Needlestick injury cases and adherence to the follow-up protocol among healthcare workers in Selangor

M. F.Mohd Fadhli, Nazarudin Safian, R. M. Robat, M. S.Nur Adibah, Hanizah Mohd Yusoff

Research output: Contribution to journalArticle

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%). Only86.7% of NSI cases were source-known and some were tested positive with blood borne pathogens. However, no occurence 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.

Original languageEnglish
Pages (from-to)55-63
Number of pages9
JournalMalaysian Journal of Public Health Medicine
Volume18
Issue number1
Publication statusPublished - 1 Jan 2018

Fingerprint

Needlestick Injuries
Delivery of Health Care
Blood-Borne Pathogens
Malaysia
Needles
Cross-Sectional Studies
Logistic Models

Keywords

  • Blood-borne pathogens
  • Guideline adherence
  • Health personnel
  • Needlestick injuries
  • Post-exposure prophylaxis

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Needlestick injury cases and adherence to the follow-up protocol among healthcare workers in Selangor. / Fadhli, M. F.Mohd; Safian, Nazarudin; Robat, R. M.; Adibah, M. S.Nur; Mohd Yusoff, Hanizah.

In: Malaysian Journal of Public Health Medicine, Vol. 18, No. 1, 01.01.2018, p. 55-63.

Research output: Contribution to journalArticle

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