARE WORKERS." International Journal of Advanced Research 6, no. 9 (August 31, 2018): 97–101. http://dx.doi.org/10.21474/ijar01/7649.

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11

Martin, Michael A., and Joan N. Hebden. "Blood Culture Collection and Needle Punctures in Healthcare Workers." Infection Control and Hospital Epidemiology 10, no. 9 (September 1989): 390–91. http://dx.doi.org/10.2307/30144204.

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12

Adefolalu, AO. "Needle stick injuries and health workers: A preventable menace." Annals of Medical and Health Sciences Research 4, no. 8 (2014): 159. http://dx.doi.org/10.4103/2141-9248.138046.

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13

Martin, Michael A., and Joan N. Hebden. "Blood Culture Collection and Needle Punctures in Healthcare Workers." Infection Control & Hospital Epidemiology 10, no. 9 (September 1989): 390–91. http://dx.doi.org/10.1086/646057.

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14

Ketshabile, Naledi. "Factors Associated with Percutaneous Injuries & Needle Stick Injuries among Health Care Workers in Nyangabwe Referral Hospital Francistown, Botswana." TEXILA INTERNATIONAL JOURNAL OF PUBLIC HEALTH 10, no. 2 (June 30, 2022): 159–71. http://dx.doi.org/10.21522/tijph.2013.10.02.art014.

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The study is designed to establish the factors associated with percutaneous /needle stick injuries among health care workers (HCWs) working in Nyangabwe Referral Hospital. Institution-based cross-sectional study design was conducted among 222 randomly selected health care workers in Nyangabwe Referral hospital. The data was collected using self-administered questionnaires. The data was entered into epi info version 7.2.2.16 for analysis and exported to Microsoft excel for visualization. The multivariate regression model was used to determine the association of variables with needle stick injuries/percutaneous injuries with AOR and 95% CI & P value ≤ 0.05. This study revealed that 57% of the health care workers in Nyangabwe referral hospital had sustained percutaneous injuries/needle stick injuries during their period of work in the hospital. Nurses were the most affected cadre. Needles, suture needles, and cannulas are the most contributors to percutaneous injuries and needle stick injuries. NSI/PI occurs mostly due to fatigue, workload, inattentiveness, and distraction. The most significant associated factors to PI/NSI were Education level, work unit, years of experience, use of IPC guidelines, work environment as well as working hours. Percutaneous injuries/needle stick injuries in this study area were prevalent. The most contributing factors to NSI/PI were work unit (medical and pediatric ward), Work environment (busy wards), hours of work (≥40 hours per week), non-utilization of infection prevention and control guidelines.
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Singh, B., B. Paudel, and S. KC. "Knowledge and Practice of Health Care Workers regarding Needle Stick Injuries in a Tertiary Care Center of Nepal." Kathmandu University Medical Journal 13, no. 3 (February 26, 2017): 230–33. http://dx.doi.org/10.3126/kumj.v13i3.16813.

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Background Needle stick injuries are common health hazards among health care workers. Considering the increasing prevalence of body fluid borne infectious diseases; knowledge regarding the common errors and universal precautions are vital for the prevention of such accidents.Objective This study aimed to assess for knowledge and practice approaches among health care workers regarding needle stick injuries.Method This is a cross sectional survey was conducted using an anonymous, self-reporting 25-item structured questionnaire at a tertiary care center of central Nepal. A total of 165 health care personnel of working experience of more than 6 months were included in the study. Questionnaire included aspects of prevalence and knowledge on needle stick injury, hepatitis B immunization status and post exposure prophylaxis for HIV.Result Prevalence of needle stick injury was found to be 703 per 1000 health care worker (70.3%) during their working tenure and majority of the injury happened among nurses (p<0.05) besides other professions. Seventy nine (47.9%) participants experienced the injury more than one time in their career and the mean number of injury was 2.06±1.16. The practice of needle recapping is still prevalent and 80% participants often use single handed technique. Vaccination against hepatitis B virus was not completed by 31% health workers. Inadequate knowledge about post exposure prophylaxis for HIV was reported by 46% participants.Conclusion High prevalence of needle stick injury with a high rate of ignorance was noted. These issues need to be addressed, through appropriate education and interventional strategies.
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Glushkova, E. V., A. Yu Brazhnikov, A. Yu Kamenskaya, A. D. Repetyuk, and R. V. Polibin. "Assessing the Conditions for the Occurrence of Unintentional Injections among Nurses and the Prospects for the Use of Safe Devices." Epidemiology and Vaccinal Prevention 21, no. 2 (May 11, 2022): 83–90. http://dx.doi.org/10.31631/2073-3046-2022-21-2-83-90.

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Relevance. Sharp instrument injuries among medical workers are a serious health problem in all countries of the world. There is no official registration of needle sticks injuries among medical workers in Russia and this is a problem.Aim. To assess the knowledge and commitment of nurses about safety procedures (infusion therapy, venipuncture and injections), to identify the frequency of unintentional injections associated with these procedures, their causes, staff awareness of the existence of safe devices.Materials and methods. A total of 1,189 nurses from 169 Russian cities participated in the study. Among the surveyed nurses, 1109 (93.27%) work only in state institutions and 80 (6.73%) combine work in state and private institutions. The majority (56.52%) had more than 15 years of experience in their specialty, 24.81% had 6-15 years of experience, and 18.67% had 0-5 years of experience. Of those surveyed, 67.03% performed infusions, 75.19% performed venipunctures, and 96.89% performed injections.Results. In our study the most dangerous procedure was infusion therapy (21.58% of nurses reported needle sticks during the procedure). More than 40% of injuries were caused by the patient movement during the procedure. Health care workers often reported unintentional injections during the disposal phase of infusions and injections (40.70% and 43.31%, respectively), and the most dangerous step being manual disassembly of the stabbing instrument (25.98% and 21.51%, respectively). In 50.63% of nurses, unintentional injections were reported during venipuncture, after removal of the needle from the vein and before disposal. According to the survey results, only two thirds of nurses are informed about the existence of peripheral venous catheters with a needle protection mechanism, safe devices / needles for blood sampling from a vein, and 53.94% are informed about the existence of injection needles with a protection mechanism. Every nurse should know the correct procedure for the procedure and a set of measures in cases of unintentional needle sticks. However, more than 30% of respondents reported that they didn’t receive procedure safety training.Conclusion. The use of safe devices during infusion therapy, venipuncture and injection would eliminate cases of unintentional injections at the most dangerous stages of these procedures, because of the presence of device protection mechanism, which closes the needle immediately after the procedure and protects the medical worker from further injury.
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Khan, Sahrish, Atiq-ur Rahman, Muhammad Safdar Baig, Muhammad Hashim Raza, Faiz Rasul, and Muhammad Imran. "Needle stick injuries in healthcare workers of a secondary Care Hospital, Pakistan." Professional Medical Journal 27, no. 03 (March 10, 2020): 552–57. http://dx.doi.org/10.29309/tpmj/2020.27.03.3565.

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Needle Stick Injury (NSI) is a percutaneous piercing wound typically dealing with sharps. Needle stick injuries are the most common health care workers issue worldwide. The causes include various factors like type and design of needle, recapping activity, handling/transferring specimens, collision between HCWs or sharps, during clean-up, manipulating needles in patient line related work, passing/handling devices or failure to dispose of the needle in puncture proof containers. NSIs may transmit other bacterial, fungal, or viral infections, including blastomycosis, cryptococcosis, diphtheria, herpes, malaria, mycobacteriosis, spotted fever and syphilis. Objectives: To determine frequency of needle stick injury among health care workers. Study Design: Cross-sectional study. Setting: District Headquarter Hospital Layyah. Period: Jan to March 2019. Material & Methods: Sample size was 161. A structured pre-tested questionnaire containing both open and close-ended questions was administered during the period of Jan-March 2019. Results: Out of 161 participants, 114 (70.8%) reported having a needle stick injury at least once during their clinical practice and the frequency of NSIs was significantly higher among nurses (76.7%) as compared to Doctors (50%), Laboratory staff (45.5%) and waste handlers (70.8 %). Conclusion: Study concludes that in absence of the routine collection of accurate data on NSIs, small studies have been useful in highlighting which groups of HCWs are most at risk from NSIs.
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Düzgöl, Mine, Ahu Kara Aksay, Ersin Durgun, Yeliz Yaman, Nevbahar Demiray, Gamze Gülfidan, Yüce Ayhan, Süleyman Nuri Bayram, and İlker Devrim. "Risk Groups for Needlestick Injury Among Healthcare Workers in Children‘s Hospital: A Cross-sectional Study." Journal of Pediatric Infection 54, no. 4 (December 15, 2020): 212–17. http://dx.doi.org/10.5578/ced.202066.

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Objective: Needlestick injuries are important for healthcare workers due to their morbidity and mortality. The aim of this study was to determine the risk group of needlestick injuries (NSIs) among healthcare workers, and possible risk groups, actions, and prevention practices of the healthcare workers. Material and Methods: This cross-sectional study included 249 healthcare workers(doctors, nursing staff, laboratory technicians and the cleaning personnel) in a tertiary care pediatric hospital in Turkey. Results: Among the 249 healthcare workers, there were 35 physicians, 124 nursing staff, 11 laboratory technicians and 79 cleaning personnel. Seventy (28.1%) were males, 179 (71.9%) were females. The most common equipment associated with needlestick injury were syringe needles ( 54.6 %), followed by intravenous cannula (peripheral catheter) (17.2%). In 103 (41.2%) cases, the injury occurred during use of the needle, with the greater part of injuries (24%) while establishing a venous access. Most healthcare workers experienced hand injuries (%82.7). Conclusion: This study revealed that the high risk group for needlestick injury was nurses followed by the cleaning personnel. Healthcare workers did not take the necessary measures for themselves. Needlestick injuries could be prevented easily by increasing the use of needles when needed, increasing awareness for using devices with safety features, promoting education and safe work practices for needles and related systems.
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Düzgöl, Mine, Ahu Kara Aksay, Ersin Durgun, Yeliz Yaman, Nevbahar Demiray, Gamze Gülfidan, Yüce Ayhan, Süleyman Nuri Bayram, and İlker Devrim. "Risk Groups for Needlestick Injury Among Healthcare Workers in Children‘s Hospital: A Cross-sectional Study." Journal of Pediatric Infection 54, no. 4 (December 15, 2020): 231–36. http://dx.doi.org/10.5578/ced.70025.

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Objective: Needlestick injuries are important for healthcare workers due to their morbidity and mortality. The aim of this study was to determine the risk group of needlestick injuries (NSIs) among healthcare workers, and possible risk groups, actions, and prevention practices of the healthcare workers. Material and Methods: This cross-sectional study included 249 healthcare workers(doctors, nursing staff, laboratory technicians and the cleaning personnel) in a tertiary care pediatric hospital in Turkey. Results: Among the 249 healthcare workers, there were 35 physicians, 124 nursing staff, 11 laboratory technicians and 79 cleaning personnel. Seventy (28.1%) were males, 179 (71.9%) were females. The most common equipment associated with needlestick injury were syringe needles ( 54.6 %), followed by intravenous cannula (peripheral catheter) (17.2%). In 103 (41.2%) cases, the injury occurred during use of the needle, with the greater part of injuries (24%) while establishing a venous access. Most healthcare workers experienced hand injuries (%82.7). Conclusion: This study revealed that the high risk group for needlestick injury was nurses followed by the cleaning personnel. Healthcare workers did not take the necessary measures for themselves. Needlestick injuries could be prevented easily by increasing the use of needles when needed, increasing awareness for using devices with safety features, promoting education and safe work practices for needles and related systems.
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Gogoi, Jurimoni, Sultana Jesmin Ahmed, Hiranya Saikia, and Ratna Sarma. "A study on knowledge, attitude, practice and prevalence of needle stick injuries among health care workers in a tertiary care hospital of Assam." International Journal Of Community Medicine And Public Health 4, no. 6 (May 22, 2017): 2031. http://dx.doi.org/10.18203/2394-6040.ijcmph20172171.

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Background: The objective of study was to determine prevalence of needle stick injuries among health care workers in a tertiary care hospital of Assam and to assess the knowledge, attitude and practices on needle stick injuries among them.Methods: It was a cross-sectional study conducted from June 2016 to August 2016 amongst health care workers of a tertiary care centre of Assam. Sample size was calculated to be 90. A total of 10 departments were selected purposively based on their magnitude of risk exposure and the required sample size was allocated proportionally among these 10 departments. The required numbers of health workers from each of the ten departments were selected by using simple random sampling. A predesigned and pretested proforma was used to collect the data. Data were presented in terms of percentages and significance was tested using chi-square and Fisher’s exact test.Results: Prevalence of needle stick injury among the health workers was found to be 21.1%. Regarding spread of diseases after an accidental needle stick injury, 100% were aware of HIV, 98.9% were aware of Hepatitis B and 67.8% were aware of Hepatitis C. Regarding their attitude to report to in-charge medical officer, only 21.1% had reported about their injury. Around 58.9% of health care workers used gloves regularly for prevention of such injuries. Practice of recapping among the health care workers was 66.7% and out of total needle stick injuries, recapping contributed to 26.3%. While considering sharp waste disposal, 37.8% health care workers did not follow proper waste disposal guidelines. Only 26.3% of health care workers had done screening for HIV/AIDS and Hepatitis B after their injury.Conclusions: There is a need to have a pre-employment training to improve the knowledge, attitude and practice regarding accidental needle stick injuries among the health care workers.
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Calista, Joanne, and Jennifer Tjia. "Moving the Advance Care Planning Needle With Community Health Workers." Medical Care 55, no. 4 (April 2017): 315–18. http://dx.doi.org/10.1097/mlr.0000000000000705.

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Van der Molen, Henk F., Koos AH Zwinderman, Judith K. Sluiter, and Monique H. W. Frings-Dresen. "Interventions to prevent needle stick injuries among health care workers." Work 41 (2012): 1969–71. http://dx.doi.org/10.3233/wor-2012-0416-1969.

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Bajracharya, Manjari, and Sushila Bhandari. "Needle Stick Injuries: A study Among Health Care Workers Tertiary Care Centre Nepal." Medical Journal of Shree Birendra Hospital 17, no. 1 (April 30, 2018): 44–48. http://dx.doi.org/10.3126/mjsbh.v17i1.18871.

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Introduction: A needle stick injury is a percutaneous piercing wound typically set by a needle point but possibly also by other sharp instruments or objects commonly encountered by health care professionals because of the risk to transmitting blood borne diseases like Hepatitis B Virus (HBV), Hepatitis C (HCV) and Human Immuno Deficiency Virus (HIV). The aim of this study was to assess the prevalence, causes, awareness and knowledge regarding Needle Stick Injury among health care workers Tertiary Care Centre of Nepal.Methods: A descriptive cross sectional study was conducted in 350 staffs of Tertiary Care Centre Nepal, from June to August 2013. Data was collected through semi-structured self-administered questionnaire. All the collected data was processed and analyzed by using descriptive statistics namely the frequency and percentage. Results: The study showed that out of the 350 respondents, 65.1% had there medicinal years of practices extended to five years. Among the responses 44.8% mentioned, highest number of needle prick was observed when recapping the needles due to long working hours. About 64.6% respondents washed their hands with soap, water or other antiseptics for effective post exposure preventive measures and 24.9% had access to infection control protocol.Conclusions: Despite the awareness regarding needle stick injury and its preventive measures, health care workers are yet bound to face it often during their surgical or medicinal area of practice due to monotonous and long working hours.
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Lawitts, Steven. "Needle Sightings and On-the-Job Needle-Stick Injuries Among New York City Department of Sanitation Workers." Journal of the American Pharmaceutical Association (1996) 42, no. 6 (November 2002): S92—S93. http://dx.doi.org/10.1331/1086-5802.42.0.s92.lawitts.

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Qaiser, Seher, Ambreen Arif, Saeed Quaid, Tasnim Ahsan, Kashif Riaz, Saad Niaz, Huma Qureshi, Waquaruddin Ahmed, and Syed Ejaz Alam. "Innovative Solution to Sharp Waste Management in a Tertiary Care Hospital in Karachi, Pakistan." Infection Control & Hospital Epidemiology 34, no. 12 (December 2013): 1297–305. http://dx.doi.org/10.1086/673978.

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Background.Prevalence of hepatitis B and C in Pakistan is 2.5% and 4.5%, respectively. Major cause of these infections is reuse of syringes.Objective.To determine a cost-effective, innovative solution to prevent syringe reuse and break the transmission cycle of blood-borne infections.Study Design, Settings, and Duration.Analytical study in a tertiary care hospital, Jinnah Postgraduate Medical Centre, Karachi, Pakistan, July 2011 to June 2012.Methods.Healthcare workers from 30 wards included in the study were trained on injection safety, use of needle remover and needle pit, and management of needlestick injuries. Each ward was provided with 2 needle-removing devices, and a pit was constructed for disposal of needles. Usage of the device in wards and pit use were monitored regularly.Results.In 28 (93.3%) wards, sharp containers were accessible by public and were slack. Syringes were recapped using both hands in 27 (90%) cases; needlestick injury was reported by 30% of paramedics, while 25 (83.3%) of the interviewed staff had not received any formal training in injection safety. Vigilant monitoring and information sharing led to healthcare workers in 28 (96.5%) wards using the device. Needle containers were emptied in 27 (93.1%) wards, and needle pits were used in 26 (96.3%) wards. Needlestick injury was nil in follow-up.Conclusions.Needle removers permanently disable syringes. The needle pit served as a cost-effective, innovative method for disposal of needles. The intervention resulted in reducing the risk of needlestick injury.
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Krasinski, Keith, Rita LaCouture, and Robert S. Holzman. "Effect of Changing Needle Disposal Systems on Needle Puncture Injuries." Infection Control 8, no. 2 (February 1987): 59–62. http://dx.doi.org/10.1017/s0195941700067084.

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AbstractAccidental needle puncture injuries continue to pose a hazard to hospital workers. In order to reduce the number of such injuries in our hospital, needle disposal procedures were revised to discourage recapping and prevent bending or clipping of needles before discard. Collapsible cardboard boxes were replaced with impervious containers. An educational program accompanied these changes. We compared reports of needlestick injuries before and after the change of procedure, for three parallel 9-month periods. During the 27-month study, injuries occurred during administration of medication (22%), or recapping of used needles (16%), from needles protruding through (10%) or out of the "mouth" (9%) of the container, from needles left in the patient's environment (10%), or those left on procedure trays (7%). Seven percent were the result of being stuck by someone else, usually in the operating room. The mechanism of injury for 19% was not, described. Altering the disposal procedures did not change the number or anatomic site of injuries, nor the risk of injury among the various job categories. A reduction in the rate of sticks from needles protruding through the container (1.3 vs 0.3/mo, p≤0.005) was the only difference observed. Changing the needle receptacle changed the type but not the overall number of injuries. The education program had little effect on the number and types of injuries. These data point to the need for developing innovative approaches for eliciting changes in behavior of health care personnel.
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Loiselle, Aimee. "Puerto Rican Needle Workers and Colonial Migrations: Deindustrialization as Pathways Lost." Journal of Working-Class Studies 4, no. 2 (December 1, 2019): 40–54. http://dx.doi.org/10.13001/jwcs.v4i2.6227.

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The dominant narrative of U.S. deindustrialization opens with the Northeast as the definitive starting point for industry followed by a direct linear relocation to the South and then the Global South. In this framework, deindustrialization appears to have a logic, a rational pathway following cheaper and compliant labor. When Puerto Rican needleworkers become visible in the history of the textile and garment industry, however, their colonial migrations complicate deindustrialization, and its linear logic collapses. From the perspective of these colonial women, industrialization of Puerto Rico began at the turn of the twentieth century - the same time factories and mills increased in the South. Thousands of women also migrated to the Northeast mainland, especially from the 1950s to the 1970s, when many white workers were mourning the loss of textile and garment jobs. Puerto Rican women moved to the old factories of the Northeast, which had become outposts for large transnational corporations that did not relocate their manufacturing in a direct geographic path but rather spread their processes over any arrangement that offered the best cost-benefit analysis. For Puerto Rican women, employment in the plants of the Northeast during the 1960s and 1970s offered hope rather than despair, and many took pride in meeting their quotas and providing wages for their families. In the 1980s, when the Reagan administration initiated major reforms to financial policies and the practices of leveraged buyouts made closing old plants a better return on investment, Puerto Rican women mourned the loss of jobs in an industry many experts had already declared ‘dead.’ Fragmentation of the archives between Puerto Rican studies and U.S. labor history have allowed for a simplistic narrative of deindustrialization and an erasure of the losses and disappointments of women who left Puerto Rico for the promise of higher wages in the postwar Northeast mainland. When the oral histories and documents related to the migrations of Puerto Rican needleworkers become visible in the larger history of the ‘American working class’, we see deindustrialization as sprawling and contingent rather than as linear and naturalized. Puerto Rican studies scholars have written about needleworkers as part of their field with particular attention to gender as it relates to notions of motherhood, but this article sets the women as American workers into the losses of the textile and garment industry without eliding their specificity as migrating and racialized colonial labor. In addition, the women expressed grief that went beyond losing a specific job - many of these workers lost their place in the U.S. workforce and the promise of financial stability as they became associated with racialized poverty and welfare debates.
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Hanafi, Manal, Aida Mohamed, Mohamed Kassem, and Mona Shawki. "Needle Stick Injuries among Health Care Workers of Alexandria University Hospitals." Journal of High Institute of Public Health 38, no. 1 (January 1, 2008): 126–53. http://dx.doi.org/10.21608/jhiph.2008.20873.

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Rele, M., M. Mathur, and D. Turbadkar. "RISK OF NEEDLE STICK INJURIES IN HEALTH CARE WORKERS - A REPORT." Indian Journal of Medical Microbiology 20, no. 4 (October 2002): 206–7. http://dx.doi.org/10.1016/s0255-0857(21)03190-x.

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30

Vaughn, Thomas E., Kimberly D. McCoy, Susan E. Beekmann, Robert F. Woolson, James C. Torner, and Bradley N. Doebbeling. "Factors Promoting Consistent Adherence to Safe Needle Precautions Among Hospital Workers." Infection Control & Hospital Epidemiology 25, no. 7 (July 2004): 548–55. http://dx.doi.org/10.1086/502438.

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AbstractObjective:To examine organizational factors and occupational characteristics associated with adherence to occupational safety guidelines recommending never recapping needles.Design:Mail surveys were conducted with healthcare workers (HCWs) and infection control professionals (ICPs).Setting:The surveys were conducted at all non-federal general hospitals in Iowa, except one tertiary-care hospital. Survey data were linked to annual survey data of the American Hospital Association (AHA).Participants:HCWs were sampled from statewide rosters of physicians, nurses, and laboratory workers in Iowa. Eligible HCWs worked in a setting and position in which they were likely to routinely handle needles. ICPs at all hospitals in the state were surveyed.Results:Ninety-nine ICPs responded (79% response rate). AHA data were available for all variables from 84 (85%) of the hospitals. Analyses were based on 1,454 HCWs who identified one of these hospitals as their primary hospital (70% response rate). Analyses were conducted using multiple logistic regression. Positive predictors of consistent adherence included infection control personnel hours per full-time–equivalent employee (odds ratio [OR], 1.03), frequency of standard precautions education (OR, 1.11), facilities providing personal protective equipment (OR, 1.82), facilities using needleless intravenous systems (OR, 1.42), and management support for safety (OR, 1.05). Negative predictors were use of “blood and body fluid precautions” isolation category (OR, 0.74) and increased job demands (OR, 0.90).Conclusion:Healthcare organizations can improve staff safety by investing wisely in educational programs regarding approaches to minimize these risks, providing protective equipment, and eliminating the use of blood and body fluid precautions as an isolation policy.
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Zhang, L., Y. Ai, J. Liu, N. Yue, J. Xuan, V. Bal, S. Gala, EP Erdal, and X. Gao. "Economic Burden of Needle-Stick Injury Among Healthcare Workers in China." Value in Health 21 (September 2018): S86. http://dx.doi.org/10.1016/j.jval.2018.07.645.

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32

Makofsky, David, and James E. Cone. "Installing Needle Disposal Boxes Closer to the Bedside Reduces Needle-Recapping Rates in Hospital Units." Infection Control & Hospital Epidemiology 14, no. 3 (March 1993): 140–44. http://dx.doi.org/10.1086/646699.

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AbstractObjective:To compare the proportion of recapped needles, an injury surrogate measure, in disposal boxes on two different types of hospital units, both before and after an intervention.Design:Prospective nonrandomized intervention trial.Setting:A major public teaching hospital.Participants:Specific hospital units. We selected two types of hospital units for study: the first type of hospital unit (medical-surgical ward) had existing mounted in-bathroom needle disposal boxes, and the second type of hospital unit (intensive care unit) had unmounted needle disposal boxes in the room but not necessarily near the patient's bedside.Intervention:The installation, in the medical-surgical wards only, of mounted needle disposal boxes on the wall near the patient's bed. The box location in the intensive care units remained the same. In both types of unit, a new mailbox-slot disposal box (SAGE) also was substituted for the previous round-top container.Results:The baseline proportion of recapped needles in the first medical-surgical unit was 32.6% (±3.8%) and in the second medical-surgical unit it was 27.4% (± 4.0%) in the bathroom needle disposal boxes, which was similar to the observed proportion (34.7 ± 6.4%) in the intensive care unit boxes. Following the intervention, the proportion of recapped needles was significantly reduced in the disposal containers adjacent to the bedside in medical-surgical units, to 27% (a difference of 2.9 standard errors of the baseline distribution) in the first unit and 18.2% (a difference of 4.6 standard errors) in the second. In the intensive care unit, where boxes were not moved but new mailbox-types were simply substituted, no significant change was noted (36.6%, a difference of 0.59 standard errors). A statistically significant reduction was observed in the proportion of needles recapped in both wards combined following the intervention (30.2% to 26.2%, a difference of 2.9 standard errors).Conclusion:Environmental changes alone are an effective means of altering the risk to healthcare workers from sharp instruments. The use of needle-box counts provides a sensitive and stable instrument to measure injury surrogates and, indirectly, behavioral change in hospital workers.
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Mengistu, Dechasa Adare, Sina Temesgen Tolera, and Yohannes Mulugeta Demmu. "Worldwide Prevalence of Occupational Exposure to Needle Stick Injury among Healthcare Workers: A Systematic Review and Meta-Analysis." Canadian Journal of Infectious Diseases and Medical Microbiology 2021 (January 29, 2021): 1–10. http://dx.doi.org/10.1155/2021/9019534.

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Background. Healthcare workers are at high risk of occupational exposure to needle stick injury worldwide. Occupational exposure to needle stick injury represents the most common sources of infection such as hepatitis B virus, hepatitis C virus, and human immunodeficiency virus. Thus, this review aimed to determine the career time and previous one-year global pooled prevalence of occupational exposure to needle stick injury among healthcare workers. Methods. The review considered articles written in English language and published from 2012 to 2020. The articles were searched using nine electronic databases (PubMed, Google Scholar, CINAHL, MEDLINE, Cochrane library, Web of Science, SCOPUS, MedNar, and ScienceDirect) using a combination of Boolean logic operators (AND, OR, and NOT), Medical Subject Headings, and keywords. Quality assessment was performed to determine the relevance of the articles using Joanna Briggs Institute critical appraisal tools. Several steps of assessment and evaluation were taken to select and analyze the relevant articles. Results. The worldwide pooled prevalence of needle stick injuries among healthcare workers during career time and previous one year was 56.2% (95% CI: 47.1, 64.9) and 32.4% (95% CI: 22.0, 44.8), respectively. The career time pooled prevalence of needle stick injuries based on the socioeconomic development and study area was 54.8% and 55.1%, respectively, and one-year pooled prevalence of needle stick injury was 26.0% and 20.9%. Conclusion. The review found a high prevalence of occupational exposure to needle stick injury among healthcare workers and suggests the need to improve occupational health and safety services in the healthcare systems.
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Gupta, Dharmendra Kumar, Meenakshi Singh, V. K. Agarwal, Sanjeev Sharma, and Saurabh Mishra. "A study of contaminated sharp injury and associated morbidity among health care workers." International Journal Of Community Medicine And Public Health 7, no. 1 (December 25, 2019): 183. http://dx.doi.org/10.18203/2394-6040.ijcmph20195851.

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Background: Needles are one of the biomedical waste materials generated during the treatment or procedure in the hospital. Improper handling, capping or disposal technique causes a major health hazard among the health care workers (HCWs). Needle stick injuries (NSIs) can occur accidentally at any time when people use, disassemble, or dispose needle. The aim of the present study were to find out the burden of chronic morbid condition due to NSIs to HCWs, to find out various risk factors responsible for causing chronic disease to HCWs and to suggest the prevention and control of needle stick injury among the HCWs.Methods: A cross-sectional study, conducted among HCWs. Sample size was estimated by using standard formula and 312 HCWs were taken in study. Equal number of respondent was taken from each group. The information has been collected and data entry has been done using specific software SPSS version 20.0.Results: Most of the HCWs were infected with hepatitis B (24.0%) followed by hepatitis C virus (8.7%) and HIV (1.9%) after the percutaneous injuries with needle of infectious patients during any intervention procedures of the patients.Conclusions: Occupational exposures to percutaneous injuries are substantial source of infections with blood borne pathogens among health-care workers because of the poor practice as well as not opting personal protective equipment’s during intervention process regarding preventive and control measures. These infections are highly preventable and should be eliminated.
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Abalkhail, Adil, Russell Kabir, Yousif Mohammed Elmosaad, Ameen S. S. Alwashmi, Fahad A. Alhumaydhi, Thamer Alslamah, Khalid A. Almoammar, Yasir Ahmed Alsalamah, and Ilias Mahmud. "Needle-Stick and Sharp Injuries among Hospital Healthcare Workers in Saudi Arabia: A Cross-Sectional Survey." International Journal of Environmental Research and Public Health 19, no. 10 (May 23, 2022): 6342. http://dx.doi.org/10.3390/ijerph19106342.

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Needle-stick or sharp injuries (NSIs) are critical occupational hazards for healthcare workers. Exposure to blood and body fluids through NSIs increases the risk of transmission of blood-borne pathogens among them. The objectives of this study were to estimate the annual incidence of NSIs and investigate the associated factors of NSIs among the healthcare workers in Saudi Arabia. A cross-sectional online survey was conducted between October and November 2021. A total of 361 healthcare workers participated in the survey from all over Saudi Arabia. The one-year incidence of at least one event of NSIs among the healthcare workers is estimated at 22.2% (95% CI: 18.0, 26.8). More than half of the injury events (53.8%) were not reported to the authority by the healthcare workers. Incidence of NSIs was highest among the physicians (36%) and was followed by nurses (34.8%), dentists (29.2%), and medical technologists (21.1%). The odds of NSIs was higher among the healthcare workers aged 26–30 years compared to the 20–25 years age group (OR: 2.51; 95% CI: 1.04, 6.03), as well as among the workers who directly dealt with needles or other sharp objects while working compared to those who did not (OR: 5.9; 95% CI: 2.69, 12.97). The high incidence and low rate of reporting of NSIs highlights the need of education and awareness raising programs targeting healthcare providers with higher risk of injury.
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Albeladi, Omar Audah, Sami saeed Almudaraa, Asma Awwad Alqusibri, Nader Moneer Alqerafi, Yazeed Saeed Alsenani, and Eman Elsayed Abd-Ellatif. "Needle Stick Injuries among Health Care Workers in AL-Madinah AL-Munawara Governmental Hospitals in Saudi Arabia." Global Journal of Health Science 13, no. 11 (October 8, 2021): 76. http://dx.doi.org/10.5539/gjhs.v13n11p76.

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BACKGROUND: Needle stick injuries are a dangerous occupational hazard that threatens health care workers with serious consequences in many cases. Because of inadequate reporting of these incidents, the true magnitude of the problem is unknown. The study&rsquo;s aim was to investigate the epidemiology of needle stick injuries (NSIs) among health care workers in Al Madinah Al Munawara, Saudi Arabia. METHODS: A representative sample of health care workers (n=268) were randomly selected from emergency departments of three general hospitals in Al Madinah Al Munawara for a cross-sectional study, and 219 responded to a predesigned questionnaire reflecting exposure to NSI, reporting, post-exposure reactions, and knowledge about NSIs. RESULTS: Almost one third of the participating medical professionals 70 (32%) had been exposed to stick injury during work. One half of the needles (52.9%) were blood stained. Nurses are significantly more likely to have stick injury (38.6%) followed by physicians (30.4%) if compared to laboratory technicians (13.9%) at the p-value of less than 0.05. The main purposes during injuries were drawing blood sample 33 (47.1%), injection 31 (44.3%) and suturing 23 (32.9%). Almost all injured personnel (97.1%) cleaned the injury site immediately and thoroughly. Out of the injured personnel, 50 (71.4%) reported the incident to authorities. A significantly higher proportion of physicians (91.3%) achieved above average score if compared to both lab technicians (72.2%) and nurses (76.3%) at the p-value of less than 0.05. CONCLUSION: Occupational needle stick injuries are fairly common among health care workers at Al Madinah Al Munawara&rsquo;s governmental hospitals. In hospitals, deliberate efforts should be made to ensure adherence to safety guidelines governing needle stick injuries.
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Mendes, Rodrigo Nonato Coelho, Larissa Gutierrez de Carvalho Silva, Maria do Carmo Lourenço Haddad, Fernanda Novaes Moreno, and Roseli Broggi Gil. "COST-EFFECTIVENESS OF NEEDLE AND CATHETER OVER NEEDLE WITH ACTIVE PROTECTION DEVICES IN THE HOSPITAL SETTING." Texto & Contexto - Enfermagem 24, no. 3 (September 2015): 867–74. http://dx.doi.org/10.1590/0104-07072015002870014.

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ABSTRACTThe aim of this study was to evaluate the cost-effectiveness of needle and catheter over needle with active protection safety devices in the hospital context. A cross-sectional and retrospective study was undertaken at a public university hospital in Southern Brazil. The population was composed of consumption and material cost worksheets and 53 records of workers and students who suffered perforating accidents that occurred before and after the implementation of the safety devices, in the periods named A: June/2010 till June/2011 and B: June/2012 till June/2013. Data were analyzed using descriptive statistics. There was a 30% increase in accidents between period A and period B. The cost went from 44.769,93 to 139.558,08 American dollars. Educational strategies are recommended to enhance the cost-effectiveness of safety devices in healthcare organizations.
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38

Rajpal, Shweta, Sunil Kumar Garg, Tanveer Bano, and Ganesh Singh. "Prevalence of needle stick injuries among health care workers of various hospitals: a cross sectional study in an urban district of North India." International Journal Of Community Medicine And Public Health 8, no. 4 (March 25, 2021): 1976. http://dx.doi.org/10.18203/2394-6040.ijcmph20211265.

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Background: Needle stick injuries (NSI) are one of the dreaded but preventable occupational hazard posed to health care worker in various clinical settings. The causes of NSI includes injuries caused by use of hypodermic needles, blood collection needles, needles in intravenous delivery systems, needles in diagnostic aspiration procedures and needle in interventional or surgical procedures. In developing countries, needle stick injuries prevalence is also related to lack of standard operating protocol in various institution.Methods: A cross sectional observational study was carried out in 384 paramedical, technical, auxiliary and sanitary staff of three government and three private hospitals of Meerut from November 2015 to October 2016.Results: In our study, Overall prevalence of NSI was 77/384 (20.1%). Among sub-groups, needle stick injury was 26.6% and 31.3% in nurses, 37.5% and 16.7% in technicians, 15% and 12.5% in wardboys/aaya and 15.6% and 9.4% in sweepers of public and private hospitals respectively.Conclusions: Standard operating protocol is the need of the hour at every medical institution and hospitals for NSI. Regular training regarding NSI, promoting early reporting and availability of immediate Post exposure prophylaxis should be ensured.
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39

Bajracharya, Manjari, and Sushila Bhandari. "Needle Stick Injuries: A study Among Health Care Workers Tertiary Care Centre Nepal." Medical Journal of Shree Birendra Hospital 17, no. 2 (April 30, 2018): 44. http://dx.doi.org/10.3126/mjsbh.v17i2.18871.

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<p><span><strong>Introduction:</strong> A needle stick injury is a percutaneous piercing wound typically set by a needle point but possibly also by other sharp instruments or objects commonly encountered by health care professionals because of the risk to transmitting blood borne diseases like Hepatitis B Virus (HBV), Hepatitis C (HCV) and Human Immuno Deficiency Virus (HIV). The aim of this study was to assess the prevalence, causes, awareness and knowledge regarding Needle Stick Injury among health care workers Tertiary Care Centre of Nepal.</span></p><p><span><strong>Methods:</strong> A descriptive cross sectional study was conducted in 350 staffs of Tertiary Care Centre Nepal, from June to August 2013. Data was collected through semi-structured self-administered questionnaire. All the collected data was processed and analyzed by using descriptive statistics namely the frequency and percentage. </span></p><p><span><strong>Results: </strong>The study showed that out of the 350 respondents, 65.1% had there medicinal years of practices extended to five years. Among the responses 44.8% mentioned, highest number of needle prick was observed when recapping the needles due to long working hours. About 64.6% respondents washed their hands with soap, water or other antiseptics for effective post exposure preventive measures and 24.9% had access to infection control protocol.</span></p><p><span><strong>Conclusions: </strong>Despite the awareness regarding needle stick injury and its preventive measures, health care workers are yet bound to face it often during their surgical or medicinal area of practice due to monotonous and long working hours. </span></p><div><span><br /></span></div>
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40

Tate, David E. "Technical Tip: New Tools for Protection from Sharps Injuries." HAND 2, no. 3 (April 14, 2007): 135–36. http://dx.doi.org/10.1007/s11552-007-9036-4.

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Sharps injuries are an area of concern for healthcare workers. This article discusses clinical use of a blunt suture needle and an absorbable skin staple in upper limb operations. These devices may reduce the need for sharp needles in the surgical field during selected procedures on the upper limb.
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41

Alam, Maqbool. "Knowledge, Attitude and Practices among Health Care Workers on Needle-Stick Injuries." Annals of Saudi Medicine 22, no. 5-6 (September 2002): 396–99. http://dx.doi.org/10.5144/0256-4947.2002.396.

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42

Thompson, Beverly Yuen. "The Other End of the Needle: Continuity and Change among Tattoo Workers." Contemporary Sociology: A Journal of Reviews 51, no. 1 (December 30, 2021): 57–58. http://dx.doi.org/10.1177/00943061211062960p.

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43

Dopolani, FatemehNemati, and Esmaeil Mohohammadnejad. "Risk factors of needle stick and sharp injuries among health care workers." Journal of Nursing and Midwifery Sciences 2, no. 1 (2015): 34. http://dx.doi.org/10.4103/2345-5756.231417.

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44

Singh, Sudhir, Shweta R. Sharma, and Amit Mishra. "Health care workers contacting needle-stick injury in a tertiary care hospital." MedPulse International Journal of Microbiology 14, no. 2 (2020): 15–18. http://dx.doi.org/10.26611/10081422.

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45

Weiss, S. H. "HTLV-III infection among health care workers. Association with needle-stick injuries." JAMA: The Journal of the American Medical Association 254, no. 15 (October 18, 1985): 2089–93. http://dx.doi.org/10.1001/jama.254.15.2089.

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46

Hanif, Faisal, Umar Khurshid, Haroon Sabir Khan, and Muhammad Zill-e.-Humayun Mirza. "Needle Stick And Sharp Related Injuries- Ethical Considerations, Prevention, And Management." Journal of Bahria University Medical and Dental College 08, no. 04 (October 1, 2018): 278–80. http://dx.doi.org/10.51985/jbumdc2018071.

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Laboratory and Health care workers (HCW) are exposed to many occupational related hazards. Both are at considerable risk of acquiring infections. Needle stick/prick injuries (NSIs) can lead to blood borne infections such as HIV, Hepatitis B and Hepatitis C
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47

Dilie, Abebe, Desalegn Amare, and Tenaw Gualu. "Occupational Exposure to Needle Stick and Sharp Injuries and Associated Factors among Health Care Workers in Awi Zone, Amhara Regional State, Northwest Ethiopia, 2016." Journal of Environmental and Public Health 2017 (2017): 1–6. http://dx.doi.org/10.1155/2017/2438713.

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Background. Needle stick and sharp injuries were one of the major risk factors for blood and body fluid borne infections at health care facilities. Objective. To assess occupational exposure to needle stick and sharp injuries and associated factors among health care workers in Awi zone, 2016. Methods. institutional based cross-sectional study was conducted among 193 health care workers. Study participants were selected using systematic random sampling technique. Result. When queried, 18.7% of the respondents’ encountered needle stick and sharp injury in the last 1 year. Participants who practiced needle recapping and had job related stress were 21.3 and 7.3 times more likely to face needle stick and sharp injury, respectively. However, those who apply universal precautions and acquire the required skill were 99% and 96% times less likely to face needle stick and sharp injury, respectively, than their counterparts. Conclusion and Recommendation. The prevalence of needle stick and sharp injury was relatively low as compared to previous studies. Recapping of needle after use, job related stress, not applying universal precautions, and lack of the required skill were associated with needle stick and sharp injuries. Therefore, health care providers should apply universal precaution.
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48

Wang, Fu-Der, Yin-Yin Chen, and Cheng-Yi Liu. "Analysis of Sharp-Edged Medical-Object Injuries at a Medical Center in Taiwan." Infection Control & Hospital Epidemiology 21, no. 10 (October 2000): 656–58. http://dx.doi.org/10.1086/501710.

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AbstractA total of 733 incidents by sharp-edged objects occurred among healthcare workers between 1995 and 1998. Injuries occurred most frequently among interns. The workplace location with the highest incidence of injury was the patient ward, and the object that most frequently inflicted injury was a needle. The most frequent work practice was recapping of syringes. One healthcare worker demonstrated seroconversion for hepatitis C.
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Talab Ali, Ameer, and Samir M Othman. "Needle stick injuries and their safety measures among nurses in Erbil Hospitals." Diyala Journal of Medicine 23, no. 2 (December 25, 2022): 1–13. http://dx.doi.org/10.26505/djm.23026640717.

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Background: Needle stick injuries are serious professional hazards in the transfer of certain types of blood borne diseases such as hepatitis B virus, hepatitis C virus, and human immunodeficiency virus among healthcare workers.
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50

Mendelson, Meryl H., Bao Ying Lin-Chen, Robin Solomon, Eileen Bailey, Gene Kogan, and James Goldbold. "Evaluation of a Safety Resheathable Winged Steel Needle for Prevention of Percutaneous Injuries Associated With Intravascular-Access Procedures Among Healthcare Workers." Infection Control & Hospital Epidemiology 24, no. 2 (February 2003): 105–12. http://dx.doi.org/10.1086/502174.

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AbstractObjective:To compare the percutaneous injury rate associated with a standard versus a safety resheathable winged steel (butterfly) needle.Design:Before-after trial of winged steel needle injuries during a 33-month period (19-month baseline, 3-month training, and 11-month study intervention), followed by a 31-month poststudy period.Setting:A 1,190-bed acute care referral hospital with inpatient and outpatient services in New York City.Participants:All healthcare workers performing intravascular-access procedures with winged steel needles.Intervention:Safety resheathable winged steel needle.Results:The injury rate associated with winged steel needles declined from 13.41 to 6.41 per 100,000 (relative risk [RR], 0.48; 95% confidence interval [CI95], 0.31 to 0.73) following implementation of the safety device. Injuries occurring during or after disposal were reduced most substantially (RR 0.15; CI95, 0.06 to 0.43 Safety winged steel needle injuries occurred most often before activation of the safety mechanism was appropriate (39%); 32% were due to the user choosing not to activate the device, 21% occurred during activation, and 4% were due to improper activation. Preference for the safety winged steel needle over the standard device was 63%. The safety feature was activated in 83% of the samples examined during audits of disposal containers. Following completion of the study, the safety winged steel needle injury rate (7.29 per 100,000) did not differ significantly from the winged steel needle injury rate during the study period.Conclusion:Implementation of a safety resheathable winged steel needle substantially reduced injuries among healthcare workers performing vascular-access procedures. The residual risk of injury associated with this device can be reduced further with increased compliance with proper activation procedures.
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