Scientific Online Resource System

Scripta Scientifica Salutis Publicae

Needlestick injuries and post-exposure prophylaxis among nurses at Dr. Ivan Seliminski hospital - Sliven

Pepa Dzhedzheva, Elena Zheleva, Ivan Alexandrov, Ivan Dimitrov

Abstract

INTRODUCTION: The risk of needlestick or other medical sharp instrument-induced injuries is one the most common risks among nurses. These injuries are dangerous when it comes to transmitting life-threatening blood-borne infections, including HBV, HCV and HIV. Most commonly, the risk factors are related to the oc­cupational work technique and practices, as well as the use of personal protective equipment, health and safety protocols at the work place, introducing safe medical equipment and timely post-exposure prophylaxis.

AIM: The aim of this study is to examine the frequency of sharp injuries, to analyse the most common reasons for those injuries and to analyse how well nurses at Dr. Ivan Seliminski Hospital are informed about post-ex­posure measures in order to increase occupational safety.

MATERIALS AND METHODS: We used an individual anonymous survey with 55 nurses working in different wards of the Hospital.

RESULTS AND CONCLUSION: Needlestick injuries are most commonly inflicted after injections, in emergen­cy situations, and due to deficient health and safety protocols at the work place. Occupational exposure inci­dents are rarely reported so it is difficult to register them.


Keywords

needlestick injuries, post-exposure prophylaxis, blood-borne infections, nurse

Full Text


References

Voinova V, Stoika A, Vladimirova N, Kozuharova M, Kuncheva A. Bezopasna inzekcionna praktika - Rezultati ot prouchvane, provedeno v Bulgaria prez 2002, Nozokomialni infekcii. 2004; 1: 37- 40.

Ministerstvo na Zdraveopazvaneto. Naredba No. 4/14.10.2002g. za zastita na raboteshtite ot riskove, svurzani s ekspozicia na biologichni agenti pri rabota. DV. 2002; 105.

Zapoved No. RD 09-694 ot 25.08.2004g. Metodichno ukazanie za postekspozicionna profilaktika na medicinskia personal pri epatit B i hepatit C virus i infekcia s virusa na choveskia imunodeficit. Sluzeben buletin. MZ .2005; 9.

Evropeiski Parlament, Evropeiska Direktiva - 2010/32/ES, za predotvratiavane na naraniavania ot ostri/ rezesti predmeti v bolnicite i sektora na zdraveopazvaneto, http://www.europarl.europa.eu/ sides/getDoc.do?pubRef=-//EP//TEXT+TA+P7-TA- 2010-0030+0+DOC+XML+V0//BG [updated Feb 2010; accessed Sep 2016]

Beltrami EM, Williams IT, Shapiro CN, Chamberland ME. Risk and management of blood-borne infections in health care workers. Clin Microbiol Rev. 2000; 13:385-407.

Daglio M, Sacchi M, Feletti T, et al. Infortuni a rischio biologico nel personale sanitario: analisi epidemiologica descrittiva nel decennio 1994-2003. Giornale italiano di medicina del lavoro ed ergonomia. 2006; 28 (4): 457-465

Fry DE. Occupational risks of blood exposure in the operating room. Amer Surgeon. 2007: 73.

MacCannel T, Laramie AK, Gomaa A. Occupational exposure of health care personnel to hepatitis B and hepatitis C: preventions and surveillance strategies. Clin Liver Dis. 2010 Feb : 14.

Ncube F, Astob J, Tomkins S, Cullen B. Eye of the needle: Tech. rep. National Health Protection Agency. 2006.

Prüss-Ãœstün A, Rapiti E, Hutin Y. Sharps injuries: global burden of disease from sharps injuries to health-care workers. Geneva, World Health Organization. WHO Environmental Burden of Disease Series. 2003; 3. Available at: http://www.who.int/ quantifying_ehimpacts/publications/en/sharps.pdf [Accessed September 2, 2016]

Puro V, Cicalini S, De Carli G, Soldani F, Ippolito G. Towards a standard HIV post exposure prophylaxis for healthcare workers in Europe. Euro Surveill. 2004: 9:40-43

Stewardson DA , Palenik CJ, McHugh ES, Burke FJT. Occupational exposures occurring in students in a UK dental school. Eur J Dent Educ. 2002; 6 (3): 104-113

Tomkins S, Ncube F. Occupational transmission of HIV - London, Health Protection Agency Centre for Infections. 2005.

CDC: A comprehensive immunization strategy to eliminate transmission of hepatitis B virus infection in the United States: recommendations of the Advisory Committee on Immunization Practices, Part II: immunization of adults. MMWR. 2006; 55(16).

CDC: U.S. Public Healt Service Guidelines for the Management of Occupational Exposures to HBV, HCV, ahd HIV and Recommendations for Postexposure Prophylaxis, MMWR. 2001; 50(11):1 - 42.

World Health Organisation: Injection Safety Policy and Guidelines Campaign, 2016.

Department of Health. HIV Post-exposure prophylaxis. Guidance from the UK Chief Medical Officers` Expert Advisory Group on AIDS; 2004 Feb, www.advisorybodies.doh.gov.uk/eaga/PDFS/prophylaxisguidance feb04.pdf [Accessed September 2016]




DOI: http://dx.doi.org/10.14748/sssp.v2i0.3510

Refbacks

About The Authors

Pepa Dzhedzheva
Medical University of Varna, Sliven Affiliate

Elena Zheleva
Medical University of Varna, Sliven Affiliate

Ivan Alexandrov
Medical University of Varna, Sliven Affiliate

Ivan Dimitrov
Medical University of Varna, Sliven Affiliate

Font Size


|