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Autore: Grafiati

Pubblicato: 4 giugno 2021

Ultima modifica: 19 febbraio 2023

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1

Haiduven, Donna J., Tammy M. DeMaio e David A. Stevens. "A Five-Year Study of Needlestick Injuries: Significant Reduction Associated With Communication, Education, and Convenient Placement of Sharps Containers". Infection Control & Hospital Epidemiology 13, n. 5 (maggio 1992): 265–71. http://dx.doi.org/10.1086/646525.

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AbstractObjective:To decrease the numbers of needlesticks among healthcare workers.Design:All reported needlestick injuries at Santa Clara Valley Medical Center, San Jose, California, were reviewed, analyzed, and tabulated by the infection control department yearly from 1986 to 1990.Setting:A 588-bed county teaching hospital in San Jose, California, affiliated with Stanford University.Participants:All employees of Santa Clara Valley Medical Center who reported needlestick injuries on injury report forms.Interventions:From April to December 1987, more needle disposal containers were added to as many patient care areas and as close to the area of use as possible. Results of 1986, 1988, 1989, and 1990 analyses were communicated yearly to all personnel, extensive educational programs were conducted in 1987 and 1988, and educational efforts continued in 1989 and 1990.Results:In 1986, there were 259 needlestick injuries at our institution, 22% (32) from recapping. After needle disposal containers were added to all patient care areas, needlestick injuries for 1988 totalled 143, a 45% decrease in the total needlestick injuries and a 53% decrease in recapping injuries. Communication of results to all areas of the hospital and educational activities were started in 1987 and continued through the next 3 years. In 1989, there were 135 needlestick injuries, a decrease of 6% from 1988; recapping injuries decreased 40% from 1988. In 1990, there were 104 needlestick injuries, a 23% decrease since 1989, and a 33% decrease in recapping injuries. The total number of needlestick injuries from 1986 to 1990 decreased by 60%, and those injuries from recapping decreased by 81% to 89%.Conclusions:We have continued to monitor needlestick injuries, communicate findings to all personnel, and include needlestick prevention in educational programs. We contend that more convenient placement of needle disposal containers, communication of tidings, and education do decrease needlestick injuries in healthcare workers.

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Ribner, Bruce S., Martha N. Landry, Gail L. Gholson e Lisa A. Linden. "Impact of a Rigid, Puncture Resistant Container System Upon Needlestick Injuries". Infection Control 8, n. 2 (febbraio 1987): 63–66. http://dx.doi.org/10.1017/s0195941700067096.

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AbstractNeedlestick injuries in a 720-bed tertiary care hospital were analyzed before and after the introduction of a rigid, puncture resistant, needle disposal system. Following implementation of the system, disposal-related injuries decreased from 0.9 per 100 full-time equivalent employees/year to 0.3 per 100 full-time equivalent employees/year (p <.005). However, needlesticks associated with procedures (2.2 vs. 4.4 per 100 full-time equivalent employees/year, p <.0005), and those resulting from loose needles (0.5 vs. 1.9 per 100 full-time equivalent employees/year, p <.0005), increased. Injuries occurring during needle recapping or the carrying of needles were not significantly altered. Total needlestick injuries increased from 6.0 to 8.7 per 100 full-time equivalent employees/year (p <.0005).We concluded that a rigid, puncture resistant, needle disposal system can reduce disposal-related needlestick injuries, but must also be perceived as convenient to impact substantially upon needlesticks associated with other activities.

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English, Judith Fay Boylan. "Reported Hospital Needlestick Injuries in Relation to Knowledge/Skill, Design, and Management Problems". Infection Control & Hospital Epidemiology 13, n. 5 (maggio 1992): 259–64. http://dx.doi.org/10.1086/646524.

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AbstractObjectives:To investigate reported needlestick injuries in hospital workers from an adult learner theory perspective: identifying safe needle device knowledge and practice, and flaws in needle designs and management practices surrounding such problems.Design:Exploratory descriptive study of reported needlestick injuries from hollow needled devices in a hospital. Injured healthcare workers were counseled via hospital protocol, then a survey was filled out containing no identifiers of individual or institution.Setting:Seventeen Metropolitan Washington, DC, area hospitals.Participants:All workers reporting needlestick injuries during February 1-28, 1990.Results:Seventy-two injuries were reported; there were no multiple injuries to any individual. Thirty-three (45.8%) were to registered nurses (RNs)-more than any other group of workers. Recapping accounted for a higher percentage than any other activity (10 sticks, 14.1%). Of workers incurring recapping injuries, 3 identified a knowledge of a one-handed spearing technique and did not practice it; 4 neither knew nor practiced it. Eighteen (25.0%) were to “down-stream” housekeepers and aides who did not use such devices in their practice. Disposable needle/syringes caused 49.3% of injuries; hypodermic needles on intravenous lines caused 16.9%. Of the needlesticks, 60.6% were after use and before disposal, 4.2% occurred as the worker was putting an item into a needlebox, and 9.9% occurred from needles protruding from inappropriate bags. Many injuries occurred in the first 2 hours of work after being off the previous day, on Sunday, and on MondayConclusions:Of nurses and medical technologists reporting knowledge of a spearing recapping technique, 97.3% suffered injury via other methods. This strongly suggests that knowledge leads to different action. Safer needled devices and needle-free systems would make a safer workplace. Further study is indicated to identify if and why the first two hours after returning to work on Sunday or Monday are risky for needlestick injuries. Management practices must ensure compliance to safe practice both by employees and related medical staff.

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Tsegaye Amlak, Baye, Shegaw Tesfa, Betelhem Tesfamichael, Haimanot Abebe, Bitew Tefera Zewudie, Agerie Aynalem Mewahegn, Bogale Chekole Temere et al. "Needlestick and sharp injuries and its associated factors among healthcare workers in Southern Ethiopia". SAGE Open Medicine 11 (gennaio 2023): 205031212211495. http://dx.doi.org/10.1177/20503121221149536.

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Background: Needlesticks and sharp injuries are occupational hazards for healthcare workers that result from the accidental piercing of the skin. Needlestick injuries expose healthcare workers to blood and body fluids that may be infected and can be transmitted to them. Healthcare workers have been exposed to blood-borne pathogens through contaminated needles and other sharp materials every day. Around 20 blood-borne diseases can be transmitted through casual needlesticks and sharp injuries. Objective: To assess needlestick and sharp injuries and its associated factors among healthcare workers in Southern Ethiopia, 2021. Methods: The hospital-based cross-sectional study design was conducted among 341 healthcare workers in Worabe Comprehensive Specialized Hospital from June 10 to July 6, 2021. A stratified sampling technique was used and data were collected using standardized structural questionnaires by BSc nursing professionals. The collected data were checked for completeness and consistency by the investigator. The completed questionnaire was given an identification number and entered into EpiData version 3.5.1. The data were coded and analyzed using SPSS version 26 using a binary logistic regression model and presented with texts, tables, and graphs. Results: The finding revealed that 30.6% of healthcare workers had experienced needlestick and sharp injuries within their working area. Healthcare workers not trained on safety measures of needlestick and sharp injury (adjusted odds ratio: 7.179 (3.494–14.749)), working in the delivery unit (adjusted odds ratio: 6.528 (3.171–11.834)), being older age (adjusted odds ratio: 3.394 (1.775–7.126)), working in inpatient unit (3.278 (1.804–5.231)), working in an emergency unit (adjusted odds ratio: 5.718 (4.326–6.398)), working in an operation room theater (adjusted odds ratio: 2.359 (1.781–4.430)), working as a medical laboratory technician (adjusted odds ratio: 1.070 (1.432–3.304)), working in pediatrics unit (adjusted odds ratio: 1.063 (1.431–2.843)), working as cleaners (adjusted odds ratio: 0.018 (0.002–0.195)), working <40 h per week (adjusted odds ratio: 0.036 (0.004–0.345)), and seldom needle recapping (adjusted odds ratio: 0.043 (0.015–0.125)) were statistically associated with needlestick and sharp injury. Conclusions: In this study, there is a high magnitude of needlestick or sharp injuries among healthcare workers. Lack of training on work-related safety measures; working in delivery; being older age; working in the inpatient unit, emergency, operation room, and pediatrics units; being laboratory technicians, and cleaners; working hours per week; and seldom needle recapping were significant predictors of needlestick and sharp injury.

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Hopkins, Craig. "Needlestick injuries". Nursing Standard 27, n. 3 (19 settembre 2012): 59. http://dx.doi.org/10.7748/ns2012.09.27.3.59.c9301.

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D'Arco, Sharon H., e Marcia Hargreaves. "NEEDLESTICK INJURIES". Nursing Clinics of North America 30, n. 1 (marzo 1995): 61–76. http://dx.doi.org/10.1016/s0029-6465(22)02280-0.

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Erridge, P. L. "Needlestick injuries". British Dental Journal 181, n. 8 (ottobre 1996): 284. http://dx.doi.org/10.1038/sj.bdj.4809235.

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Greenwood, I., e J. M. Zakrzewska. "Needlestick injuries". British Dental Journal 183, n. 6 (settembre 1997): 196. http://dx.doi.org/10.1038/sj.bdj.4809463.

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9

Duff, T. "Needlestick injuries". Anaesthesia 65, n. 12 (12 novembre 2010): 1225–26. http://dx.doi.org/10.1111/j.1365-2044.2010.06543.x.

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Waldron, H. A., J. K. Anand e J. W. Myles. "Needlestick injuries". Lancet 340, n. 8825 (ottobre 1992): 975. http://dx.doi.org/10.1016/0140-6736(92)92861-9.

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Bell, Philip R., e Brian P. McNicholl. "Needlestick injuries". BMJ 335, Suppl S3 (1 settembre 2007): 0709299. http://dx.doi.org/10.1136/sbmj.0709299.

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Skilton, D., e J. Thompson. "Needlestick injuries". Veterinary Record 156, n. 16 (16 aprile 2005): 522. http://dx.doi.org/10.1136/vr.156.16.522-e.

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Tye, J. "Needlestick injuries". BMJ 291, n. 6498 (21 settembre 1985): 827. http://dx.doi.org/10.1136/bmj.291.6498.827.

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Ditching, Nelson A., Angel Grace F. Furatero, Razilee Vania S. Iquiña, Aira Darlyn M. Sabulao, Jason M. Supremo e Ryan Michael Flores Oducado. "Factors Associated with Nursing Students’ Intention to Report Needlestick Injuries: Applying the Theory of Planned Behavior". Nurse Media Journal of Nursing 10, n. 3 (5 ottobre 2020): 234–43. http://dx.doi.org/10.14710/nmjn.v10i3.31975.

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Background: Nursing students, like other healthcare workers, are prone to needlestick injuries. Over the years, studies have been conducted regarding needlestick injuries. However, its prevalence among Filipino nursing students’ is still not known. Also, nursing students’ intention to report needlestick injuries in the Philippines has not been explored.Purpose: The purpose of this research was to determine the factors associated with the intention to report needlestick injuries among nursing students applying the Theory of Planned Behavior.Methods: This cross-sectional study used the Needlestick Injuries Reporting Intention Scale (NIRIS) and was distributed among 233 senior nursing students in Iloilo City, Philippines. Descriptive statistics and Pearson’s correlation were utilized to analyze the data.Results: The results of the study revealed that 15% of nursing students had experienced a needlestick injury. However, only less than half (45.71%) of those who sustained needlestick injury reported the incident. Nursing students exhibited a positive attitude (M=5.41; SD=0.63) toward reporting needlestick injuries. They perceived a high social pressure (M=4.65; SD=0.46), high behavioral control (M=4.19; SD=0.45), and high intention (M=8.99; SD=1.15) in reporting needlestick injuries. Attitude (p=0.000), subjective norm (p=0.000), and perceived behavioral control (p=0.000) were significantly correlated with the intention to report needlestick injuries.Conclusion: This study supports the Theory of Planned Behavior in identifying factors influencing nursing students’ intention to report needlestick injuries.

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Jagger, Janine, Ella H. Hunt e Richard D. Pearson. "Estimated Cost of Needlestick Injuries for Six Major Needled Devices". Infection Control & Hospital Epidemiology 11, n. 11 (novembre 1990): 584–88. http://dx.doi.org/10.1086/646099.

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AbstractA major factor in the introduction of new products designed to decrease the risk of needlesticks to healthcare workers (HCWs) is whether the increased expense of a safer device is offset by the savings of preventing needlesticks. The itemized costs of needle-stick injuries associated with six major needled devices were estimated and compared to the cost of the devices causing the injuries, based on 1988 dollars. Included was the cost of treatment, prophylaxis and employee health department personnel time. The average cost of needlestick injury was $405, with a narrow range of $390 to $456 for different devices. As a percent of the cost of the devices, needlesticks cost as little as 10% of the cost of the device, for the intravenous (IV) catheter, to as much as 457%, for needles used to connect IV lines. On the average, needlesticks cost 36% of the devices’ cost. These data may be used to weigh the potential economic benefits of safer needle technology or other strategies intended to reduce the incidence of needlesticks.

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Zuraw, Jessica, Gretchen Sanford, Lori Winston e Shu Chan. "Stick and Tell A Survey of Emergency Medicine Residents and Needlestick Exposures". Infection Control & Hospital Epidemiology 34, n. 10 (ottobre 2013): 1116–18. http://dx.doi.org/10.1086/673152.

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An estimated 400,000–800,000 sharps-related injuries occur among healthcare workers (HCWs) annually in the United States. The risk of needlestick exposure may be particularly high among emergency medicine (EM) residents, who are learning new procedures in a relatively uncontrolled environment. Despite the potentially serious consequences of percutaneous injuries (PCIs), practitioners in training often down-play the occurrence of PCIs and do not report exposures.Current literature implies that underreporting of needlestick injuries is multifactorial. By not seeking care after needlesticks occur and thereby delaying treatment, residents incur more risk from exposures. We sought to elucidate the underlying issues that might contribute to this lack of reporting needlestick injuries. Using an anonymous survey, we collected information regarding factors that contributed to sustaining a PCI as well as perceived barriers that prevented residents from reporting these exposures. This information is desirable for both residency programs and employee health departments to reduce the occurrence of unreported exposures.The survey contained 19 questions, and all subjects were EM residents from the 8 Accreditation Council for Graduate Medical Education–accredited programs in the state of Illinois during the period January–February 2011. The voluntary survey was distributed via e-mail and through a paper version distributed at a regional EM residency conference.

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Greenwood, I. "Accidental needlestick injuries". British Dental Journal 183, n. 11 (dicembre 1997): 396. http://dx.doi.org/10.1038/sj.bdj.4809519.

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Wilburn, Susan. "Preventing Needlestick Injuries". American Journal of Nursing 99, n. 1 (gennaio 1999): 71. http://dx.doi.org/10.1097/00000446-199901000-00048.

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Aziz, Ann-Marie. "Preventing needlestick injuries". British Journal of Nursing 21, Sup21 (21 novembre 2012): S4. http://dx.doi.org/10.12968/bjon.2012.21.sup21.s4.

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Goldwater, P. N. "Preventing needlestick injuries". BMJ 302, n. 6792 (29 giugno 1991): 1602–3. http://dx.doi.org/10.1136/bmj.302.6792.1602-c.

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French, E. A. "Preventing needlestick injuries." BMJ 303, n. 6799 (17 agosto 1991): 419. http://dx.doi.org/10.1136/bmj.303.6799.419-a.

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Anderson, D. C., L. Ganguli e J. Packer. "Preventing needlestick injuries". BMJ 303, n. 6799 (17 agosto 1991): 419. http://dx.doi.org/10.1136/bmj.303.6799.419-b.

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Anderson, D. C., A. L. Blower, J. M. Packer e L. A. Ganguli. "Preventing needlestick injuries." BMJ 302, n. 6779 (30 marzo 1991): 769–70. http://dx.doi.org/10.1136/bmj.302.6779.769.

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Singh, S. "Preventing needlestick injuries". BMJ 302, n. 6782 (20 aprile 1991): 962. http://dx.doi.org/10.1136/bmj.302.6782.962-c.

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Valentine, C., e P. Bright. "Preventing needlestick injuries." BMJ 302, n. 6784 (4 maggio 1991): 1079. http://dx.doi.org/10.1136/bmj.302.6784.1079-c.

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Gatley, M., e M. Worsley. "Preventing needlestick injuries". BMJ 302, n. 6785 (11 maggio 1991): 1147. http://dx.doi.org/10.1136/bmj.302.6785.1147-a.

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Maxwell, S., e M. Veguillas. "Preventing needlestick injuries". BMJ 302, n. 6788 (1 giugno 1991): 1337. http://dx.doi.org/10.1136/bmj.302.6788.1337.

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Ali, Salah H., Peshtewan T. Majeed e Umed A. Huwiezy. "Prevalence of Needlestick Injuries among Healthcare Workers in Rizgary Teaching Hospital". Polytechnic Journal 10, n. 2 (30 dicembre 2020): 27–31. http://dx.doi.org/10.25156/ptj.v10n2y2020.pp27-31.

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Needlestick injury in healthcare settings is a global issue. Despite being recognized for many years, needlestick and sharps injuries (NSIs) continue to present a risk of occupational exposure to blood-borne pathogens for health care works (HCWs). The objectives of the study were to determine the prevalence of needlestick injuries among HCWs in Rizgary Teaching Hospital and to identify the causes of needlestick injuries. A cross-sectional study was conducted on 76 healthcare workers in Rizgary Teaching hospital; there were a total of 45 males, 31 females. The data collections were administrated using face-to-face interviews to ensure a good response rate and to ensure all questions were answered. Most (52.6%) needlestick injuries occurred in wards with syringe needles being the most common causative tool; surgery ward was the most prevalent site of needlestick injuries occurrence (42.1%). The percentage of acupuncture was high and needles were the most common cause, and most injuries occurred during the re-use of the needles. The study recommends several measures to prevent and reduce acute injuries among HCWs; these measures include health education, behavior change, safer devices, and an educational program to educate these HCWs.

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L'Ecuyer, Paul B., Elizabeth Owens Schwab, Elizabeth Iademarco, Norma Barr, Elizabeth A. Aton e Victoria J. Fraser. "Randomized Prospective Study of the Impact of Three Needleless Intravenous Systems on Needlestick Injury Rates". Infection Control & Hospital Epidemiology 17, n. 12 (dicembre 1996): 803–8. http://dx.doi.org/10.1017/s0195941700003544.

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AbstractObjective:To determine the impact of three needleless intravenous systems on needlestick injury rates.Design:Randomized controlled trial.Setting:1,000-bed tertiary-care Midwestern hospital.Participants:Nursing personnel from general medical, general surgical, and intensive-care units.Interventions:From June 1992 through March 1994, a metal blunt cannula (MBC), two-way valve (2-way), and plastic blunt cannula (PBC) were introduced into three study areas, and needlestick injury rates were compared to three control areas using traditional needled devices.Results:24 and 29 needlestick injuries were reported in study and control areas. Intravenous-therapy-related injuries comprised 45.8% and 57.1% of injuries in each area. Thirty-seven percent and 20.7% of study and control area needlestick injuries were considered to pose a high risk of bloodborne infection. The 2-way group had similar rates of total and intravenous-related needlestick injuries compared to control groups. The PBC group had lower rates of total and intravenous-related needlestick injuries per 1,000 patient-days (rate ratios [RR], 0.32 and 0.24; 95°% confidence intervals [CI95], 0.12-0.81 and 0.09-0.61;P=.02 andP=.003, respectively) and per 1,000 productive hours worked (RR, 0.11 and 0.08; CI95, 0.01-0.92 and 0.010.69;P=.03 andP=.005, respectively) compared to controls.Conclusions:Needlestick injuries continued in study areas despite the introduction of needleless devices, and risks of bloodborne pathogen transmission were similar to control areas. The PBC device group noted lower rates of needlestick injuries compared to controls, but there were problems with product acceptance, correct product use, and continued traditional device use in study areas. Low needlestick injury rates make interpretations difficult. Further studies of safety devices are needed and should attempt greater control of worker behavior to aid interpretation.

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Trinkoff, Alison M., Rong Le, Jeanne Geiger-Brown e Jane Lipscomb. "Work Schedule, Needle Use, and Needlestick Injuries Among Registered Nurses". Infection Control & Hospital Epidemiology 28, n. 2 (febbraio 2007): 156–64. http://dx.doi.org/10.1086/510785.

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Objective.To examine the association between working conditions and needlestick injury among registered nurses. We also describe needle use and needlestick injuries according to nursing position, workplace, and specialty.Design.Three-wave longitudinal survey conducted between November 2002 and April 2004.Setting and Participants.A probability sample of 2,624 actively licensed registered nurses from 2 states in the United States. Follow-up rates for waves 2 and 3 were 85% and 86%, respectively. Respondents who had worked as a nurse during the past year (n = 2,273) prior to wave 1 were included in this analysis.Results.Of the nurses, 15.6% reported a history of needlestick injury in the year before wave 1, and the cumulative incidence by wave 3 was 16.3%. The estimated number of needles used per day was significantly related to the odds of sustaining a needlestick injury. Hours worked per day, weekends worked per month, working other than day shifts, and working 13 or more hours per day at least once a week were each significantly associated with needlestick injuries. A factor combining these variables was significantly associated with needlestick injuries even after adjustment for job demands, although this association was somewhat explained by physical job demands.Conclusions.Despite advances in protecting workers from needlestick injuries, extended work schedules and their concomitant physical demands are still contributing to the occurrence of injuries and illnesses to nurses. Such working conditions, if modified, could lead to further reductions in needlestick injuries.

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Liyew, Bikis, Menbeu Sultan, Mebrat Michael, Ambaye Dejen Tilahun e Tilahun Kassew. "Magnitude and Determinants of Needlestick and Sharp Injuries among Nurses Working in Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia". BioMed Research International 2020 (17 dicembre 2020): 1–14. http://dx.doi.org/10.1155/2020/6295841.

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Background. Needlestick and sharp injuries are a big risk to the health of nurses. Every day, nurses face the likelihood that they will injure themselves. Although many injuries will have no adverse effect, the possibility of acquiring infections like hepatitis C virus, hepatitis B virus, and human immunodeficiency virus can cause untold psychological harm. Nurses are in danger of injuries caused by needlestick and sharp instruments in hospitals. Objective. The objective of this study was to assess the magnitude and determinants of needlestick and/or sharp injuries among nurses working at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia, 2018. Methods. An institution-based cross-sectional study was conducted among 268 nurses working at Tikur Anbessa Specialized Hospital from February to March 2018. A stratified random sampling technique was used to select the study participants. Data were collected using a self-administered questionnaire. A bivariate and multivariate logistic regression model was fitted to spot factors associated with needlestick and/or sharp injury. An adjusted odds ratio with a 95% confidence interval was computed to determine the level of significance. Result. The prevalence of needlestick and/or sharp injuries among nurses was 36.2% (95% CI 30.2%, 42.3%). Presence of contaminated needles and/or sharp materials in the working area ( AOR = 2.052 (95% CI 1.110, 3.791)), needle recapping after use ( AOR = 1.780 (95% CI 1.025, 3.091)), working in the pediatric ward ( AOR = 0.323 (95% CI 0.112, 0.930)), and being female ( AOR = 0.461 (95% CI 0.252, 0.845)) were significantly associated with needlestick and/or sharp injury at p value of ≤0.05. Conclusion and Recommendation. The proportion of needlestick and/or sharp injury was high among nurses. The safety of nurses depends directly on the degree to which nurses can identify and control the numerous occupational hazards specific to jobs. Thus, working unit specific safety precautions, a safe working environment, and appropriate needle and sharp disposal improve nurses’ safety practices and thereby decrease the injuries.

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De Perio, Marie, Kerton Victory e Matthew Groenewold. "1158. Needlestick Injuries and Other Potential Exposures to Bloodborne Pathogens Among Police Officers in a City Police Department, 2011–2016". Open Forum Infectious Diseases 5, suppl_1 (novembre 2018): S348. http://dx.doi.org/10.1093/ofid/ofy210.991.

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Abstract Background The approximately 850,000 police officers nationwide are at risk of bloodborne diseases through needlestick injuries and other exposure incidents because of the nature of their work. In response to a request for a health hazard evaluation, we determined the incidence and circumstances of needlestick injuries and other potential exposures to bloodborne pathogens among police officers at a city department from 2011 to 2016. Methods We analyzed data extracted from the city’s centralized human resource database on all needlestick injuries and other potential exposure incidents from January 1, 2011 to December 31, 2016 and characterized their circumstances. We calculated the annual incidence of needlestick injuries using two methods. We ran a Poisson regression model to determine the trend in the annual incidence over time using SAS 9.4. Results We identified 13 needlestick injuries and 37 additional potential exposure incidents. Needlestick injuries most commonly occurred during pat-down searches of a suspect and during search of a suspect’s property or vehicle. Nine of 11 source persons with documented test results after a needlestick injury were found to have hepatitis C infection. The annual incidence of needlestick injuries ranged from 0 to 5.07 per 1,000 police officers and from 0 to 2.45 per 10,000 reactive calls for service and did not appear to have a significant trend. Most exposure incidents consisted of spitting incidents, human bites, and other contact with blood. Of 22 source persons with blood drawn, four had hepatitis C infection, two have HIV infection, and one had both. None of the incidents reportedly led to transmission of hepatitis B, hepatitis C, or HIV. Conclusion Police officers in this department are at risk for needlestick injuries and other exposures to bloodborne pathogens. We recommended improvements to engineering, administrative, and personal protective equipment controls, including training on safe searching techniques and sharps evidence collection and provision of nitrile gloves. Disclosures All authors: No reported disclosures.

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Gupta, N., e J. Tak. "Needlestick Injuries in Dentistry". Kathmandu University Medical Journal 9, n. 3 (13 giugno 2012): 208–12. http://dx.doi.org/10.3126/kumj.v9i3.6307.

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Needlestick injuries and other sharps-related injuries which expose health care professionals to bloodborne pathogens continue to be an important public health concern. Dentists are at increased risk of exposure to bloodborne pathogens, including Hepatitis B, Hepatitis C, and HIV. This article presents comprehensive information on Needlestick injuries (NSI), post exposure prophylaxis, precautions and suggestions for prevention of NSI in dentistry. Dentists should remember and apply many precautions to prevent the broad spectrum of sharps and splash injuries that could occur during the delivery of dental care.DOI: http://dx.doi.org/10.3126/kumj.v9i3.6307 Kathmandu Univ Med J 2011;9(3):208-12

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34

de Perio, Marie A. "Needlestick Injuries among Employees at a Nationwide Retail Pharmacy Chain, 2000–2011". Infection Control & Hospital Epidemiology 33, n. 11 (novembre 2012): 1156–58. http://dx.doi.org/10.1086/668033.

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We reviewed a nationwide retail pharmacy chain's centralized needlestick injury reports. From 2000 to 2011, 33 needlestick injuries were reported by 31 different pharmacy locations and were likely preventable. The annual incidence of needlestick injuries ranged from 0 to 3.62 per 100,000 vaccinations and ranged from 0 to 5.65 per 1,000 immunizing pharmacists.

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35

Mansour, Ahmad M. "Needlestick Injuries in Ophthalmology". Ophthalmic Surgery, Lasers and Imaging Retina 20, n. 5 (maggio 1989): 367–69. http://dx.doi.org/10.3928/1542-8877-19890501-16.

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Maz, S., e G. Lyons. "Needlestick injuries in anaesthetists". Anaesthesia 45, n. 8 (agosto 1990): 677–78. http://dx.doi.org/10.1111/j.1365-2044.1990.tb14398.x.

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37

FERREIRO, ROXANA B., e KENT A. SEPKOWITZ. "Management of Needlestick Injuries". Clinical Obstetrics and Gynecology 44, n. 2 (giugno 2001): 276–88. http://dx.doi.org/10.1097/00003081-200106000-00013.

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38

Ross, Barbara. "Health Care Needlestick Injuries". American Journal of Cosmetic Surgery 13, n. 1 (marzo 1996): 67–68. http://dx.doi.org/10.1177/074880689601300120.

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Chadwick, Ellen G. "MANAGEMENT OF NEEDLESTICK INJURIES". Pediatric Infectious Disease Journal 17, n. 1 (gennaio 1998): 69–70. http://dx.doi.org/10.1097/00006454-199801000-00014.

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Somel, Prettpal. "Needlestick injuries and you". Dental Nursing 15, n. 2 (2 febbraio 2019): 96–97. http://dx.doi.org/10.12968/denn.2019.15.2.96.

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Morritt, Daniel G. "...dealing with needlestick injuries". BMJ 334, n. 7592 (10 marzo 2007): s87. http://dx.doi.org/10.1136/bmj.334.7592.s87.

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42

Gorbach, Sherwood L., e John G. Bartlett. "AZT for Needlestick Injuries". Infectious Diseases in Clinical Practice 4, n. 5 (settembre 1995): 323–24. http://dx.doi.org/10.1097/00019048-199509000-00002.

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Anne, Taylor. "Needlestick injuries in agriculture". Injury Prevention 18, Suppl 1 (ottobre 2012): A128. http://dx.doi.org/10.1136/injuryprev-2012-040590f.8.

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Morgan, DavidR. "HIV and needlestick injuries". Lancet 335, n. 8700 (maggio 1990): 1280. http://dx.doi.org/10.1016/0140-6736(90)91344-a.

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45

Henderson, David K. "Management of Needlestick Injuries". JAMA 307, n. 1 (4 gennaio 2012): 75. http://dx.doi.org/10.1001/jama.2011.1828.

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46

Mateen, Farrah J., Ian A. Grant e Eric J. Sorenson. "Needlestick injuries among electromyographers". Muscle & Nerve 38, n. 6 (18 novembre 2008): 1541–45. http://dx.doi.org/10.1002/mus.21118.

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47

Linnemann, Calvin C., Constance Cannon, Martha DeRonde e Bruce Lanphear. "Effect of Educational Programs, Rigid Sharps Containers, and Universal Precautions on Reported Needlestick Injuries in Healthcare Workers". Infection Control & Hospital Epidemiology 12, n. 4 (aprile 1991): 214–19. http://dx.doi.org/10.1086/646327.

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AbstractObjective:To evaluate the effect of infection control programs on reported needlestick injuries in a general hospital.Design:Surveillance of all reported needlestick injuries at the University of Cincinnati Hospital was maintained by the infection control department for five years, from 1985 through 1989. Data on individual workers were collected, tabulated on a monthly basis, and reviewed continually to monitor trends in injuries. During this time, the effects of each of three new infection control programs on reported injuries were evaluated sequentially.Setting:A 700-bed general hospital that serves as the main teaching hospital of the University of cincinnati.Participants:All employees of University Hospital who reported to personnel health for management of needlestick injuries.Interventions:In 1986, an educational program to prevent injuries was initiated and continued throughout the surveillance period. In 1987, rigid sharps disposal containers were placed in all hospital rooms. In 1988, universal precautions were introduced with an intensive inservice.Results:Surveillance identified 1,602 needlestick injuries (320/year) or 104/1 ,000/ year. After the educational program began, reported injuries increased rather than decreased, and this was attributed to increased reporting. Subsequently, after installation of the new disposal containers, reported injuries returned to the levels seen prior to the educational program, but recapping injuries showed a significant decrease from 63/year to 30, or 20/1,000/year to 10. This decrease was observed in nurses but not in other healthcare workers. After universal precautions were instituted, total injuries increased slightly, but recapping injuries remained at 50% of the levels reported prior to the use of rigid sharps disposal containers.Conclusions: The three infection control programs failed to produce a major reduction in reported needlestick injuries, except for a decrease in recapping injuries associated with the placement of rigid sharps disposal containers in all patient rooms. These observations indicate that new approaches are needed to reduce needlestick injuries.

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Casanova, J. E., G. P. Barnas, J. Gollup, S. Schmitt e J. S. Casanova. "Hand Dexterity in Hospital Personnel with Multiple Needlestick Injuries". Infection Control & Hospital Epidemiology 14, n. 8 (agosto 1993): 473–75. http://dx.doi.org/10.1086/646782.

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AbstractObjective:To test the hypothesis that multiple needlestick injuries in hospital employees may he due to intrinsic deficits in hand dexterity.Design:A case-control study comparing employees with multiple reported needlestick injuries to those with none. Hand dexterity was tested using the Purdue Pegboard Test, a standardized validated test of hand dexterity.Setting:A 300-bed, acute care teaching hospital.Participants:Fifteen hospital employees who sustained four or more injuries were compared to 19 controls.Results:No differences were detected in hand dexterity between the case and control groups.Conclusions:While employees with multiple needlestick injuries accounted for 85% of reported injuries, underlying factors responsible for injuries in this high-risk subgroup do not include measurable deficits in hand dexterity.

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Whitby, Michael, Pat Stead e Jake M. Najman. "Needlestick Injury: Impact of a Recapping Device and an Associated Education Program". Infection Control & Hospital Epidemiology 12, n. 4 (aprile 1991): 220–25. http://dx.doi.org/10.1086/646328.

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Abstract (sommario):

AbstractObjective:To determine the impact of the introduction of a plastic shield-shaped device (Needleguard, Biosafe, Auckland, New Zealand) and education program designed to allow safer recapping, on recorded rates of needlestick injury.Design:A before-after trial with a two-year duration of follow-up.Setting:Tertiary referral hospital.Participants:Nursing and other hospital personnel.Results:Prospectively collected baseline data, together with the results of an anonymous questionnaire of 25% of the hospital nursing staff, defined a reported needlestick injury rate of 6.9 per hundred full-time nursing staff per year. In the pre-intervention period, there were 6.7 needlestick injuries per 100 nursing staff members per year reported. This increased to 15.4 (p<.0001) needlestick injuries per 100 nursing staff members per year after the intervention. An anonymous survey undertaken at both time periods suggests that the apparent increase in officially reported needlestick injuries is due to an increase in the willingness of nurses to now report previously unreported needlestick injuries.Conclusions: The impact of the safety device and education program was the more accurate reporting of needlestick injuries; many nursing staff continued to resheath needles contrary to hospital policy. Many staff simply did not use the newly designed safety device. Approaches to improving compliance with such safety devices are considered.

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50

Goldwater, Paul N., R. Law, A. D. Nixon, J. A. Officer e J. F. Cleland. "Impact of a Recapping Device on Venepuncture-Related Needlestick Injury". Infection Control 10, n. 01 (gennaio 1989): 21–25. http://dx.doi.org/10.1086/645910.

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Abstract (sommario):

AbstractIn a 33-month prospective analysis of needlestick injuries, venepuncturists working under Centers for Disease Control (CDC) guidelines for handling used needles were shown to incur a needlestick injury for every 3,175 to 4,006 needle-handling procedures. On the other hand, users of a simple device designed to reduce the risk of injury when recapping used needles were shown to incur a needlestick only once in every 16,100 venepunctures performed (P<0.00l). This represents a fourfold reduction in the rate of needlestick injuries. We thus question the effectiveness of the CDC nonrecapping policy.

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