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This article is part of the supplement: International Conference on Prevention & Infection Control (ICPIC 2011)

Open Access Poster presentation

Needle stick unjuries among health care workers – a report from India

D Sureshkumar*, V Ramasubramanian and K Abdulghafur

  • * Corresponding author: D Sureshkumar

Author Affiliations

Infectious disease, Apollo Hospitals, Chennai, India

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BMC Proceedings 2011, 5(Suppl 6):P225  doi:10.1186/1753-6561-5-S6-P225


The electronic version of this article is the complete one and can be found online at: http://www.biomedcentral.com/1753-6561/5/S6/P225


Published:29 June 2011

© 2011 Sureshkumar et al; licensee BioMed Central Ltd.

This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Introduction / objectives

Preventing needle stick injuries (NSIs) is a challenge faced in virtually every work environment. There are very few studies in India documenting frequencies and consequences of needle stick injuries (NSIs). We report a 30 months ongoing surveillance of NSIs happened in Apollo Hospitals, Chennai (large tertiary care hospital in India).

Methods

Hospital infection control team document type of NSI, human immunodeficiency virus(HIV), Hepatitis B surface antigen (HBsAg, and hepatitis C virus (HCV) status of the source, anti HBs antibody titers of HCW, baseline and 6 months tests for HIV if the source was positive for HIV, and provided post-exposure prophylaxis to persons who had NSI.

Results

Of the 118 needle stick injuries reported during the surveillance period 47 (40%) were nurses, 25 (21%) were lab technicians, 24 (20%) were doctors, 20 (17%) were housekeeping staff and 2(2%) were other staffs. Hollow bore needle constituted 80.1% (95) of the injuries, solid needles constituted 16.5% (19) of the injuries and other sharps constituted 3.4% (4) of the injuries. On source analysis 17, 9, and 8 were positive for HBsAg, HIV and HCV, respectively. Improper disposal of the needles (27%) & recapping of the needle (25.8%) were the predominant activities responsible for NSIs. 9 HCWs who sustained injury with HIV positive source were given immediate antiretroviral therapy for 4 weeks. Subsequent six-month follow-up showed zero seroconversion.

Conclusion

NSIs were common among nurses & lab technicians and commonly take place in ICU. Half of the NSIs were happened after the usage of the needle before its disposal. Zero sero conversion for HIV was seen in NSIs with HIV positive source. Safer disposing methods are needed to reduce the incidence of NSIs.

Disclosure of interest

None declared.