Needle stick injuries and post-exposure prophylaxis practices among healthcare personnel working at tertiary care hospitals in Punjab, Pakistan.

IF 0.9 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

INTERNATIONAL JOURNAL OF RISK & SAFETY IN MEDICINE Pub Date : 2024-11-01 DOI:10.1177/09246479241302295

Muhammad Kiddeer, Abdul Basit, Tawseef Ahmad, Imran Masood

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引用次数: 0

Abstract

Background: Healthcare workers face a high risk of blood-borne infections due to needlestick injuries, especially in developing countries like Pakistan.

Objective: This study aims to evaluate the prevalence of needlestick injuries, reporting practices, and post-exposure prophylaxis measures among healthcare personnel in tertiary care hospitals in Punjab.

Methods: A cross-sectional study was conducted from May to July 2019. Data were collected from healthcare personnel working in teaching hospitals across six randomly selected cities of Punjab. Data were collected from 600 healthcare personnel using a pretested, self-administered questionnaire, employing stratified random sampling to ensure representative sampling. Descriptive statistics were applied, and differences in needlestick injuries across demographic segments were assessed using the Mann-Whitney U and Kruskal-Wallis H tests.

Results: Among the 600 respondents, 533 returned the complete questionnaire, yielding a response rate of 88.8%. The majority of respondents were female (n = 341, 64.2%). The mean years of service was 5.58 (±5.78), with most participants falling in the 0.5-5 years category (n = 338, 66.4%). The prevalence of self-reported needlestick injuries in the last six months was 35.25%. Most injuries occurred during sampling (n = 95, 35.85%), followed by recapping (n = 63, 23.77%). Reporting of needlestick injuries to the respective department was poor, with only 82 (21.87%) injuries reported. The frequency of needlestick injuries differed significantly across profession, working department, and education categories (p < 0.05). Sanitary staff were more likely to sustain needlestick injuries during garbage collection and waste handling. Post-exposure screening for blood-borne infections was received by 79 (42.93%) individuals, and post-exposure prophylaxis (PEP) was administered to 67 (36.41%).

Conclusion: The high prevalence of needlestick injuries among healthcare personnel occurred primarily during sampling and recapping. Reporting of NSIs was inadequate, and post-exposure testing and prophylaxis practices were substandard. Enhanced policies and protocols are necessary for effective NSI surveillance and the administration of pre- and post-exposure prophylaxis.

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在巴基斯坦旁遮普省三级保健医院工作的保健人员的针刺伤和接触后预防做法。

背景：卫生保健工作者因针刺伤而面临血液传播感染的高风险，特别是在巴基斯坦等发展中国家。目的：本研究旨在评估旁遮普三级医院医护人员中针刺伤害的流行程度、报告做法和接触后预防措施。方法：于2019年5月至7月进行横断面研究。数据收集自旁遮普邦六个随机选择城市教学医院的医护人员。采用预先测试、自我管理的问卷，从600名医护人员中收集数据，采用分层随机抽样以确保抽样的代表性。采用描述性统计，并使用Mann-Whitney U和Kruskal-Wallis H检验评估不同人口统计段针刺损伤的差异。结果：600名被调查者中，533人完整回复了问卷，回复率为88.8%。受访者以女性居多（n = 341，占64.2%）。平均服务年数为5.58（±5.78）年，大多数参与者在0.5-5年之间（n = 338, 66.4%）。近6个月自述针刺伤发生率为35.25%。损伤主要发生在采样期间（n = 95, 35.85%），其次是复盖（n = 63, 23.77%）。相应科室针刺损伤报告较少，仅报告82例（21.87%）。针刺伤发生率在不同职业、科室、学历之间差异有统计学意义（p < 0.05）。卫生工作人员在垃圾收集和废物处理过程中更容易受到针刺伤。79人（42.93%）接受暴露后血源性感染筛查，67人（36.41%）接受暴露后预防（PEP）。结论：卫生保健人员针刺伤的高发主要发生在采样和复盖过程中。nsi报告不充分，暴露后检测和预防措施不合格。加强政策和协议是必要的，以有效地监测和管理暴露前和暴露后预防。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

INTERNATIONAL JOURNAL OF RISK & SAFETY IN MEDICINE PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

2.20

自引率

17.60%

发文量

102

期刊介绍： The International Journal of Risk and Safety in Medicine is concerned with rendering the practice of medicine as safe as it can be; that involves promoting the highest possible quality of care, but also examining how those risks which are inevitable can be contained and managed. This is not exclusively a drugs journal. Recently it was decided to include in the subtitle of the journal three items to better indicate the scope of the journal, i.e. patient safety, pharmacovigilance and liability and the Editorial Board was adjusted accordingly. For each of these sections an Associate Editor was invited. We especially want to emphasize patient safety.