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Original article

Vol. 142 No. 0506 (2012)

Underreporting of needlestick and sharps injuries among healthcare workers in a Swiss University Hospital

  • Cathy Voide
  • Katharine Elizabeth Darling
  • Alain Kenfak-Foguena
  • Véronique Erard
  • Matthias Cavassini
  • Catherine Lazor-Blanchet
DOI
https://doi.org/10.4414/smw.2012.13523
Cite this as:
Swiss Med Wkly. 2012;142:w13523
Published
29.01.2012

Summary

OBJECTIVES: To determine 1) rates of needlestick and sharps injuries (NSSIs) not reported to occupational health services, 2) reasons for underreporting and 3) awareness of reporting procedures in a Swiss university hospital.

MATERIALS AND METHODS: We surveyed 6,367 employees having close clinical contact with patients or patient specimens. The questionnaire covered age, sex, occupation, years spent in occupation, history of NSSI during the preceding twelve months, NSSI reporting, barriers to reporting and knowledge of reporting procedures.

RESULTS: 2,778 questionnaires were returned (43.6%) of which 2,691 were suitable for analysis. 260/2,691 employees (9.7%) had sustained at least one NSSI during the preceding twelve months. NSSIs were more frequent among nurses (49.2%) and doctors performing invasive procedures (IPs) (36.9%). NSSI rate by occupation was 8.6% for nurses, 19% for doctors and 1.3% for domestic staff. Of the injured respondents, 73.1% reported all events, 12.3% some and 14.6% none. 42.7% of doctors performing invasive procedures (IPs) underreported NSSIs and represented 58.6% of underreported events. Estimation that transmission risk was low (87.1%) and perceived lack of time (34.3%) were the most common reasons for non-reporting. Regarding reporting procedures, 80.1% of respondents knew to contact occupational health services.

CONCLUSION: Doctors performing IPs have high rates of NSSI and, through self-assessment that infection transmission risk is low or perceived lack of time, high rates of underreporting. If individual risk analyses underestimate the real risk, such underreporting represents a missed opportunity for post-exposure prophylaxis and identification of hazardous procedures. Doctors’ training in NSSI reporting merits re-evaluation.

References

  1. Tarantola A, Abiteboul D, Rachline A. Infection risks following accidental exposure to blood or body fluids in health care workers: a review of pathogens transmitted in published cases. Am J Infect Control. 2006;34:367–75.
  2. Wicker S, Jung J, Allwinn R, Gottschalk R, Rabenau HF. Prevalence and prevention of needlestick injuries among health care workers in a German university hospital. Int Arch Occup Environ Health. 2008;8:347–54.
  3. Schmid K, Schwager C, Drexler H. Needlestick injuries and other occupational exposures to body fluids amongst employees and medical students of a German university: incidence and follow-up. J Hosp Infect. 2007;65:124–30.
  4. White SM. Needlestuck. Anaesthesia. 2007;62:1199–201.
  5. Pruss-Ustun A, Rapiti E, Hutin Y. Estimation of the global burden of disease attributable to contaminated sharps injuries among health-care workers. Am J Ind Med. 2005;48:482–90.
  6. Colombo C, Ledergerber F, Zysset F, Francioli P, Cavassini M, Lazor-Blanchet C, et al. Exposition au risque infectieux VIH, VHB et VHC chez le personnel des établissements de soins en Suisse de 2001 à fin juin 2008. BAG Bulletin. 2010;3:36–42.
  7. Deisenhammer S, Radon K, Nowak D, Reichert J. Needlestick injuries during medical training. J Hosp Infect. 2006;63:263–7.
  8. Trim JC, Elliott TS. A review of sharps injuries and preventative strategies. J Hosp Infect. 2003;53:237–42.
  9. Cardo DM, Culver DH, Ciesielski CA, Srivastava PU, Marcus R, Abiteboul D, et al. A case-control study of HIV seroconversion in health care workers after percutaneous exposure. Centers for Disease Control and Prevention Needlestick Surveillance Group. N Engl J Med. 2007;337:1485–90.
  10. Cullen BL, Genasi F, Symington I, Bagg J, McCreaddie M, Taylor A. Potential for reported needlestick injury prevention among healthcare workers through safety device usage and improvement of guideline adherence: expert panel assessment. J Hosp Infect. 2006;63:445–51.
  11. Mendelson MH, Lin-Chen BY, Solomon R, Bailey E, Kogan G, Goldbold J. Evaluation of a safety resheathable winged steel needle for prevention of percutaneous injuries associated with intravascular-access procedures among healthcare workers. Infect Control Hosp Epidemiol. 2003;24:105–12.
  12. Adams D, Elliott TS. Impact of safety needle devices on occupationally acquired needlestick injuries: a four-year prospective study. J Hosp Infect. 2006;64:50–5.
  13. Azar-Cavanagh M, Burdt P, Green-McKenzie J. Effect of the introduction of an engineered sharps injury prevention device on the percutaneous injury rate in healthcare workers. Infect Control Hosp Epidemiol. 2007;28:165–70.
  14. Lee JM, Botteman MF, Xanthakos N, Nicklasson L. Needlestick injuries in the United States. Epidemiologic, economic, and quality of life issues. AAOHN. 2005;J 53:117–33.
  15. Elder A, Paterson C. Sharps injuries in UK health care: a review of injury rates, viral transmission and potential efficacy of safety devices. Occup Med (Lond). 2006;56:566–74.
  16. Doebbeling BN, Vaughn TE, McCoy KD, Beekmann SE, Woolson RF, Ferguson KJ, et al. Percutaneous injury, blood exposure, and adherence to standard precautions: are hospital-based health care providers still at risk? Clin Infect Dis. 2003;37:1006–13.
  17. Nelsing S, Nielsen TL, Nielsen JO. Percutaneous blood exposure among Danish doctors: exposure mechanisms and strategies for prevention. Eur J Epidemiol. 1997;13:387–93.
  18. Tan L, Hawk JC 3rd, Sterling ML. Report of the Council on Scientific Affairs: preventing needlestick injuries in health care settings. Arch Intern Med. 2001;161:929–36.
  19. Diprose P, Deakin CD, Smedley J. Ignorance of post-exposure prophylaxis guidelines following HIV needlestick injury may increase the risk of seroconversion. Br J Anaesth. 2000;84:767–70.
  20. Patterson JM, Novak CB, Mackinnon SE, Patterson GA. Surgeons’ concern and practices of protection against bloodborne pathogens. Ann Surg. 1998;228:266–72.
  21. Au E, Gossage JA, Bailey SR. The reporting of needlestick injuries sustained in theatre by surgeons: are we under-reporting? J Hosp Infect. 2008;70:66–70.
  22. Patrick DL, Murray TP, Bijby J, Auerbach J, Davis LK, et al. Sharps injuries among hospital workers in Massachusetts. Findings from the Massachusetts Sharps Injury Surveillance System. 2007. Massachusetts Department of Public Health Occupational health Surveillance Programme 2009.
  23. Hernandez Navarrete MJ, Campins Marti M, Martinez Sanchez EV, Ramos Perez F, Garcia de Codes Ilario A, Arribas Llorente JL. Occupational exposures to blood and biological material in healthcare workers. EPINATEC Project 1996–2000. Med Clin. 2004;122:81–6.
  24. Colombo C, Masserey V, Ruef C. Incidence of needlestick injuries and other sharps exposures in Swiss acute care hospitals: results of a sentinel surveillance study. J Hosp Infect. 2011;6:181–3.

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