Home 2018 - Volume 18 (1) NEEDLESTICK INJURY CASES AND ADHERENCE TO THE FOLLOW-UP PROTOCOL AMONG HEALTHCARE WORKERS IN SELANGOR
NEEDLESTICK INJURY CASES AND ADHERENCE TO THE FOLLOW-UP PROTOCOL AMONG HEALTHCARE WORKERS IN SELANGOR PDF Print E-mail
Friday, 13 April 2018 10:59

 

Mohd Fadhli MF1, Safian N1, Robat RM2, Nur Adibah MS1 and Hanizah MY1

1Department  of  Community  Health,  Faculty  of  Medicine, Universiti  Kebangsaan  Malaysia  Medical  Centre, Jalan  Yaacob Latiff, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Malaysia.

2Occupational Health Unit, Public Health Division, Selangor State Health Office, Shah Alam, Selangor, Malaysia

Corresponding author:

Nazarudin Safian

E-mail: This e-mail address is being protected from spambots. You need JavaScript enabled to view it

ABSTRACT

Needlestick injury (NSI) is a serious occupational hazard against healthcare workers (HCWs) in a hospital setting with multiple implications, thus adherence to post-NSI management including follow-up protocol is crucial.This research was conducted to describe the distribution of NSI cases among HCWs working in Ministry of Health Malaysia (MOH)’s hospital in Selangor and adherence to a follow-up protocol, as well as the factors related to it.This was a cross-sectional quantitative study reviewing retrospectively all notified NSI cases in January-September 2016. Data were taken from Sharps Injury Surveillance (SIS) system and analyzed into descriptive and analytical statistics.There were 143 notified NSI cases. The majority of the cases were female(76.2%), Malay(60.1%), medical doctors(56.6%) and in a medical-based department (44.8%). The median age of NSI cases was 27 years old (IQR:5) and median years of employment was 1.5 (IQR:4.5). Most cases happened in a ward setting (58.7%) involving contaminated (95.8%) hypodermic needle (43.4%), occurred mostly during the procedure of drawing blood (23.1%). Only 86.7% of NSI cases were source-known and some were tested positive with blood borne pathogens. However, no occurrence of seroconversion among the injured HCWs detected. The overall adherence rate to the follow-up protocol was 72.3%. Multiple logistic regression yielded significant association between age, gender, department, device contamination, procedure conducted and source HBV status with adherence to follow-up of post-NSI protocol. Further comprehensive studies involving more determinants such as therapy-related factors and potential interventions are needed to optimize adherence rate to the follow-up protocol post-NSI.

Keywords: guideline adherence, needlestick injuries, health personnel, post-exposure prophylaxis, blood-borne pathogens

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Last Updated on Friday, 13 April 2018 11:19