Factors Associated with Percutaneous Injuries & Needle Stick Injuries among Health Care Workers in Nyangabwe Referral Hospital Francistown, Botswana

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DOI: 10.21522/TIJPH.2013.10.02.Art014

Authors : Naledi Ketshabile

Abstract:

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.

Keywords: Contributing factors, Healthcare workers, Needlestick injuries, Percutaneous injuries.

References:

[1] Jovic Vranes A, Jankovic S, Vranes B, “Safety practice and professional exposure to blood and blood-containing materials,” J Occup Health, vol. 48, no. 5, pp. 377-82, 2006.

[2] Ramphal Lekhraj, Rosidah Zakaria, Leong Whyne Sook, Azhar MD Zain, “Needle stick and sharps injuries and factors associated among healthcare workers in Malaysian Hospital,” European Journal of social sciences, vol. 3, no. 3, 2010.

[3] El-Hazmi G, Mohamed A, Hassan E, Ebrahim H, “Needle/sharps injuries and its determinants in nursing care workers.,” European Journal of social sciences, vol. 11, no. 2, pp. 15-16 pp.365-83, 2009.

[4] Smith D, Leggat P, “Needle stick and sharps injuries among Nursing students,” J Adv Nurs, vol. 51, no. 5, pp. 449-550, 2005.

[5] Ramphal I, Zakaria R, Sook LW, Zain AM, “Needle stick and sharps injuries and factors associated with among healthcare workers in a Malaysian Hospital,” Eur J Soc, vol. 13, no. 3, pp. 354-62, 2010.

[6] B. M. G. J. C. D. P. J. V. R. D. Russi M, “Anti-retroviral prophylaxis of health care workers at two urban medical centres,” Indian J Occup Environ Med, vol. 42, no. 6, pp. 1092-1100, 2000.

[7] Bhardwa DE, “Prevalence and predictors of needle stick injuries among nurses working in public hospitals of Jimmina zone,” Int J Nur Midwifery, vol. 6, no. 7, pp. 90-6, 2014.

[8] Kabede A, Generesea H, “Prevalence of needle stick injuries and its associated factors among nurses working in public hospitals of Dessie town, Northwest Ethiopia,” vol. 11, no. 1, pp. 1-6, 2018.

[9] Tadese M, Tadese T, “Epidemiology of needle stick injuries among health care workers in Hawassa city, Southern Ethiopia,” Trop Doct, vol. 40, no. 2, pp. 111-3, 2010.

[10] Ilhan MN, Durukan E, Arasa E, Turkcuoglu S, Aygun R, “Long working hours increase the risk of sharp and needle stick injuries in nurses; the need for new policy implication,” vol. 56, no. 6, pp. 563-83, 2006.

[11] Newson DH, Kiwamuka JP, “Needle stick injuries in a Ugandian teaching hospital,” Annals of tropical medicine and parasitology, vol. 96, no. 5, pp. 517-22, 2002.

[12] Lulie W, Embet A, Mesihanit T, Hana F, Dereje B, Muluken a, “Factors associated with needle stick injuries among health care workers in Felege Hiwot Referral Hospital, Bahir Dar Northwest Ethiopia, facility-based cross-sectional survey,” Int J Infect Control, vol. 9, no. 4, pp. 1-9, 2013.

[13] Fadil RA, Abdelmutalab NA, Abdelhafeez SA, Mazi W, Algamdi S, Shelwy MM, Bouafia N, Alzahrani SE, “Pattern and risk factors of sharp
objects injuries among health care workers in two tertiary hospitals, Al Taif-kingdom of Saudi Arabia,” Saudi Journal of Biological Sciences, vol. 33, no. 3, pp. 2016-2018, 2021.

[14] Jahangiri M, Rostamabadi A, Hoboubi N, Solemani A, “Needle stick injuries and their related safety measures among nurses in a university hospital, Shiraz,” Iran Saf Health work, vol. 7, no. 1, pp. 72-7, 2016.

[15] Mbaisi M, “Prevalence and factors associated with percutaneous injuries and splash exposures among healthcare workers in a provincial hospital, Kenya,” http://www.panafrican-med-journal.com, Accessed Feb 2022, vol. 14, no. 10, 2010.

[16] Norsayani M, Y, Noor H, I, “Study on incidence of needle stick injuries and factors associated with this problem among medical students,” J Occup Health, vol. 45, no. 3, pp. 172-8, 2000.

[17] Ippolito L, Puro V, Arici C, Jagger J, Prevention management safety centre, and chemoprophylaxis of occupational exposure to HIV, Virginia: University of Virginia, 1997, pp. 15-16 pp365-383.

[18] Gemechu Y.B, “Sharps injuries and associated factors among health care professionals in Western Wollega public hospitals,” Ethiopia American Journal of clinical and experimental medicine, vol. 8, no. 5, pp. 82-89, 2020.