Abstract

Injection is an invasive intervention and is one of the most commonly used medical procedures in the world. Non-adherence to an aseptic technique in injection application causes a serious risk in terms of blood-borne pathogens and bacterial nosocomial infections. It is known that unsafe injection practices are common in low-income countries. However safe injection practices have gained importance due to report of growing number of outbreaks resulting from unsafe injection practices also in developed countries recently. One of the major causes of unsafe injection is the reuse of syringes. Safety syringes are designed to prevent reuse. Today, safety syringes are used routinely in immunization applications in many countries. However, those are advised to be commonly used also in the therapeutical applications. In this review, the misuse of syringes, and the safety syringes and the necessity for using them are discussed in the light of the relevant literature

Keywords

• Syringe, safety syringe, injection safety, unsafe injection

Enjektörün Hatalı Kullanımı ve Güvenli Enjektörler

Öz

Enjeksiyon bir invaziv girişimdir ve dünyada en sık kullanılan medikal işlemlerden biridir. Enjeksiyon uygulamalarında aseptik tekniğe bağlı kalınmaması, kan kaynaklı patojenler kadar bakterial nozokomiyal enfeksiyonlar açısından da ciddi risk oluşturmaktadır. Güvenli olmayan enjeksiyon uygulamalarının düşük-gelirli ülkelerde yaygın olduğu bilinmektedir. Bununla birlikte son zamanlarda gelişmiş ülkelerde de giderek artan sayıda salgınların rapor edilmesi nedeniyle güvenli enjeksiyon uygulamaları önem kazanmıştır. Güvenli olmayan enjeksiyonların en önemli nedenlerinden biri, enjektörlerin yeniden kullanımıdır. Güvenli enjektörler, yeniden kullanımı engellemek için tasarlanmıştır. Günümüzde pek çok ülkede güvenli enjektörler bağışıklama uygulamalarında rutin olarak kullanılmaktadır. Ancak tedavi edici uygulamalarda da kullanımının yaygınlaştırılması önerilmektedir. Bu derlemede enjektörün kullanım hataları, güvenli enjektörler ve kullanım gerekliliği ilgili literatür doğrultusunda tartışılmaktadır.

Anahtar Kelimeler

• Enjektör, güvenli enjektör, enjeksiyon güvenliği, güvenli olmayan enjeksiyon

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