Knowledge, Attitude, and Practice Regarding Needle Stick Injuries Among Health Care Workers in Baghdad Teaching Hospital and Ghazy Al-Hariri Hospital for Surgical Specialties in 2020

Authors

  • Ghufran Z. S. Al-Khalidi Department of Community and Family Medicine, College of Medicine, University of Baghdad, Baghdad, Iraq
  • Nadia Aziz Nasir Department of Community and Family Medicine, College of Medicine, University of Baghdad, Baghdad, Iraq

DOI:

https://doi.org/10.3889/oamjms.2022.9963

Keywords:

Needle sticks, Blood-borne infection, Knowledge, Recapping and disposal practices injury, Health

Abstract

Background: Needle stick injuries are serious occupational hazards in the transmission of a variety of bloodborne diseases, more than twenty pathogens can be transmitted through NSI including hepatitis B virus, hepatitis C virus, and human immunodeficiency virus (AIDS) among healthcare workers.

Objectives: Assess the knowledge, attitude and practice of health care workers towards needle stick injuries. Determine the prevalence of needle stick injuries among healthcare workers and its predisposing factors.

 Methods: Cross-sectional descriptive study, a convenient sample of 260 health care workers was selected from Baghdad Teaching hospital and Ghazy Al Hariri hospital in Baghdad, Iraq. Data were collected by an anonymous questionnaire from January to June 2020. The collected data were analyzed by using statistical package for the social sciences (SPSS version 23).

Results Prevalence of NSIs among HCWs was found to be 53.8%, which was higher in nurses (29.3%) and laboratory technicians (28.5%) followed by surgeon doctors (15.7%), assistant surgeons (13.6%) and dentists (12.9%) .The highest number of needle stick injuries occurred by recapping of needles (41.4%) followed by during drug administration (27.9%), from hand to hand  (10.7%) and during blood drawing (7.9%). A proportion of (64.5%) of  health care workers whom sustained needle stick injury had reported their Injury. Doctors scored better than others regarding mean scores of knowledge, attitude and practice. There was a highly significant association among knowledge, attitude and practice scores of the HCWs (P<0.001). A considerable percentage of the participants (80.2%) were completely immunized against HBV.

Conclusions: The study showed a high prevalence of NSIs among health care workers. The score of knowledge was high, moreover acceptable responses were obtained in most attitude and practice statements, except for recapping of needles statements.

 

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References

Rapisarda V, Loreto C, Vitale E, Matera S, Ragusa R, Coco G, et al. Incidence of sharp and needle-stick injuries and mucocutaneous blood exposure among healthcare workers. Future Microbiol. 2019;14(9s):27-31. https://doi.org/10.2217/fmb-2018-0239 PMid:31187636 DOI: https://doi.org/10.2217/fmb-2018-0239

Qazi AR, Siddiqui FA, Faridi S, Nadeem U, Umer NI, Mohsini ZS, et al. Comparison of awareness about precautions for needle stick injuries: A survey among health care workers at a tertiary care center in Pakistan. Patient Saf Surg. 2016;10(1):19. https://doi.org/10.1186/s13037-016-0108-7 PMid:27610201 DOI: https://doi.org/10.1186/s13037-016-0108-7

Merdaw MA. Postoperative wound infections and the antimicrobial susceptibility in Baghdad Hospitals. Iraqi J Pharm Sci. 2011;20(2):59-65. https://doi.org/10.31351/vol20iss2pp59-65

Gabr HM, El-Badry AS, Younis FE. Risk factors associated with needlestick injuries among health care workers in Menoufia governorate, Egypt. Int J Occup Environ Med. 2018;9(2):63-8. https://doi.org/10.15171/ijoem.2018.1156 PMid:29667643 DOI: https://doi.org/10.15171/ijoem.2018.1156

Ismail AA, Mahfouz MS, Makeen A. Injection safety among primary health care workers in Jazan Region, Saudi Arabia. Int J Occup Environ Med. 2014;5(3):155-63. PMid:25027044

Zhang M, Wang H, Miao J, Du X, Li T, Wu Z. Occupational exposure to blood and body fluids among health care workers in a general hospital, China. Am J Ind Med. 2009;52(2):89-98. https://doi.org/10.1002/ajim.20645 PMid:19016263 DOI: https://doi.org/10.1002/ajim.20645

Dharmendra GK, Agrawal VK, Gupta SB. Needle stick injuries among health care worker. People J Sci Res. 2015;8(2):17-22.

Bastian RA, Pramusinto H, Basuki E, Marianne M. Ventriculoperitoneal shunt infection: A study about age as a risk factor in hydrocephalus pediatrics. Open Access Maced J Med Sci. 2022;10(B):314-9. https://doi.org/10.3889/oamjms.2022.8251 DOI: https://doi.org/10.3889/oamjms.2022.8251

Mast ST, Woolwine JD, Gerberding JL. Efficacy of gloves in reducing blood volumes transferred during simulated needlestick injury. J Infect Dis. 2013;168(6):1589-92. https://doi.org/10.1093/infdis/168.6.1589 PMid:8245553 DOI: https://doi.org/10.1093/infdis/168.6.1589

Holla R, Unnikrishnan B, Ram P, Thapar R, Mithra P, Kumar N, et al. Occupational exposure to needle stick injuries among health care personnel in a tertiary care hospital: A cross sectional study. J Community Med Health Educ. 2014;S2(1):1-4. https://doi.org/10.4172/2161-0711.S2-004 DOI: https://doi.org/10.4172/2161-0711.S2-004

Naji HA. The psychosocial and economic impact of uveitis in Iraq. J Res Appl Basic Med Sci. 2021;7(4):207-15. https://doi.org/10.52547/rabms.7.4.207

Arli SK, Bakan AB. Investigation of the attitudes towards needle stick and sharps injury among Qanursing students. Int J Caring Sci. 2018;11(1):178-84.

Naji HA. The psychosocial and economic impact of uveitis in Iraq. J Res Appl Basic Med Sci. 2021;7(4):207-15. https://doi.org/10.52547/rabms.7.4.207 DOI: https://doi.org/10.52547/rabms.7.4.207

Radha R, Khan A. Epidemiology of needle sticks injuries among the health care workers of a rural tertiary care hospital. A cross sectional study. Natl J Community Med. 2012;3(4):589-94.

Gholami A, Borji A, Lotfabadi P, Asghari A. Risk factors of needlestick and sharps injuries among healthcare workers. Int J Hosp Res. 2013;2(1):31-8.

Bhargava A, Mishra B, Thakur A, Dogra V, Loomba P, Gupta S. Assessment of knowledge, attitude and practices among healthcare workers in a tertiary care hospital on needle stick injury. Int J Health Care Qual Assur. 2013;26(6):549-58. httpS://doi.org/10.1108/IJHCQA-04-2012-0035 PMid:24003754 DOI: https://doi.org/10.1108/IJHCQA-04-2012-0035

Anupriya A, Manivelan S. KAP study on the assessment of needlestick injuries and occupational safety among health-care workers. Int J Med Sci Public Health. 2015;4(3):342-5. https://doi.org/10.5455/ijmsph.2015.1810201464 DOI: https://doi.org/10.5455/ijmsph.2015.1810201464

Kaphle HP, Poudel S, Subedi S, Neena G, Varidmala J, Paudel P. Awareness and practices on injection safety among nurses working in hospitals of Pokhara, Nepal. Int J Med Health Sci. 2014;3(4):301-7.

Muralidhar S, Singh PK, Jain RK, Malhotra M, Bala M. Needle stick injuries among health care workers in a tertiary care hospital of India. Indian J Med Res. 2010;131:405-10. PMid:20418554

Madhavan A, Asokan A, Vasudevan A, Maniyappan J, Veena K. Comparison of knowledge, attitude, and practices regarding needle-stick injury among health care providers. J Family Med Prim Care. 2019;8(3):840-45. https://doi.org/10.4103/jfmpc.jfmpc_103_19 PMid:31041211 DOI: https://doi.org/10.4103/jfmpc.jfmpc_103_19

Bairami F, Kasani E, Ghorbanpoor M, Bairami A, Pasban- Noghabi S. Needle-stick and sharp injuries incidents among healthcare workers: An updated survey in Iran. Int J Hosp Res. 2014;3(2):79-82.

Garus-Pakowska A, Górajski M. Epidemiology of needle stick and sharp injuries among health care workers based on records from 252 hospitals for the period 2010-2014, Poland. BMC Public Health. 2019;19(1):634-42. https://doi.org/10.1186/s12889-019-6996-6 DOI: https://doi.org/10.1186/s12889-019-6996-6

Bhardwaj A, Sivapathasundaram N, Yusof MF, Minghat AH, Swe KM, Sinha NK. The prevalence of accidental needle stick injury and their reporting among healthcare workers in orthopaedic wards in general hospital Melaka, Malaysia. Malays Orthop J. 2014;8(2):6-13. https://doi.org/10.5704/MOJ.1407.009 PMid:25279086 DOI: https://doi.org/10.5704/MOJ.1407.009

Al-Hussaniy HA, Alburghaif AH, Naji MA. Leptin hormone and its effectiveness in reproduction, metabolism, immunity, diabetes, hopes and ambitions. J Med Life. 2021;14(5):600-5. https://doi.org/10.25122/jml-2021-0153 PMid:35027962 DOI: https://doi.org/10.25122/jml-2021-0153

Kebede G, Adane MM, Sharma HR. Needle stick and sharps injuries among health care workers in Gondar city, Ethiopia. Saf Sci. 2012;50(4):1093-7. https://doi.org/10.1016/j.ssci.2011.11.017 DOI: https://doi.org/10.1016/j.ssci.2011.11.017

Parsa-Pili JA, Izadi N, Golbabaei F. Factors associated with needle stick and sharp injuries among health care workers. Int J Hyg Environ Health. 2015;5(4):191-7.

Al-Hussaniy HA, Altalebi RR, Alburagheef A, Abdul-Amir AG. Tumor diagnosis by genetic markers protein P-53, p16, C-MYC, N-MYC, protein K-Ras, and gene her-2 Neu is this possible? Pak J Med Health Sci. 2021;15(8):2350-4. https://doi.org/10.53350/pjmhs211582350 DOI: https://doi.org/10.53350/pjmhs211582350

Jahangiri M, Rostamabadi A, Hoboubi N, Tadayon N, Soleimani A. Needle stick injuries and their related safety measures among nurses in a university hospital, Shiraz, Iran. Saf Health Work. 2016;7(1):72-7. https://doi.org/10.1016/j.shaw.2015.07.006 PMid:27014494 DOI: https://doi.org/10.1016/j.shaw.2015.07.006

Al-hussaniy HA, Altalebi RR, Tylor FM, Alwash AH, Naji MA, Kadhim ZS, et al. Leptin Hormone: In Brief. Med Pharma J. 2022;1(1):1-3. DOI: https://doi.org/10.55940/medphar20221

Mondal J. NSI: A major occupational hazard among the health care workers in Nepal. Int J Occup Saf Health. 2013;3(1):22-5. https://doi.org/10.3126/ijosh.v3i1.9098 DOI: https://doi.org/10.3126/ijosh.v3i1.9098

Adams D, Elliott TS. Impact of safety needle devices on occupationally acquired needlestick injuries: A four-year prospective study. J Hosp Infect. 2006;64(1):50-5. https://doi.org/10.1016/j.jhin.2006.04.012 PMid:16822584 DOI: https://doi.org/10.1016/j.jhin.2006.04.012

Nsubuga FM, Jaakkola MS. Needle stick injuries among nurses in sub‐Saharan Africa. Trop Med Int Health. 2012;10(8):773-81. https://doi.org/10.1111/j.1365-3156.2005.01453.x PMid:16045464 DOI: https://doi.org/10.1111/j.1365-3156.2005.01453.x

Al-Hussaniy HA, Altalebi RR, Albu-Rghaif AH, Abdul-Amir AG. The use of PCR for respiratory virus detection on the diagnosis and treatment decision of respiratory tract infections in Iraq. J Pure Appl Microbiol. 2022;16(1):201-6. https://doi.org/10.22207/jpam.16.1.10 DOI: https://doi.org/10.22207/JPAM.16.1.10

Albassam NY, Mohammed A, Murtada S. Evaluation of community pharmacists knowledge, attitude and practice towards modified release dosage forms. Iraqi J Pharm Sci. 2021;30(Suppl):40-78. https://doi.org/10.31351/vol30issSuppl.pp40-47 DOI: https://doi.org/10.31351/vol30issSuppl.pp40-47

Al-Naimi RJ, Al Ghada D. Knowledge, attitude and health behavior of dental students towards HIV patients. Al-Rafidain Dent J. 2009;9(1):110-9. https://doi.org/10.33899/rden.2009.8991 DOI: https://doi.org/10.33899/rden.2009.8991

Nawafleh HA, El Abozead S, Mohamed FR, Ahmed AM, Altaif KI, Muhbes FJ. The incidence and circumstances of needle sticks injury (NSI) among Arab nurses students: Comparative study. Health Sci J. 2019;13(2):1-6. https://doi.org/10.21767/1791-809X.1000649

Najaf HN, Kadhim DJ. Health-related quality of life among a sample of chronic hepatitis B patients in AL-Najaf province/Iraq. Iraqi J Pharm Sci. 2020;21(1):33-40. https://doi.org/10.31351/vol29iss1pp33-40 DOI: https://doi.org/10.31351/vol29iss1pp33-40

Kabir A, Tabatabaei SV, Khaleghi S, Agah S, Kashani AH, Moghimi M, et al. Knowledge, attitudes and practice of Iranian medical specialists regarding hepatitis B and C. Hepat Mon. 2010;10(3):176-82. PMid:22308136

Naji MA, Alburghaif AH, Saleh NK, Al-hussaniy HA. Patient expectations regarding consultation with a family doctor: a cross-sectional study. Med Pharma J. 2022;1(1):35-40. DOI: https://doi.org/10.55940/medphar20225

Al-hussaniy H, Al-tameemi ZS. Methicillin-Resistant Staphylococcus aureus and New Delhi Metallo beta-lactamases-types of antibiotic resistance, methods of prevention. Medical and Pharmaceutical Journal. 2022;1(1):14-24. DOI: https://doi.org/10.55940/medphar20223

Al-kuraishy AA, Jalil HJ, Mahdi AS, Al-hussaniy HA. General anesthesia in patient with Brain Injury. Med Pharma J. 2022;1(1):24-34. DOI: https://doi.org/10.55940/medphar20224

Al-Hussaniy HA, Al-Kuraishy HM, Abdulameer AA. The Use of Panax Ginseng to Reduce the Cardiotoxicity of Doxorubicin and Study its Effect on Modulating Oxidative Stress, Inflammatory, and Apoptosis Pathways. Open Access Maced J Med Sci. 2022 ; 10 (A): 715-719. DOI: https://doi.org/10.3889/oamjms.2022.9479

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Published

2022-07-02

How to Cite

1.
Al-Khalidi GZS, Nasir NA. Knowledge, Attitude, and Practice Regarding Needle Stick Injuries Among Health Care Workers in Baghdad Teaching Hospital and Ghazy Al-Hariri Hospital for Surgical Specialties in 2020. Open Access Maced J Med Sci [Internet]. 2022 Jul. 2 [cited 2024 Apr. 26];10(E):1-7. Available from: https://oamjms.eu/index.php/mjms/article/view/9963

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