Analysis of injuries caused by sharp objects in the staff of the Segurilab health center and control proposal
DOI:
https://doi.org/10.56294/sctconf2024808Keywords:
Biological Hazard, Sharps Injuries, Potentially Infectious Materials, Occupational Exposure, Body Fluids, Phlebotomy.Abstract
Objective: the aim of this study was to determine the prevalence of accidents with sharp objects in the phlebotomy staff of the Segurilab Health Center, and to propose control measures based on the results obtained.
Methods: a retrospective cross-sectional study was carried out at the Segurilab Health Center, analyzing the statistics of the institutional database. The study period covered from March 2023 to March 2024. The incidence of accidents with sharp objects in phlebotomy personnel, responsible for the extraction and handling of biological samples (blood and derivatives), the administration of intravenous medications and intramuscular, and the collection of used material, both at home and institutional level.
Results: two incidents were recorded in the month of September 2023, which occurred in phlebotomists who carried out work at home, specifically in obtaining biological samples from school-age children. It should be noted that phlebotomy staff performing their duties within the institution did not report any related accidents during the study period.
Conclusion: the lack of an adequate area with control protocols for the use of sharp objects, combined with the attention of an age group that is difficult to manage when taking samples, such as school-age patients, increases the risk of accidents. Importantly, the group that followed recommended biosafety guidelines, such as those issued by the Centers for Disease Control and Prevention (CDC), did not report any cases, which is in line with guidelines to prevent adverse events
References
1. Traynor K. CDC updates, combines occupational exposure guidelines for HBV, HCV, HIV. Am J Health Syst Pharm. 2001 Aug 15;58(16):1489-90. doi: 10.1093/ajhp/58.16.1489. PMID: 11515342.
2. Broussard IM, Kahwaji CI. Universal Precautions. [Updated 2023 Jul 29]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan.
3. Gooch CM, Wadhwa R. Body Fluid Exposures. 2023 May 1. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan–. PMID: 32496730.
4. Preboth M. PHS guidelines for management of occupational exposure to HBV, HCV and HIV: management of occupational blood exposures. Am Fam Physician. 2001 Dec 15;64(12):2012-4. PMID: 11775767.
5. World Health Organization. The world health report. Box 4.4. 2002. Geneva, Switzerland. http://www.who.int/whr/2002/chapter4/en/index8.html. Accessed on 3rd September 2016.
6. Ndu AC, Arinze-Onyia SU. Standard precaution knowledge and adherence: Do Doctors differ from Medical Laboratory Scientists? Malawi Med J. 2017 Dec;29(4):294-300. doi: 10.4314/mmj.v29i4.3. PMID: 29963283; PMCID: PMC6019545.
7. Singru SA, Banerjee A. Occupational exposure to blood and body fluids among health care workers in a teaching hospital in mumbai, India. Indian J Community Med. 2008 Jan;33(1):26-30. doi: 10.4103/0970-0218.39239. PMID: 19966992; PMCID: PMC2782223.
8. Marković-Denić L, Branković M, Maksimović N, Jovanović B, Petrović I, Simić M, Lesić A. Occupational exposures to blood and body fluids among health care workers at university hospitals. Srp Arh Celok Lek. 2013 Nov-Dec;141(11-12):789-93. doi: 10.2298/sarh1312789m. PMID: 24502099.
9. Organization WH. World health statistics 2010: World Health Organization; 2010.
10. Wilburn SQ, Eijkemans G. Preventing needlestick injuries among healthcare workers: a WHO-ICN collaboration. Int J Occup Environ Health. 2004 Oct-Dec;10(4):451-6. doi: 10.1179/oeh.2004.10.4.451. PMID: 15702761.
11. Ghanei Gheshlagh R, Aslani M, Shabani F, Dalvand S, Parizad N. Prevalence of needlestick and sharps injuries in the healthcare workers of Iranian hospitals: an updated meta-analysis. Environ Health Prev Med. 2018 Sep 7;23(1):44. doi: 10.1186/s12199-018-0734-z. PMID: 30193569; PMCID: PMC6129009.
12. Ugonabo N, Shah P, Adotama P, Zampella JG. Needlestick and Sharps Injuries Among Resident Physicians. JAMA Surg. 2021 Jan 1;156(1):96-97. doi: 10.1001/jamasurg.2020.4112. PMID: 33146710; PMCID: PMC7643037
13. Zaidi MA, Griffiths R, Beshyah SA, Myers J, Zaidi MA. Blood and body fluid exposure related knowledge, attitude and practices of hospital based health care providers in United arab emirates. Saf Health Work. 2012 Sep;3(3):209-15. doi: 10.5491/SHAW.2012.3.3.209. Epub 2012 Aug 30. PMID: 23019533; PMCID: PMC3443696.
14. Chiarello L, Deitchman S, Do AN, et al. Preventing needlestick injuries in health care settings. Alert (Cincinnati, Ohio); DHHS (NIOSH) publication No. 2000–108, https://stacks.cdc.gov/view/cdc/7022/cdc_DS1_7022.pdf (1999, Accessed 2 August 2022).
15. Rapisarda V, Loreto C, Vitale E, Matera S, Ragusa R, Coco G, Rapisarda L, Ledda C. Incidence of sharp and needle-stick injuries and mucocutaneous blood exposure among healthcare workers. Future Microbiol. 2019 Jun;14:27-31. doi: 10.2217/fmb-2018-0239. Epub 2019 Jun 12. PMID: 31187636.
16. Mubarak S, Al Ghawrie H, Ammar K, Abuwardeh R. Needlestick and sharps injuries among healthcare workers in an oncology setting: a retrospective 7-year cross-sectional study. J Int Med Res. 2023 Oct;51(10):3000605231206304. doi: 10.1177/03000605231206304. PMID: 37871623; PMCID: PMC10683567.
17. Zafar A. Blood and body fluid exposure and risk to health care workers. J Pak Med Assoc. 2006 Oct;56(10):428-9. PMID: 17144385.
18. Green-McKenzie J, Shofer FS. Duration of time on shift before accidental blood or body fluid exposure for housestaff, nurses, and technicians. Infect Control Hosp Epidemiol. 2007 Jan;28(1):5-9. doi: 10.1086/510568. Epub 2006 Dec 29. PMID: 17230381.
19. Schillie S, Murphy TV, Sawyer M, Ly K, Hughes E, Jiles R, de Perio MA, Reilly M, Byrd K, Ward JW; Centers for Disease Control and Prevention (CDC). CDC guidance for evaluating health-care personnel for hepatitis B virus protection and for administering postexposure management. MMWR Recomm Rep. 2013 Dec 20;62(RR-10):1-19. PMID: 24352112.
20. Yasin J, Fisseha R, Mekonnen F, Yirdaw K. Occupational exposure to blood and body fluids and associated factors among health care workers at the University of Gondar Hospital, Northwest Ethiopia. Environ Health Prev Med. 2019 Mar 9;24(1):18. doi: 10.1186/s12199-019-0769-9. PMID: 30851726; PMCID: PMC6408855.
21. Hinkin J, Gammon J, Cutter J. Review of personal protection equipment used in practice. Br J Community Nurs. 2008 Jan;13(1):14-9. doi: 10.12968/bjcn.2008.13.1.27978. PMID: 18399366.
22. Vergara T, Véliz E, Fica A, Dabanch J. Exposiciones a fluidos de riesgo en el personal de salud. Evaluación de gastos directos en su manejo [Exposure to risk fluids in health personnel. Evaluation of direct costs in their management]. Rev Chilena Infectol. 2018;35(5):490-497. Spanish. doi: 10.4067/s0716-10182018000500490. PMID: 30724995.
23. Himmelreich H, Rabenau HF, Rindermann M, Stephan C, Bickel M, Marzi I, Wicker S. The management of needlestick injuries. Dtsch Arztebl Int. 2013 Feb;110(5):61-7. doi: 10.3238/arztebl.2013.0061. Epub 2013 Feb 1. PMID: 23437024; PMCID: PMC3576594.
24. Norma de Manejo Pos-exposición Laboral a Sangre en el Contexto de la Prevención de la Infección por VIH Según la NIOSH (Instituto Nacional para la Seguridad y Salud Ocupacional). https://diprece.minsal.cl/wrdprss_minsal/wpcontent/uploads/2015/01/Norma-48-Exposici%C3%B3n-Laboral-Sangre.pdf
25. Wicker S, Cinatl J, Berger A, Doerr HW, Gottschalk R, Rabenau HF. Determination of risk of infection with blood-borne pathogens following a needlestick injury in hospital workers. Ann Occup Hyg. 2008 Oct;52(7):615-22. doi: 10.1093/annhyg/men044. Epub 2008 Jul 29. PMID: 18664514.
26. Samaranayake L, Scully C. Needlestick and occupational exposure to infections: a compendium of current guidelines. Br Dent J. 2013 Aug;215(4):163-6. doi: 10.1038/sj.bdj.2013.791. PMID: 23969653.
27. Muller WJ, Chadwick EG. Pediatric Considerations for Postexposure Human Immunodeficiency Virus Prophylaxis. Infect Dis Clin North Am. 2018 Mar;32(1):91-101. doi: 10.1016/j.idc.2017.10.006. PMID: 29406979.
28. Arora G, Hoffman RM. Development of an HIV Postexposure Prophylaxis (PEP) Protocol for Trainees Engaging in Academic Global Health Experiences. Acad Med. 2017 Nov;92(11):1574-1577. doi: 10.1097/ACM.0000000000001684. PMID: 28445222.
29. King KC, Strony R. Needlestick. 2023 May 1. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan–. PMID: 29630199.
30. Alcaráz-Britez Adriana Guadalupe. Accidentes cortopunzantes en personal de salud. Rev. cient. cienc. salud [Internet]. 2023 [cited 2024 Apr 19] ; 5: e5125. Available from: http://scielo.iics.una.py/scielo.php?script=sci_arttext&pid=S266428912023000100026&lng=en.Epub Nov 17,2023. https://doi.org/10.53732/rccsalud/2023.e5125.
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