290 results match your criteria Needle-stick Guideline

A quasi-experimental trial of the clinical and economic impact of implementing of hepatitis B immunoglobulin policy post needle stick and sharp injuries in reducing its unnecessary use at a tertiary care hospital.

Int J Clin Pract 2021 Oct 29;75(10):e14543. Epub 2021 Jun 29.

College of Clinical Pharmacy, Imam Abdurrahman Bin Faisal University, Dammam, Kingdom of Saudi Arabia.

Introduction: Hepatitis B virus infection has the highest rate of transmission out of the blood-borne viruses in health care workers. Exposure to HBsAg positive source should be managed based on Hepatitis B serology results. Given that Hepatitis B immunoglobulin (HBIG) is an expensive medication with limited stock levels, it should be given more attention to make sure of its optimum use. Read More

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October 2021

Knowledge of infection prevention and control among healthcare workers and factors influencing compliance: a systematic review.

Antimicrob Resist Infect Control 2021 06 3;10(1):86. Epub 2021 Jun 3.

College of Medicine, Alfaisal University, Riyadh, Saudi Arabia.

Background: Knowledge of infection prevention and control (IPC) procedures among healthcare workers (HCWs) is crucial for effective IPC. Compliance with IPC measures has critical implications for HCWs safety, patient protection and the care environment.

Aims: To discuss the body of available literature regarding HCWs' knowledge of IPC and highlight potential factors that may influence compliance to IPC precautions. Read More

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Hepatitis B virus infection and associated risk factors among medical students in eastern Ethiopia.

PLoS One 2021 19;16(2):e0247267. Epub 2021 Feb 19.

Department of Medical Laboratory Sciences, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.

Background: Hepatitis B virus (HBV) is a highly contagious pathogen that has become a severe public health problem and a major cause of morbidity and mortality, particularly in developing countries. Medical students are at high occupational risk during their training. However, no facility-based studies were found among medical students in eastern Ethiopia. Read More

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Guidelines in Practice: Sharps Safety.

Terri Link

AORN J 2020 11;112(5):478-489

Perioperative personnel are at risk for sharps injuries when using devices with sharp points and edges and therefore are at risk for infection from exposure to blood and other potentially infectious body fluids. The Occupational Safety and Health Administration bloodborne pathogens standard is the regulatory document that health care employers must follow to protect personnel who are at risk for sharps injuries. The AORN "Guideline for sharps safety" provides guidance to perioperative personnel for identifying sharps hazards and implementing best practices to prevent injuries. Read More

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November 2020

Magnitude of Needlestick and Sharp Injury and Its Associated Factors Among Nurses Working at Health Institutions in Western Ethiopia, 2020.

Risk Manag Healthc Policy 2020 15;13:1589-1602. Epub 2020 Sep 15.

Oromia Regional Health Bureau, Nekemte Health Center, Nekemte Town, Ethiopia.

Background: Needlestick and sharp injury represent a major occupational hazard in the healthcare environment with nurses experiencing a large proportion of the burden. It is a potential for transmission of bloodborne pathogens including the human immunodeficiency virus, hepatitis B and C virus. Needlestick and sharp injuries are neglected and are often not reported. Read More

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September 2020

Knowledge and compliance as factors associated with needlestick injuries contaminated with biological material: Brazil and Colombia.

Cien Saude Colet 2020 Feb 5;25(2):715-727. Epub 2018 Jul 5.

Departamento de Saúde Coletiva, Universidade de Brasília. Brasília, DF, Brasil.

This was a cross-sectional study to start a cohort in two University Hospitals of two countries - Brazil and Colombia - for assessing the prevalence of needlestick and sharps injuries (NSI), the level of compliance with standard precautions (SPs), and knowledge on blood borne pathogens and associated factors among health students and professionals, within the framework of the implementation of the NR-32 standard. We created compliance scales based on 12 and 10 questions, for assessing knowledge. We used the Multinomial Poisson-Tweedie Regression to evaluate the relationship between knowledge and compliance with SPs within NSI. Read More

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February 2020

Survival-Day @ Wiesbaden business school - evaluation of a short-term educational intervention to reduce work-associated health risks during nursing internships of students in health care economics.

J Occup Med Toxicol 2019 4;14:30. Epub 2019 Dec 4.

Department of Internal Medicine, Infectious Diseases and Respiratory Medicine, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Charitéplatz 1, 10117 Berlin, Germany.

Background: In 2013 RheinMain University launched its bachelor's degree program Health Care Economics requiring each student to participate in a mandatory two-month nursing internship. A preliminary risk assessment revealed serious risks for both students and patients and had to be addressed by appropriate measures such as mandatory systematic safety training for each student.

Methods: A short-term educational intervention named "Survival-Day" was designed to minimize risks related to nursing internships of students. Read More

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December 2019

The sticking points: Improving sharps safety practices.

Nurs Manage 2019 11;50(11):43-50

At Lehigh Valley Health Network in Allentown, Pa., Laura J. Walker is the clinical safety programs manager, Kristina Holleran is a patient care specialist, Joanna McKnight is a products nurse specialist, and Mary Jean Potylycki is the patient care specialists manager.

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November 2019

Knowledge, attitudes and medical practice regarding hepatitis B prevention and management among healthcare workers in Northern Vietnam.

PLoS One 2019 14;14(10):e0223733. Epub 2019 Oct 14.

Asian Liver Center, Department of Surgery, Stanford University School of Medicine, Palo Alto, California, United States of America.

Background And Aim: Vietnam's burden of liver cancer is largely due to its high prevalence of chronic hepatitis B virus (HBV) infection. This study aimed to examine healthcare workers' (HCWs) knowledge, attitude and practices regarding HBV prevention and management.

Methods: A cross-sectional survey among health care workers working at primary and tertiary facilities in two Northern provinces in Vietnam in 2017. Read More

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Survey of Suspected Laboratory-Acquired Infections and Biosafety Practices in Research, Clinical, and Veterinary Laboratories in Karachi, Pakistan.

Health Secur 2019 Sep/Oct;17(5):372-383

Bilal Ahmed Khan, MPhil, is an Assistant Professor, Department of Molecular Pathology, Dow University of Health Sciences, Karachi, Pakistan.

Laboratory-acquired infections (LAIs), an occupational illness, are defined as all infections acquired through laboratory or laboratory-related activities. A report published in 1898 described an LAI resulting from Corynebacterium diphtheriae being transmitted through mouth pipetting. Despite all efforts, LAIs continue, especially in developing countries like Pakistan, which has been fighting to curb many infectious diseases. Read More

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Needlestick injuries among Malaysian healthcare workers.

Occup Med (Lond) 2019 Apr;69(2):99-105

Occupational and Environmental Medicine, Institute of Clinical Sciences, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.

Background: Needlestick injury (NSI) is a significant occupational health issue among healthcare workers (HCWs).

Aims: To determine the national self-reported incidence and risk factors for NSI among Malaysian Ministry of Health (MOH) HCWs.

Methods: Using data from the MOH national sharps injury surveillance programme, information on reported NSIs over a 1-year period (2016) for different HCW subgroups were extracted and analysed. Read More

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Pediatric Considerations for Postexposure Human Immunodeficiency Virus Prophylaxis.

Infect Dis Clin North Am 2018 03;32(1):91-101

Division of Pediatric Infectious Diseases, Northwestern University Feinberg School of Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, 225 E. Chicago Avenue, Box 20, Chicago, IL 60611, USA.

Exposures that carry risk of transmission of blood-borne disease are rare in pediatrics, but expose patients and families to great anxiety. Specialists in pediatric infectious diseases are often asked about initial antimicrobial prophylaxis in these cases. Guidelines for nonoccupational postexposure prophylaxis for human immunodeficiency virus have evolved as new formulations and medications become available and greater experience obtained in assessing relative risks of different exposures and relative costs and benefits for different interventions. Read More

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Chronic Hepatitis C Screening, Evaluation, and Treatment Update in the Age of Direct-Acting Antivirals.

Miranda Surjadi

Workplace Health Saf 2018 Jun 23;66(6):302-309. Epub 2018 Jan 23.

1 University of California, San Francisco.

Globally, hepatitis C virus (HCV), the cause of one of the most common infectious diseases, infects approximately 4 million to 5 million Americans with approximately half of infected individuals undiagnosed. Some workplaces screen employees for HCV exposure and other bloodborne pathogens (BBP) after needlestick injuries, but it is not well known whether employers screen employees for HCV without an occupational exposure. New guidelines from the Centers for Disease Control and Prevention (CDC) recommend that all individuals born between 1945 and 1965 should be screened for HCV regardless of risk; this provides an opportunity at the worksite for HCV outreach to employees, dependents, and retirees. Read More

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Human bite injuries to the head and neck: current trends and management protocols in England and Wales.

Oral Maxillofac Surg 2018 Mar 14;22(1):77-81. Epub 2018 Jan 14.

Prince Charles Hospital, Gurnos Road, Merthyr Tydfil, CF47 9DT, UK.

Introduction: Human bite injuries can be challenging in their presentation to the examining physician. In a study by Merchant et al., 18% of patients presenting with a human bite injury had suffered wounds to the head and neck region. Read More

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Knowledge of standard precautions and barriers to compliance among healthcare workers in the Lower Manya Krobo District, Ghana.

BMC Res Notes 2017 Aug 30;10(1):432. Epub 2017 Aug 30.

School of Public Health, College of Health Sciences, University of Ghana, P. O. Box LG 13, Legon, Ghana.

Background: Implementing standard precautions (SP) has been a major challenge for health care workers (HCWs) especially those in developing countries thereby compromising their safety and increasing their exposure to blood-related pathogens. Compliance with safety precautions and occupational accidents among health workers are often unreported. The literature on knowledge and compliance to SP in Ghana is scanty. Read More

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Peripheral intravenous cannulation: protecting patients and nurses.

Br J Nurs 2017 Apr;26(8):S28-S33

Registered Nurse, Medical Student, Queen's University Belfast.

Peripheral intravenous cannulation is a common clinical procedure in today's healthcare setting. There are a range of different devices to choose from, and this article will consider the risk of catheter-related bloodstream infections and needlestick injuries, national and international guidelines on infection prevention and safety in intravenous access, the need for closed catheters, features of the Introcan Safety® 3 (B. Braun Melsungen AG) and research into peripheral cannulas. Read More

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Post-exposure prophylaxis guidelines for children and adolescents potentially exposed to HIV.

Arch Dis Child 2017 Jan 28;102(1):78-83. Epub 2016 Jun 28.

Department of Paediatric Infectious Diseases, St Mary's Hospital, Imperial College Healthcare NHS Trust, London, UK.

UK guidelines for HIV post-exposure prophylaxis (PEP) in adults have recently been updated. Indications for PEP have been modified and there has been a change in the recommended antiretroviral therapy for adults to a combination of raltegravir with tenofovir and emtricitabine (Truvada). Raltegravir and tenofovir are now available in paediatric formulations and offer improved safety and tolerability over previously recommended ritonavir-boosted lopinavir with zidovudine. Read More

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January 2017

Knowledge and Practice on Injection Safety among Primary Health Care Workers in Kaski District, Western Nepal.

Malays J Med Sci 2016 Jan;23(1):44-55

Department of Pharmacology, Manipal College of Medical Sciences, Pokhara, Kaski, Pin code: 33700, Nepal.

Background: Unsafe injection practice can transmit various blood borne infections. The aim of this study was to assess the knowledge and practice of injection safety among injection providers, to obtain information about disposal of injectable devices, and to compare the knowledge and practices of urban and rural injection providers.

Methods: The study was conducted with injection providers working at primary health care facilities within Kaski district, Nepal. Read More

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January 2016

Compliance with standard precautions among baccalaureate nursing students in a Saudi university: A self-report study.

J Infect Public Health 2017 Jul - Aug;10(4):421-430. Epub 2016 Jul 15.

Non-Communicable Diseases Initiative, International Center for Diarrhoeal Diseases Research, Bangladesh (icddr,b), Bangladesh; Diabetes Research, University of Munich, Germany; NCD, Bangladesh University of Health Science Postdoc Research, Bangladesh; The George Institute for Global Health, University of Sydney, Australia.

Meticulous observance of standard infection control precautions by health care providers is strongly recommended for every patient encounter. Assessment of nursing students' compliance should be carried out regularly in order to ensure adherence to protocols. Thus, this study was conducted to assess self-reported compliance with standard precautions among baccalaureates in nursing students in a Saudi university. Read More

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Sharps rules not followed.


J Perioper Pract 2015 Dec;25(12):244

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December 2015

[Blood exposure accidents: knowledge and practices of hospital health workers in Mali].

Bull Soc Pathol Exot 2015 Dec 29;108(5):369-72. Epub 2015 Sep 29.

Hôpital Nianankoro Fomba de Ségou, Bamako, Mali.

This is a prospective study conducted in December 2012 among 128 at the Nianankoro Fomba Hospital in Segou in order to assess their knowledge and practices on Blood Exposure Accidents (BEA). The average age of caregivers was 35.4 ± 9 years (range: 22-59 years). Read More

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December 2015

Lymphocytic choriomeningitis virus infection induced by percutaneous exposure.

Occup Med (Lond) 2016 Mar 28;66(2):171-3. Epub 2015 Sep 28.

Department of Preventive and Occupational Medicine, CHUV, 1011 Lausanne, Switzerland.

We report a case of acquired lymphocytic choriomeningitis virus (LCMV) infection due to an accidental percutaneous inoculation of LCMV at work. The injured worker developed a flu-like syndrome, followed by pericarditis and meningoencephalitis. Seroconversion was confirmed by ELISA. Read More

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