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Needle stick injuries in a tertiary eye-care hospital: Incidence, management, outcomes, and recommendations

PURPOSE: The purpose of this study is to assess the incidence, management, and outcomes for needle stick injuries (NSIs) in a tertiary eye-care hospital and provide appropriate recommendations for its prevention. METHODS: This was a retrospective database review of NSI recorded between 2010 and 2015...

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Autores principales: Rishi, Ekta, Shantha, B, Dhami, Abhinav, Rishi, Pukhraj, Rajapriya, Hannah C
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5678339/
https://www.ncbi.nlm.nih.gov/pubmed/29044068
http://dx.doi.org/10.4103/ijo.IJO_147_17
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author Rishi, Ekta
Shantha, B
Dhami, Abhinav
Rishi, Pukhraj
Rajapriya, Hannah C
author_facet Rishi, Ekta
Shantha, B
Dhami, Abhinav
Rishi, Pukhraj
Rajapriya, Hannah C
author_sort Rishi, Ekta
collection PubMed
description PURPOSE: The purpose of this study is to assess the incidence, management, and outcomes for needle stick injuries (NSIs) in a tertiary eye-care hospital and provide appropriate recommendations for its prevention. METHODS: This was a retrospective database review of NSI recorded between 2010 and 2015 at a tertiary eye care center. All staff members who had NSI were managed with standard treatment protocol. The mode, location, health-care workers affected and/or at risk for NSI were analyzed. RESULTS: One hundred and forty NSI were reported between 2010 and 2015, with ophthalmic fellows under training encountering maximum needle pricks (n = 33; 24%), followed by nursing staff (n = 32; 23%), and consultants (n = 30; 21%). Location wise, the highest incidence of NSI was found in the operating room (n = 94; 67%), followed by the laboratory (n = 17; 12%), and patients’ ward (n = 14; 10%). Maximum pricks (n = 10; 20%) occurred while passing sharp instruments, anterior segment surgeons (n = 23; 79%) being affected more than posterior segment surgeons (n = 6; 21%). None of the NSI incidents was attributed to anti-VEGF injections. None of the subjects with NSI had seroconversion to hepatitis B surface antigen, human immunodeficiency virus, or hepatitis C virus in the 5-year study period. CONCLUSIONS: NSI is the most commonly encountered in the operating room among training personnel while passing sharp instruments, especially anterior segment surgeons. A proper needle/sharp disposal mechanism, documentation of adverse event, on-going staff training, and prompt prophylactic treatment are essential components of the protocol for NSI management.
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spelling pubmed-56783392017-11-28 Needle stick injuries in a tertiary eye-care hospital: Incidence, management, outcomes, and recommendations Rishi, Ekta Shantha, B Dhami, Abhinav Rishi, Pukhraj Rajapriya, Hannah C Indian J Ophthalmol Original Article PURPOSE: The purpose of this study is to assess the incidence, management, and outcomes for needle stick injuries (NSIs) in a tertiary eye-care hospital and provide appropriate recommendations for its prevention. METHODS: This was a retrospective database review of NSI recorded between 2010 and 2015 at a tertiary eye care center. All staff members who had NSI were managed with standard treatment protocol. The mode, location, health-care workers affected and/or at risk for NSI were analyzed. RESULTS: One hundred and forty NSI were reported between 2010 and 2015, with ophthalmic fellows under training encountering maximum needle pricks (n = 33; 24%), followed by nursing staff (n = 32; 23%), and consultants (n = 30; 21%). Location wise, the highest incidence of NSI was found in the operating room (n = 94; 67%), followed by the laboratory (n = 17; 12%), and patients’ ward (n = 14; 10%). Maximum pricks (n = 10; 20%) occurred while passing sharp instruments, anterior segment surgeons (n = 23; 79%) being affected more than posterior segment surgeons (n = 6; 21%). None of the NSI incidents was attributed to anti-VEGF injections. None of the subjects with NSI had seroconversion to hepatitis B surface antigen, human immunodeficiency virus, or hepatitis C virus in the 5-year study period. CONCLUSIONS: NSI is the most commonly encountered in the operating room among training personnel while passing sharp instruments, especially anterior segment surgeons. A proper needle/sharp disposal mechanism, documentation of adverse event, on-going staff training, and prompt prophylactic treatment are essential components of the protocol for NSI management. Medknow Publications & Media Pvt Ltd 2017-10 /pmc/articles/PMC5678339/ /pubmed/29044068 http://dx.doi.org/10.4103/ijo.IJO_147_17 Text en Copyright: © 2017 Indian Journal of Ophthalmology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Rishi, Ekta
Shantha, B
Dhami, Abhinav
Rishi, Pukhraj
Rajapriya, Hannah C
Needle stick injuries in a tertiary eye-care hospital: Incidence, management, outcomes, and recommendations
title Needle stick injuries in a tertiary eye-care hospital: Incidence, management, outcomes, and recommendations
title_full Needle stick injuries in a tertiary eye-care hospital: Incidence, management, outcomes, and recommendations
title_fullStr Needle stick injuries in a tertiary eye-care hospital: Incidence, management, outcomes, and recommendations
title_full_unstemmed Needle stick injuries in a tertiary eye-care hospital: Incidence, management, outcomes, and recommendations
title_short Needle stick injuries in a tertiary eye-care hospital: Incidence, management, outcomes, and recommendations
title_sort needle stick injuries in a tertiary eye-care hospital: incidence, management, outcomes, and recommendations
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5678339/
https://www.ncbi.nlm.nih.gov/pubmed/29044068
http://dx.doi.org/10.4103/ijo.IJO_147_17
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