• Prasuna J AIIMS, College of Nursing, Rishikesh, Uttarakhand
  • Rakesh Sharma Himalayan College of Nursing, Doiwala-Post, Dehradun, Uttarakhand
  • Anita Bhatt Himalayan College of Nursing, Doiwala-Post, Dehradun, Uttarakhand
  • Arazoo Arazoo Himalayan College of Nursing, Doiwala-Post, Dehradun, Uttarakhand
  • Disha Painuly Himalayan College of Nursing, Doiwala-Post, Dehradun, Uttarakhand
  • HImani Butola Himalayan College of Nursing, Doiwala-Post, Dehradun, Uttarakhand
  • Anju Yadav Himalayan College of Nursing, Doiwala-Post, Dehradun, Uttarakhand


Background: Needle stick injury (NSI) became a major issue and most of the research focuses on Nurses, Doctors and other health care workers, but at the same time nursing students in clinical duties are at high risk. Studies are available which examined NSI only in Medical students and health care workers. The present study is aimed to measure the occurrence of needle stick injury along with post exposure measures and evaluation of the knowledge regarding needle stick injury among nursing student. Methods: A cross-sectional study was conducted in North-East India in 2013. The study participants comprised of 83 nursing students studying in 4th year B.Sc. (N) and 3rd year General Nursing and Midwifery (GNM). Students were questioned regarding their occurrence to Needle Stick Injury throughout their clinical training and measures taken following the exposure. They were also asked to complete the Knowledge questionnaire on NSI. Results: The study among 83 nursing students included 43 (51.81%) GNM 3rd year and 40 (48.19%) B.Sc. Nursing Students. Out of a total 83 students, 75 (90.36%) were females. The occurrence of NSI during their course was reported by 33 (39.76%) participants. The maximum NSI occurred during first year of course (57.57%). It was found that 18 (54.54%) of NSIs were not reported. Among those exposed, only 5 (15.15%) students had undergone blood investigation and very few students took post exposure measures. It was found that, only 23 (69.69%) students were immunized against Hepatitis B before NSI. Conclusion: The present study indicated a high incidence of needle stick injuries among nursing students with more under-reported cases and subjects were not aware of post exposure measures. It is essential to deal above problems by regular training on real-life procedure at the entry level and reporting system should be more user-friendly platform.Keyword: Occurrence, Nursing students, Hepatitis B, Needle stick injury, Post exposure measures


Lum D, Mason Z, Meyer-Rochow G, Neveldsen GB, Siriwardena M, Turner P, et al. Needle stick injuries in country general practice. N Z Med J 1997;110(1041):122–5.

Norsayani MY, Noor Hassim I. Study on incidence of needle stick injury and factors associated with this problem among medical students. J Occup Health 2003;45(3):172–8.

Smith AJ, Cameron SO, Bagg J, Kennedy D. Management of needlestick injuries in general dental practice. Br Dent J 2001;190:645–50.

Patterson JM, Novak CB, Mackinnon SE, Ellis RA. Needlestick injuries among medical students. Am J Infect Control 2003;31:226–30.

Shiao JS, Mclaws ML, Huang KY, Guo YL. Student nurses in Taiwan at high risk for needlestick injuries. Ann Epidemiol 2002;12:197-201.

Kohn WG, Collins AS, Cleveland JL, Harte JA, Eklund KJ, Malvitz DM, et al. Guidelines for infection control in dental health-care settings-2003. MMWR Recomm Rep 2003;52:1–61.

Thomas DL, Gruninger SE, Siew C, Joy ED, Quinn TC. Occupational risk of hepatitis C infections among general dentists and oral surgeons in North America. Am J Med 1996;100:41–5.

Hutin YJ, Hauri AM, Armstrong GL. Use of injections in healthcare settings worldwide, 2000: Literature review and regional estimates. BMJ 2003;327(7423):1075.

Shiao JSC, Mclaws ML, Huang KY, Guo YL. Student nurse in Taiwan at high risk for needlestick injuries. Ann Epidemiol 2002;12(3):197–201.

Hauri AM, Armstrong GL, Hutin YJ. The global burden of disease attributable to contaminated injections given in health care settings. Int J STD AIDS 2004;15(1):7–16.

Gouws E, White PJ, Stover J, Brown T. Short term estimates of adult HIV incidence by mode of transmission: Kenya and Thailand as examples. Sex Transm Infect 2006;82(Suppl 3):iii51–5.

White RG, Ben SC, Kedhar A, Orroth KK, Biraro S, Baggaley RF, et al. Quantifying HIV‑1 transmission due to contaminated injections. Proc Natl Acad Sci USA 2007;104(23):9794–9.

Pruss-Ustun A, Rapiti E, HutinY . Estimation of the global burden of disease attributable to contaminated sharps injuries among health-care workers. Am J Ind Med 2005;48(6):482–90.

Makary MA, A-Attar A, Holzmueller CG, Sexton JB, Syin D, Gilson MM, et al. Needlestick injuries among surgeons in training. N Engl J Med 2007;356(26):2693–9.

Kermode M, Muani V. Injection practices in the formal and informal healthcare sectors in rural north India. Indian J Med Res 2006;124(5):513–20.

Jovic-Vranes A, Jankovic S, Vranes B. Safety practice and professional exposure to blood and blood-containing materials in serbian health care workers. J Occup Health 2006;48(5):377–82.

Muralidhar S, Singh PK, Jain RK, Malhotra M, Bala M. Needle stick injuries among health care workers in a tertiary care hospital of India. Indian J Med Res 2010;131:405–10.

Ashat M, Bhatia V, Puri S, Thakare M, Koushal V. Needle Stick Injury and HIV risk among health care workers in North India. Indian J Med Sci 2011;65(9):371–78

Askarian M, Malekmakan L. The Prevalence of Needle Stick Injuries in Medical, Dental, Nursing and Midwifery Students at The university Teaching Hospitals of Shiraz, Iran. Indian J Med Sci 2006;60(6):227–32.

Kermode M, Jolley D, Langkham B, Thomas MS, Crofts N. Occupational exposure to blood and risk of bloodborne virus infection among health care workers in rural north Indian health care settings. Am J Infect Control 2005;33(1):34–41.

Rogers B, Goodno L. Evaluation of interventions to prevent needlestick injuries in health care occupations. Am J Prev Med 2000;18(4 Suppl):90–8.

Seng M, Lim JW, Sng J, Kong WY, Koh D. Incidence of needlestick injuries among medical students after implementation of preventive training. Singapore Med J 2013;54(9):496–500.

Cervini P, Bell C. Brief report: Needlestick injuries and inadequate post exposure practice in medical students. J Gen Intern Med 2005;20(5):419–21.