Percutaneous injuries among healthcare workers at a general hospital

Abstract

Objectives: Percutaneous injuries (PCIs) remain a common incident among healthcare workers (HCWs) despite the introduction of safety programs. The aim of this study was to assess the PCIs, required precautions, and applications after the injuries among healthcare workers in a small general hospital. Materials and methods: We assessed the occurrence of PCIs at a General Hospital (EGH) from January 2007 to November 2010. During this period, all injury cases among HCWs were reported to the Infection Control Committee (ICC) using percutaneous injury notification form. The injury notification forms were evaluated retrospectively. Results: Totally 275 health personnel were working in our hospital, 36 healthy workers have been exposed to PCIs during this period. The incidence of PCIs was 2,9/10000 in 2007, 3,1/10000 in 2008, 3,8/10000 in 2009 and 3,9/10000 patient-days in 2010. Injured staff were recorded as, 16 nurses (44%), 12 cleaning staffs (34%), and eight (22%) doctors. The device leading to damage was most frequently the needle-channel. Ten sources (27%) were detected positive for hepatitis B virus (HBV), four (11%) for hepatitis C virus (HCV), and two (5%) for Crimean-Congo hemorrhagic fever virus (CCHFV). No case of seroconversion has been recognized for any of the above mentioned infections. Conclusions: Percutaneous injuries remain to occur among HCWs. Since some the sources were infected, the health personnel are endangered for infections due to PCIs. The health personnel should presume that all patients are infected, and thus should work following universal precautions to avoid complications about the PCIs.

Keywords

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Percutaneous injuries among healthcare workers at a general hospital

Öz

Anahtar Kelimeler

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References

1. Collins CH, Kennedy DA. Microbiological hazards of occu- pational needlestick and sharps injuries. J Appl Bacteriol 1987;62:385-402.
2. Willy ME, Dhillon GL, Leowen NL Wesley RA, Henderson DK. Advers exposures and universal precautions practices among a group of highly exposed health professionals. Infect Control Hosp Epidemiol 1990;11: 351-356.
3. Dokuzoğuz B. Kontamine delici ve kesici aletlerle bulaşan in- feksiyonlar ve önlemler. Hastane İnfeksiyonları Dergisi 1999; 3: 235-239.
4. Pruss Ustun A, Rapiti E, Hutin Y. Estimation of the global bur- den of diseases attributable to contaminated sharps injuries among healthcare workers. Am J Ind Med 2005; 48: 482- 490.
5. Aygün P. Delici ve kesici alet yaralanmaları ve korunma önlem- leri. In; The book of 5th National Sterilization and Disinfection congress 2007;385-391.
6. Usluer G. Viral hepatitler ve kan yoluyla bulaşan infeksiyonlar. ‘Günaydın M, Esen Ş, Saniç A, Leblebicioğlu H (eds): In; the book of, Sterilization Disinfection and Hospital Infections, Si- mad Publications, Samsun: 2002; 269-278.
7. Yıldırım M, Şencan İ, Özdemir D, Yılmaz Z, Küçükbayrak A, Çakır S. Assesment of risky exposures to HBV and HCV in health care workers and cost analysis. Viral Hepatit Dergisi 2005;10:139-143.
8. Merih YD, Kocabey MY, Çırpı F, Bolca Z, Celayir AC. Epide- miology and preventive measurements of sharp injuries in a state hospital during the last three years. Zeynep Kamil Tıp Bülteni 2009;40:11-15.

9. Omaç M, Eğri M, Karaoğlu L. Evaluation of occupational needlestick-sharp injuries and status of hepatitis B immuni- zation on nurse working at Malatya province hospitals. İnönü Üniversitesi Tıp Fakültesi Dergisi 2010;17: 19-25.
10. Popejoy SL, Fry DE. Blood contact and exposure in the oper- ating room. Surg Gynecol Obstet1991;172: 480-483.
11. Salelkar S, Motghare DD, Kulkarni MS, Vaz FS. Study of nee- dle stick injuries among health care workers at a tertiary care hospital. Indian J Public Health. 2010; 54:18- 20.
12. Altıok M, Kuyurtar F, Karaçorlu S, Ersöz G, Erdoğan S. Healthcare workers experiences witk sharps and needlestick injuries and precautions they took when injuries. Maltepe Üniversitesi Hemşirelik Bilim ve Sanatı Dergisi 2009;2: 70- 79.
13. Gücük M, Karabey S, Yolsal N, Irmak Özden Y. Percuteneous injuries in the health care personnel working in the general surgery clinics of the medical school of Istanbul. Hastane İnfeksiyonları Dergisi 2002;6: 72-81.
14. Tokars JI, Bell DM, Culver DH, Marcus R, Mendelson MH, Sloan EP, Farber BF, Fligner D, Chamberland ME, McKibben PS, et al. Percutaneous injuries during surgial procedures. JAMA 1992;267: 2899-2904.
15. Ippolita G, Puro V, Petrosilla N, De Carli G. Surveiilance of occupational exposure blood borne pathogens in healthcare workers: the Italian national programme. Euro Surveill. 1999; 4:33-36.
16. Kişioğlu N, Öztürk M, Uskun E, Kırbıyık S. In a medical hos- pital’s health workers incisive and perforating injury epidemi- ologies and prevention behaviors and attitudes. T Klin Med Sci 2002;22:390-396.
17. Moloughney BW. Transmission and postexposure manage- ment of bloodborne virus infections in the health care setting: Where are we now? Can Med Assoc J 2001;165: 445-451.
18. Sencan I, Sahin I, Yıldırım M, Yesildal N. Unrecognized abra- sions and occupational exposures to bloodborne pathogens among healthcare workers in Turkey. Occupational Medicine 2004;54: 202-206.
19. Husgy AM, Minde T, Knudsen H, Aks-elsen PE. Needlestick injuries and reporting routines. Tidsskr Nor Laegeforen 2010; 130:735-737.
20. Dokuzoğuz B. İnfeksiyon kontrolü ve personel sağlığı, sağlık çalışanlarının yaralanma ve infeksiyondan korunması. Do- ğanay M, Ünal S (eds). In; The book of Hospital Infections, ‘Bilimsel Tıp’ Publications 2003, Ankara:375-389.
21. Doyuk Kartal E. Sağlık personelinde profilaksi. İ.Ü Cerrahpa- şa Tıp Fakültesi sürekli tıp eğitimi etkinlikleri: In; The book of Toplumdan edinilmiş infeksiyonlara pratik yaklaşımlar’ 2008; 215-222.
22. Ergonul O. Crimean-Congo Hemorrhagic Fever. Lancet In- fect Dis 2006; 6:203-214.