Needle stick injuries among nurses in sub‐Saharan Africa

Tropical Medicine and International Health - Tập 10 Số 8 - Trang 773-781 - 2005
Fredrich M. Nsubuga1, Maritta S. Jaakkola1
1Institute of Occupational and Environmental Medicine, The University of Birmingham, Birmingham, UK

Tóm tắt

Summary

Objectives  Despite a heavy burden of HIV/AIDS and other blood borne infections, few studies have investigated needle stick injuries in sub‐Saharan Africa. We conducted a cross‐sectional study at Mulago national referral hospital in Kampala, Uganda, to assess the occurrence and risk factors of needle stick injuries among nurses and midwives.

Methods  A total of 526 nurses and midwives involved in the direct day‐to‐day management of patients answered a questionnaire inquiring about occurrence of needle stick injuries and about potential predictors, including work experience, work load, working habits, training, and risk behaviour.

Results  A 57% of the nurses and midwives had experienced at least one needle stick injury in the last year. Only 18% had not experienced any such injury in their entire career. The rate of needle stick injuries was 4.2 per person‐year. Multiple logistic regression analysis showed that the most important risk factor for needle stick injuries was lack of training on such injuries (OR 5.72, 95% CI 3.41–9.62). Other important risk factors included working for more than 40 h/week (OR 1.90, 95% CI 1.20–3.31), recapping needles most of the time (OR 1.78, 95% CI 1.11–2.86), and not using gloves when handling needles (OR 1.91, 95% CI 1.10–3.32).

Conclusions  The study showed a high rate of needle stick injuries among nurses and midwives working in Uganda. The strongest predictor for needle stick injuries was lack of training. Other important risk factors were related to long working hours, working habits, and experience.

Từ khóa


Tài liệu tham khảo

10.1086/646814

10.2105/AJPH.87.1.103

10.1016/0169-8141(94)00075-E

Fahey BJ, 1991, Frequency of non‐parenteral occupational exposures to blood and body fluids before and after universal precautions training, American Journal of Medicine, 90, 145, 10.1016/0002-9343(91)90535-6

10.1016/0196-6553(95)90067-5

10.1067/mic.2000.105288

10.1086/645910

10.1002/(SICI)1097-0274(199909)36:1 <122::AID-AJIM43>3.0.CO;2-L

Gumodoka B, 1997, Occupational exposure to the risk of HIV among health care workers in Mwanza Region, United Republic of Tanzania, Bulletin of the World Health Organization, 75, 133

10.1086/646525

10.1016/0196-6553(90)90163-M

Jules M, 2003, Uganda National Injection Safety Task Force, Ministry of Health Uganda: Report on Assessment of injection practice 2003, 9

10.1016/S0196-6553(97)90024-9

Lawrence LW, 1997, The effectiveness of a needleless intravenous connection system: an assessment by injury rate and user satisfaction, Infection Control and Hospital Epidemiology, 18, 175, 10.2307/30141978

10.1016/0002-9343(91)90386-C

10.1093/infdis/162.4.961

10.1067/mic.2002.118841

Morgan DR, 1991, Preventing needlestick injuries, British Medical Journal, 302, 1147

10.1179/000349802125001186

10.1177/216507999904700601

Prüss‐Üstün A, 2003, Sharps Injuries: Global Burden of Disease From Sharps Injuries to Health‐Care Workers

Ugandan Ministry of Health, Resource Centre, 2003, Abstract on Uganda Statistical Report on Morbidity and Mortality Survey, Health Characteristics 2003, 6

Ugandan Ministry of Health, STD/HIV/AIDS Control Programme, 2003, STD/HIV/AIDS Surveillance Report June 2003, Epidemiology and Surveillance Unit

Whitby M, 1991, Needlestick injury: impact of a recapping device and an associated education program, Infection Control and Hospital Epidemiology, 12, 220, 10.1086/646328

10.1086/646186

World Health Organization, 1998, WHO Estimates of Health Personnel; Physicians, Nurses, Midwives, Dentists and Pharmacists.

World Health Organization, 2001, WHO Statistical Information System

World Health Organization (WHO), Joint United Nations programme on HIV/AIDS (UNAIDS), 2003, AIDS Epidemic Update; December 2003, 5

World Health Organization (WHO), Safe Injection Global Network, 2003, Health Care Workers Safety. Aide‐Memoire for a Strategy to Protect Health Care Workers from Infection with Blood Borne Viruses

10.1016/0196-6553(91)90018-8

Thông tin
Thông tin xuất bản

Tropical Medicine and International Health

Tập 10 Số 8

773-781

Thông tin tác giả