NEEDLE STICK INJURIES IN NURSES AT A TERTIARY HEALTH CARE FACILITY
AbstractBackground: Needle-stick injury (NSI) is a major occupational health and safety issue faced byhealthcare professionals globally. This study was aimed to assess the frequency and factors associatedwith NSIs in nurses of a tertiary health care facility in Lahore, Pakistan. It also focuses on safetymeasures adopted by these nurses after a needle stick injury. Methods: This cross-sectional descriptivestudy was conducted in Ghurki Trust Teaching Hospital, Lahore from October 2009 to January 2010.All nurses have participated in the study with a response rate of 99%. These responses were obtainedvia a pretested self-administered questionnaire. The data was analysed using SPSS-16. Percentages ofthe categorical variables were computed and represented in various statistical data presentation forms,for analysis and comparison. Chi-square test was applied as a test of significance with fixing the pvalue of 0.05 as significant. Results: Out of 77 nurses who participated in our study, only 33 (42%)nurses were aware of the occupational hazards of their profession when they joined nursing. Needlestick injury was reported by 40 (71.9%) of the nurses in last one year. About 17 (31.5%) were injured atthe time of recapping the syringe. The availability of needle cutters in the hospital was reported by 75(97.4%) nurses while only 46 (60%) of them had undertaken a sharp management training course.Approximately 50 (64.9%) nurses failed to use gloves while administering injections. After gettingstuck by a contaminated needle 71 (92%) of the nurses cleaned the wound with a spirit swab, 67 (87%)washed the area with soap and water and 58 (75%) applied a readily available bandage. Only 38 (49%)went on to inform the higher officials about a needle stick injury. Fifty-seven (74%) of the nurses werevaccinated against HBV, and 56 (72.2%) of needle stick injured nurses proceeded for HBV screening,while 53 (68.6%) for HCV and 37(48.5%) for HIV. Conclusion: Needle stick injury is the mostimportant occupational health hazard in nurses with alarmingly high rates. Reporting to the concernedauthorities, screening of nurses after needle stick injury and promotion of safety measures against itshould be greatly encouraged.Keywords: Needle stick injuries, Nurses, Pakistan
Needle stick injuries. 2003 (cited January 23,2008). Available
Smith DR, Wei N, Zhang YJ, Wang RS. Needle sticks and
sharps injuries. A cross-section of physicians in Mainland China.
Am J Ind Med 2006;49:169–74.
Prüss-Üstün A, Rapiti E, Hutin Y. Estimation of the global
burden of disease attributable to contaminated sharps injuries
among health-care workers. Am J Ind Med 2005;48:482–90.
Deisenhammer S, Radon K, Nowak D, Reichert J. Needle stick
injuries during medical training. J Hosp Infect 2006;63:263–7.
ICN on Preventing Needle stick Injuries. Nursing Matters: Fact
sheets 2009. Available from: medicalkenya.co.ke/2011/02/
Trinkoff A, Rong M, Geiger-Brown, J., Lipscomb, J. Work
schedule, needle use, and needlestick injuries among registered
nurses. Infection Control and Hospital Epidemiology. Chicago:
University of Chicago Press;2009.
Ball J, Pike G. Needle stick injury in 2008. Result from a survey
of RCN members. Collaberation of employment research Royal
college of Nursing. Available from: http://www.rcn.org.uk/
Smith D.R, Leggat P.A. Needle stick and sharps injuries among
nursing students. J Adv Nurs 2005;51(5):449–55.
Mahfouz AA, Abdelmoneim I, Khan M.Y, Daffalla AA, Diab
M.M, Shaban H, Al Amri H.S. Injection safety at primary health
care level in south-western Saudi Arabia . East Mediter Health J
J Ayub Med Coll Abbottabad 2010;22(3)
Jayanth S T, Kirupakaran H, Brahmadathan K N, Gnanaraj L,
Kang G. Needle stick injuries in a tertiary care hospital. Indian J
Med Microbiol 2009;27:44–7.
Zuberi B F, Zuberi F F, Hasan S R, Kumar R, Memon S A, Afsar
S. Frequency of acute Hepatitis C after needle stick injury and its
treatment outcome. Pak J Med Sci 2009;25:766–9.
Mujeeb S. A, Khatri Y, Khanani R. Frequency of parenteral
exposure and seroprevalence of HBV, HCV, and HIV among
operation room personnel. J Hosp Inf. 1998;38(2):133–7.
Ebrahimi H. Khosravi A. Needlestick Injuries among Nurses. J
Res Health Sci 2007;7(2):56–62.
Gillen M, McNary J, Lewis J, Davis M, Boyd A, Schuler M, et
al. Sharps related injuries in California healthcare facilities: pilot
study results from the Sharps Injury Surveillance Registry. Infect
Control Hosp Epidemiol 2003;24:113–21.
Denis MA, Ecochard R, Bernadet A, Forissier MF, Porst JM,
Robert O, et al. Risk of occupational blood exposure in a cohort
of 24,000 hopital healthcare workers: position and environment
analysis over three years. J Occup Environment Med
Nsubuga FM, Jaakkola MS. Needle stick injuries in SubSaharan Africa. Trop Med Int Health 2005;10(8):773–81.
Zafar A,Aslam N, Nasir N, Meraj R, Mehraj V. Knowledge,
attitudes and practices of health care workers regarding needle
stick injuries at a tertiary care hospital in Pakistan. J Pak Med
O’Neil JT. The blood-borne pathogen standard: a pragmatic
approach. New York: Van Nostard Reinhold; 1996.
Alam M. Knowledge, attitude and practices among health care
workers on needle stick injuries. Ann Saudi Med 2002;22:396–9.
Harris SA, Nicolai LA. Occupational exposures in emergency
medical service providers and knowledge of and compliance with
universal precautions. Am J Infect Control 2010:38(2):86–94.
Chew TT, King YL. Accidental Needlestick Injuries among
Nurses in a Regional Hospital in Hong Kong. J Hong Kong Med
Askarian M, Ghavanini AA, Survey on adoption of measure to
prevent nosocomial infection by anesthesia personnel. East
Mediterr Health J 2002;8:416–21
Abbas Z, Jafri W, Shah SH, Khokhar N, Zuberi SJ. PGS
Consensus Statement on management of Hepatitis B Virus
Infection 2003. J Pak Med Assoc 2004;54:150–8.
Hamid S, Umar M, Alam A, Siddiqui A, Qureshi H, Butt, J.
PSG Consensus Statement on management of Hepatitis C Virus
Infection 2003. J Pak Med Assoc 2004;54:146–9.