SlideShare a Scribd company logo
JOURNAL CLUB
PRESENTATION
Moderator :
Dr. M.C.Yadavannavar
Presenter:
Dr. Shamin E
Needlestick And Sharps' Injury In Healthcare Students:
Prevalence, Knowledge, Attitude And Practice
 Authors :
 Uma Vasant Datar (Bharati Vidyapeeth Deemed to be University, Dental College and Hospital, Sangli,
Maharashtra),
 Mamata Kamat (Bharati Vidyapeeth Deemed to be University, Dental College and Hospital, Sangli,
Maharashtra),
 Mahesh Khairnar (Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh),
 Umesh Wadgave (ESIC Dental College and Hospital, Kalburgi, Karnataka),
 Karishma Madhusudhan Desai (Dr. D.Y. Patil Dental College and Hospital, Dr. D.Y.Patil Vidyapeeth
Pimpri, Pune, Maharashtra, India)
Journal of Family Medicine and Primary Care, Volume 11 : Issue 10 : October 2022
2
INTRODUCTION
 Needlestick and sharps injury (NSI/SI) is a grave occupational hazard amongst healthcare
professionals (HCPs).
 The risk of transmission of HBV is highest (6%–30%), followed by HCV (1.8%) and HIV (0%–
10%).
 Most of the NSI are preventable - proper knowledge of handling instruments, following
precautions, knowledge of post-exposure prophylaxis (PEP).
 Students - more vulnerable - training periods, due to - lack of practical experience and skill.
3
 Most NSIs are preventable by proper knowledge of handling of the instrument, by
following precautions, and sound knowledge of post-exposure prophylaxis (PEP).
 Understanding the gap in knowledge and the disparity between knowledge and practice
will aid in structuring healthcare curricula and preventive guidelines for NSI.
4
INTRODUCTION…………..

Recommended for you

A Cross Sectional Study of Musculoskeletal Problems Among Dentists in Pondich...
A Cross Sectional Study of Musculoskeletal Problems Among Dentists in Pondich...A Cross Sectional Study of Musculoskeletal Problems Among Dentists in Pondich...
A Cross Sectional Study of Musculoskeletal Problems Among Dentists in Pondich...

Purpose: This questionnaire based study was aimed at identifying common occupational hazards affecting dentists in Pondicherry which may help to make dentists aware and to take adequate precautions in their practice to prolong the service imparted to patients as well as improve the overall well being of the dental professionals The prevalence of work related musculoskeletal problems among dentists in Pondicherry was evaluated with this study. Methods: A pretested and validated questionnaire was used to collect details from practising dentists in Pondicherry .272 dentists responded to the questionnaire. Results: The data obtained was statistically analysed with SPSS Version 20 for calculating proportion and mean.84.9% (n=272) of respondents had some kind of musculoskeletal problem affecting different parts of the body.52.2% had low back pain and 50% had neck pain. Conclusion: The dental professionals are regularly exposed to various health hazards in their day to day practice. Chronic musculoskeletal disease is one of the common ailments affecting majority of dentists It is important for the dentists to be aware of the work related factors affecting their health and take adequate precautions or modifications in their working environment

Iprc2014 presentation nathawut 12 aug 2014
Iprc2014 presentation nathawut 12 aug 2014Iprc2014 presentation nathawut 12 aug 2014
Iprc2014 presentation nathawut 12 aug 2014

This document summarizes a study that examined the relationship between oral hygiene care behavior and oral hygiene status in early adolescents. The study tested a conceptual model using data from 391 students in Thailand. The results showed that the hypothesized causal model was a good fit for the data. Behavioral modification had the strongest direct effect on oral hygiene care behavior. Knowledge, attitudes, perceived threats, and cues to action also indirectly influenced oral hygiene care behavior. The study provides insight into factors that affect oral hygiene practices in early adolescents.

oral hygiene care
Metaphor of Thought on Online Teaching during Lockdown by Medical and Dental ...
Metaphor of Thought on Online Teaching during Lockdown by Medical and Dental ...Metaphor of Thought on Online Teaching during Lockdown by Medical and Dental ...
Metaphor of Thought on Online Teaching during Lockdown by Medical and Dental ...

Online learning has become the mainstay during this COVID 19 lockdown. Students in the professional courses had to adjust themselves to the new teaching method. The present study has been conducted to evaluate and compare the metaphor of thought by the medical and dental students regarding online teaching. A self directed questionnaire was given to 200 participants 120 medical, 80 dental by Google form. Students were between 17 23 years age, pursuing their first year. Questions were given under five subheadings with three options'yes’, 'somewhat’ and 'no’. The responses were analyzed. 47.9 medical and 31.6 dental students replied 'yes’ for blended learning. 40 medical and 30.9 dental students opined there was no contentment with the subject. Mentors advice was useful for 44.4 medical and 59.9 dental students. Only 6.8 medical and 19.1 dental students could be able to manage time.26.8 medical and 13.4 dental students were satisfied with the clarity on the subject. Mixed responses were given by medical and dental students. Medical students preferred blended learning than dental students. Mentors advice was more helpful for dental students. Most of the medical students could manage time when compared to dental students. This study represents the opinion of medical and dental students for online learning. Dr. R. Ravi Sunder | Dr. I. Jyothi Padmaja | Dr. Neelima. P "Metaphor of Thought on Online Teaching during Lockdown by Medical and Dental Students- A Comparative Study" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-5 | Issue-2 , February 2021, URL: https://www.ijtsrd.com/papers/ijtsrd38640.pdf Paper Url: https://www.ijtsrd.com/medicine/physiology/38640/metaphor-of-thought-on-online-teaching-during-lockdown-by-medical-and-dental-students-a-comparative-study/dr-r-ravi-sunder

online learningmedical
OBJECTIVES
 To assess the prevalence of needle stick injury among healthcare students.
 To evaluate the knowledge, attitude, and practice regarding its prevention and
management.
5
METHODS
 STUDY DESIGN : Cross-sectional study.
 STUDY POPULATION : Healthcare students belonging to Dental, Medical, and Nursing
faculty.
 STUDY AREA : An academic healthcare institute in Sangli, Maharashtra
6
INCLUSION CRITERIA
 Healthcare students during their training period belonging to Dental,
Medical, and Nursing stream.
 Students who gave consent to participate in the study.
7
SAMPLING TECHNIQUE
8
942 participants – briefed about purpose of study, informed consent obtained.
Questionnaire – Adopted, modified and developed from published literature
Institutional ethical clearance obtained
Pre test conducted on 30 students
Kappa statistics – to assess test retest reliability
0.61-substantial agreement
30 minutes allotted to the participants to fill the questionnaire
To avoid contamination – requested not to discuss

Recommended for you

Resume, CV, of Periodontist
Resume, CV, of PeriodontistResume, CV, of Periodontist
Resume, CV, of Periodontist

This document contains the resume of Dr. Ninad J. Moon, who has over 12 years of experience as a clinician, academician, researcher, and administrator in periodontology and oral implantology. He received his Bachelor of Dental Surgery in 1995 and Master of Dental Surgery in periodontology and implantology in 2001. He is currently the Vice Dean and Professor & Head of the Department of Periodontology & Oral Implantology at RKDF College and Research Centre in Bhopal, India. His resume outlines his educational qualifications, core competencies, professional experience, publications, community involvement, and skills.

resumebiodataof periodontist & oral implantology
CV_Shaheen
CV_ShaheenCV_Shaheen
CV_Shaheen

Md. Shahidul Islam is passionate to pursue the challenges in the career in a well-structured, research based and academic organization, and successfully apply to acquired knowledge and expertise with confidence, sincerity and integrity. He is working as Associate Professor and departmental head of prosthodontics in Rangpur Dental College & Hospital. He has been trained in implant dentistry after achieving Master of Surgery in Prosthodontics. He attended short course on methods of biomedical research, workshop on biostatistics and manuscript writing. He is acting as editor-in-chief of International journal of Dental Medicine, and editor of Rangpur Dental College Journal, and member of editorial and review board of American Journal of Health Research, Clinical Medicine Research and American Journal of Biomedical and Life Sciences. He has more than 2 dozens papers including original research, case reports and review in both national and international in peer reviewed journals. He is a professional freelancer in editing, scholarly publishing, scientific writing and research. He has clinical expertise in maxillofacial prosthetics, implant dentistry, fixed and removable prosthodontics, myofacial disorder, TMJ and Occlusion.

doc
docdoc
doc

This document proposes implementing a Patient Safe Solution scanning device with barcodes on patient doors for strict contact precautions due to MRSA infection. The proposal involves meeting with administration for approval, contacting developers to create a barcode system, educating staff, and recording MRSA incidence rates before and after. It is expected that using the scanning device along with contact precautions will reduce the spread of MRSA infections by 20% over six months compared to contact precautions alone by ensuring staff follow protocols.

 The data collected was entered in Microsoft Excel.
 The statistical analysis was performed using SPSS version 20.
 Descriptive statistics - to study the prevalence of NSI.
 Chi-squared test, unpaired t-test, and ANOVA - to evaluate the differences
in sub-groups(i.e., based on profession, gender, and experience).
9
STATISTICALANALYSIS
RESULTS
10
SAMPLE DEMOGRAPHICS
Stream Number of participants
Dental 400
Medical 364
Nursing 170
Total 942
Gender
Number of
participants
Male 347
Female 586
11
12

Recommended for you

Oral health Knowledge, attitudes and behaviour among a sample of Kurdish peop...
Oral health Knowledge, attitudes and behaviour among a sample of Kurdish peop...Oral health Knowledge, attitudes and behaviour among a sample of Kurdish peop...
Oral health Knowledge, attitudes and behaviour among a sample of Kurdish peop...

IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.

oral hygiene.knowledgeattitude
Clinical Health Issue Essay Example Paper.docx
Clinical Health Issue Essay Example Paper.docxClinical Health Issue Essay Example Paper.docx
Clinical Health Issue Essay Example Paper.docx

1) The document discusses four research articles on clinical health issues related to microbial resistance. 2) The articles examine strategies to reduce pathogens in clinical settings, hand hygiene practices of nurses, microbes found on patient hands and rooms, and hand washing guidelines to prevent infections. 3) The research aims to understand effective sanitation practices, the impact of education on hygiene and resistance, sources of drug-resistant organisms, and adherence to hand washing standards.

Running head Patient Safety and Risk Management in Dental Pra.docx
Running head Patient Safety and Risk Management in Dental Pra.docxRunning head Patient Safety and Risk Management in Dental Pra.docx
Running head Patient Safety and Risk Management in Dental Pra.docx

Running head: Patient Safety and Risk Management in Dental Practice: Are There Enough Guidelines? An Evaluative Study on The Existing System in a Dental College of Riyadh 1 Patient Safety and Risk Management in Dental Practice: Are There Enough Guidelines? An Evaluative Study on The Existing System in a Dental College of Riyadh Introduction While it is essential to the practice of healthcare professionals to concern about patient safety, it is relatively current that it has been transformed into a specific body of knowledge and therefore patient safety may be considered as a relatively ‘innovative’ discipline. Its core ideas are to prevent the occurrence of avoidable adverse events (errors, complications and accidents) accompanying the practice of healthcare and to reduce the impact of unavoidable adverse events. This is a simple definition for the multifaceted, complexed nature and many key elements in the practice of patient safety. There are economic, financial, social, cultural and organizational matters of a patient safety environment that makes it unpractical to simply define it as the practicing safe health care or protecting patients from harm by health care professionals. It is essential for all health care professionals and health care organizations to become more acquainted with the overall framework of patient safety, to dynamically contribute in hard work to apply patient safety procedures in everyday practice and to create a culture of patient safety culture (Yamalik & Perea Pérez, 2012). There is a constant concern and interest in dentistry for matters related to patients and practicing safe and quality care in the everyday dental practice. Yet, like other health professions, more attention is given to patient related matters and safety-related matters (Yamalik & Dijk, 2013). Furthermore, there is an emerging professional consideration of risk management, patient safety and handling errors. Rather than hiding them, errors are now understood as learning material and by that, the number of publications on dental errors are increasing. As an example, Patient Safety and Risk Management in Dental Practice: Are There Enough Guidelines? An Evaluative Study on The Existing System in a Dental College of Riyadh 2 prescribing errors in dental practice is a potential ground for development in the medication management process and patient safety (Yamalik & Dijk, 2013). An empirical data on the attitudes of dental professionals and dental auxiliaries about the reporting of medical errors was collected in Riyadh, Saudi Arabia by Al-Nomay et al., (2017), most respondents (94.4% of them) expressed that medical errors should be reported. Yet, insights of the norm, personal preferences and existing practices regarding which type of error should be reported were inconsistent. Only 17.9% of respondents perceived that reporting errors that results in.

13
14
15
DISCUSSION
16
AUTHORS RESULT PRESENT STUDY
Madhavan et al.,
Ayub et al.,
Pavithran et al.
Students’ knowledge regarding NSI and
NSI prevention - satisfactory, knowledge
of PEP was lacking, unaware of various
components of the WHO-recommended
guidelines for PEP
Students’ knowledge regarding
NSI and NSI prevention -
satisfactory, knowledge of PEP
was lacking, unaware of various
components of the
WHO-recommended guidelines
for PEP
Hussain et al. Highest incidence (76.4%) among
nursing students
Highest incidence seen in Dental
students

Recommended for you

Running head Patient Safety and Risk Management in Dental Pra.docx
Running head Patient Safety and Risk Management in Dental Pra.docxRunning head Patient Safety and Risk Management in Dental Pra.docx
Running head Patient Safety and Risk Management in Dental Pra.docx

Running head: Patient Safety and Risk Management in Dental Practice: Are There Enough Guidelines? An Evaluative Study on The Existing System in a Dental College of Riyadh 1 Patient Safety and Risk Management in Dental Practice: Are There Enough Guidelines? An Evaluative Study on The Existing System in a Dental College of Riyadh Introduction While it is essential to the practice of healthcare professionals to concern about patient safety, it is relatively current that it has been transformed into a specific body of knowledge and therefore patient safety may be considered as a relatively ‘innovative’ discipline. Its core ideas are to prevent the occurrence of avoidable adverse events (errors, complications and accidents) accompanying the practice of healthcare and to reduce the impact of unavoidable adverse events. This is a simple definition for the multifaceted, complexed nature and many key elements in the practice of patient safety. There are economic, financial, social, cultural and organizational matters of a patient safety environment that makes it unpractical to simply define it as the practicing safe health care or protecting patients from harm by health care professionals. It is essential for all health care professionals and health care organizations to become more acquainted with the overall framework of patient safety, to dynamically contribute in hard work to apply patient safety procedures in everyday practice and to create a culture of patient safety culture (Yamalik & Perea Pérez, 2012). There is a constant concern and interest in dentistry for matters related to patients and practicing safe and quality care in the everyday dental practice. Yet, like other health professions, more attention is given to patient related matters and safety-related matters (Yamalik & Dijk, 2013). Furthermore, there is an emerging professional consideration of risk management, patient safety and handling errors. Rather than hiding them, errors are now understood as learning material and by that, the number of publications on dental errors are increasing. As an example, Patient Safety and Risk Management in Dental Practice: Are There Enough Guidelines? An Evaluative Study on The Existing System in a Dental College of Riyadh 2 prescribing errors in dental practice is a potential ground for development in the medication management process and patient safety (Yamalik & Dijk, 2013). An empirical data on the attitudes of dental professionals and dental auxiliaries about the reporting of medical errors was collected in Riyadh, Saudi Arabia by Al-Nomay et al., (2017), most respondents (94.4% of them) expressed that medical errors should be reported. Yet, insights of the norm, personal preferences and existing practices regarding which type of error should be reported were inconsistent. Only 17.9% of respondents perceived that reporting errors that results in.

nurs fpx 4020 assessment 4 improvement plan tool kit.pdf
nurs fpx 4020 assessment 4 improvement plan tool kit.pdfnurs fpx 4020 assessment 4 improvement plan tool kit.pdf
nurs fpx 4020 assessment 4 improvement plan tool kit.pdf

nurs fpx 4020 assessment 4 improvement plan tool kit.pdf

Kalpana ebd
Kalpana ebdKalpana ebd
Kalpana ebd

Evidence based dentistry, public health , Prosthodontics and EBD, history of ebd steps, evidence based medicine,evidence based practise. steps in ebd. advantages ,disadvantages, limitations. prosthodontic considerations.

evidence based dentistrypublic healthprosthodontics and ebd
17
AUTHORS RESULT PRESENT STUDY
Matsumoto et al.
Madhavan et al. and Pavithran et
al.
55.3% of injuries occurred
during the procedure,
Recapping as the second most
prevalent cause of NSI.
Majority of the NSI (48.1%)
occurred during the procedure
Hussain et al.
Madhavan et al.
77.4% of students, respectively,
did not report NSIs.
68% of students, respectively,
did not report NSIs.
78.4% of participants did not
report an injury
CONCLUSION
 1 in 4 students - NSI during their training period, Only 1 in 4 students reported the injury.
 Steps that can be taken at the institutional level:
• Compulsory HBV vaccination,
• Organizing lectures and hands-on sessions on NSI prevention.
• Formulating standard operating procedures in the event of sharps injury.
 Governing authorities need to revise the curricula for better learning outcomes.
 Phasing out of conventional devices and using safety devices.
 A National NSI registry and surveillance – for swift response and follow-up.
18
CRITICALAPPRAISAL
STROBE CHECKLIST
19
20
ITEMS COMMENTS
Title and abstract
Study design - not mentioned in title.
Mentioned in abstract and methodology.
An informative and balanced summary - mentioned in the abstract.
Background/rationale Clearly reported.
Objectives Clearly stated.
Study design Mentioned.
Setting Date when the study was conducted is not been mentioned.

Recommended for you

Explorative study to assess the knowledge & attitude towards NABH accreditati...
Explorative study to assess the knowledge & attitude towards NABH accreditati...Explorative study to assess the knowledge & attitude towards NABH accreditati...
Explorative study to assess the knowledge & attitude towards NABH accreditati...

Quality in health care mainly “process-focused”, which encompasses access, care, outcomes and evaluation. Aim of the study to assess the knowledge and attitude towards NABH accreditation among staff nurses. Descriptive explorative approach was selected for the study and 40 staff nurses were selected trough Purposive sampling method. Alternative structured questionnaire and attitude scale were used to collect the data. The data revealed that 90% are belongs to age group of <25>< 3 years. All the subjects (100%) had good knowledge about NABH accreditation. 15(37.5%) had the positive attitude, 13 (32.5%) are had highly negative and 12(30%) had negative attitude. The mean of the knowledge score (40.75) is more than the mean of level of attitude (34.37). There is a Partial Negative correlation between knowledge score and level of attitude [r= 0.212, r (38) = 0.34 p>0.05]. There is a significant correlation between knowledge score and level of attitude. Findings of the study indicate that all the subjects were having good knowledge and negative attitude towards NABH accreditation and there is partial positive correlation between knowledge and attitude.

accreditationattitudeknowledge
Knowledge and Apprehension of Dental Health Professionals Pertaining to COVID...
Knowledge and Apprehension of Dental Health Professionals Pertaining to COVID...Knowledge and Apprehension of Dental Health Professionals Pertaining to COVID...
Knowledge and Apprehension of Dental Health Professionals Pertaining to COVID...

Knowledge and Apprehension of Dental Health Professionals Pertaining to COVID in Southern India: A Questionnaire study

255th publication jpbs- 5th name
255th publication  jpbs- 5th name255th publication  jpbs- 5th name
255th publication jpbs- 5th name

This study evaluated the knowledge and concerns of 124 dentists in southern India regarding COVID-19 through a questionnaire. The results showed good knowledge of COVID-19 itself and oral manifestations, but less awareness of appropriate testing and disinfection procedures. While most dentists understood risk levels and emergency procedures, some lacked knowledge of ideal mouthwashes or managing contaminated air. Overall, the study found that while knowledge of COVID-19 was fairly good, greater education was still needed on testing, prevention and infection control practices.

21
ITEMS COMMENTS
Variables Gender, Clinical exposure and Stream of Medicine
Data sources/
measurement
Clearly mentioned
Bias Present, Recall bias.
Study size 942 participants.
Statistical
methods
SPSS version 20,
Descriptive statistics - prevalence of NSI.
Chi-squared test, unpaired t-test, and ANOVA – differences in sub-groups
based on profession, gender, and experience.
Descriptive data Given.
22
ITEMS COMMENTS
Outcome data Clearly mentioned in tables.
Main results The objective of the study was reflected in the results.
Limitations
Recall bias of the student, regarding the experience, by its cross-sectional
design and restriction to one institutional medical campus.
Interpretation
Overall interpretation of results considering objectives and results from
similar studies is given.
Generalisability Yes
Funding Bharati Vidyapeeth Deemed University
1. King KC, Strony R. Needlestick. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2021. PMID: 29630199.
2. Rishi E, Shantha B, Dhami A, Rishi P, Rajapriya HC. Needle stick injuries in a tertiary eye-care hospital: Incidence, management, outcomes, and recommendations. Indian J Ophthalmol 2017;65:999-1003.
3. Jaggi N, Nirwan P, Chakraborty M. Process improvement to effectively manage and reduce sharps injuries in a Tertiary Hospital in Northern India. J Healthc Qual Res 2020;35:141-8.
4. Bindra S, Ramana Reddy KV, Chakrabarty A, Chaudhary K. Awareness about needle stick injures and sharps disposal: A study conducted at army college of dental sciences. J Maxillofac Oral Surg
2014;13:419-24.
5. Hussain JS, Ram SM, Galinde J, Jingade RR. Occupational exposure to sharp instrument injuries among dental, medical, and nursing students in Mahatma Gandhi Mission’s Campus, Navi Mumbai, India.
J Contemp Dent 2012;2:1–10.
6. 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;8:840-5.
7. Yoshikawa T, Wada K, Lee JJ, Mitsuda T, Kidouchi K, Kurosu H, et al. Incidence rate of needlestick and sharps injuries in 67 Japanese hospitals: A national surveillance study. PLoS One 2013;8:e77524.
8. Treviño H 2nd, Romero Arenas MA. Systematic review of blood-borne pathogen exposure rates among medical students. J Surg Res 2020;255:66-70.
9. McDowall J, Laher AE. Cross-sectional survey on occupational needle stick injuries amongst prehospital emergency medical service personnel in Johannesburg. Afr J Emerg Med 2019;9:197-201.
10. Pereira MC, Mello FW, Ribeiro DM, Porporatti AL, da Costa S Junior, Flores-Mir C, et al. Prevalence of reported percutaneous injuries on dentists: A meta-analysis. J Dent 2018;76:9-18.
11. Goel V, Kumar D, Lingaiah R, Singh S. occurrence of needlestick and injuries among health-care workers of a tertiary care teaching hospital in North India. J Lab Physicians 2017;9:20-25.
12. Ayub A, Goyal A, Kotwal A, Kulkarni A, Kotwal A, Mahen A. Infection control practices in health care: Teaching and learning requirements of medical undergraduates. Med J Armed Forces India
2013;69:107-12.
13. Pavithran VK, Murali R, Krishna M, Shamala A, Yalamalli M, Kumar AV. Knowledge, attitude, and practice of needle stick and sharps injuries among dental professionals of Bangalore, India. J Int Soc
Prev Community Dent 2015;5:406-12.
14. Motaarefi H, Mahmoudi H, Mohammadi E , Hasanpour-Dehkordi A. Factors associated with needlestick injuries in health care occupations: A systematic review. J Clin Diagn Res 2016;10:IE01-4.
15. Hakeem A, Alsaigh S, Alasmari A, Aloushan A, Bin Saleh F, Yousef Z. Awareness, concerns, and protection strategies against bloodborne viruses among surgeons. Cureus 2019;11:e4242.
23
REFERENCES
REFERENCES…….
16. Matsumoto H, Sunakawa M, Suda H, Izumi Y. Analysis of factors related to needle-stick and sharps injuries at a dental specialty university hospital and possible prevention methods. J Oral Sci
2019;61:164-70.
17. Sriram S. Study of needle stick injuries among healthcare providers: Evidence from a teaching hospital in India. J Family Med Prim Care 2019;8:599-603.
18. Cooke CE, Stephens JM. Clinical, economic, and humanistic burden of needlestick injuries in healthcare workers. Med Devices (Auckl) 2017;10:225-35.
19. Mengistu DA, Tolera ST. Prevalence of occupational exposure to needle-stick injury and associated factors among healthcare workers of developing countries: Systematic review. J Occup Health
2020;62:e12179.
20. Auta A, Adewuyi EO, Tor-Anyiin A, Edor JP, Kureh GT, Khanal V, et al. Global prevalence of percutaneous injuries among healthcare workers: A systematic review and meta-analysis. Int J
Epidemiol 2018;47:1972-80.
21. Bouya S, Balouchi A, Rafiemanesh H, Amirshahi M, Dastres M, Moghadam MP, et al. Global prevalence and device related causes of needle stick injuries among health care workers: A
systematic review and meta-analysis. Ann Glob Health 2020;86:35.
22. Cheetham S, Ngo HT, Liira J, Liira H. Education, and training for preventing sharps injuries and splash exposures in healthcare workers. Cochrane Database Syst Rev 2021;4:CD012060.
23. Chen M, Zhang L. Prevalence of needlestick injuries among nursing interns: A systematic review and meta-analysis. Ann Palliat Med 2021;10:7525-33.
24. Al Johani A, Karuppiah K, Al Mutairi A, Al Mutair A. Narrative review of infection control knowledge, and attitude among healthcare workers. J Epidemiol Glob Health 2021;11:20-5.
25. Silva AMBD, Bim LL, Bim FL, Sousa AFL, Domingues PCA, Nicolussi AC, et al. Patient safety and infection control: Bases for curricular integration. Rev Bras Enferm 2018;71:1170-7.
26. Yang H, Zhang H, Lu Y, Gu Y, Zhou J, Bai Y. A program to improve the knowledge, attitudes, and practices of needle stick and sharps injuries through bundled interventions among nurses: An
KAP mode-based approach to intervention. Psychol Health Med 2022;27:999-1010.
27. Wu SH, Huang CC, Huang SS, Yang YY, Liu CW, Shulruf B, et al. Effect of virtual reality training to decreases rates of needle stick/sharp injuries in new-coming medical and nursing interns in
Taiwan. J Educ Eval Health Prof 2020;17:1. doi: 10.3352/jeehp. 2020.17.1.
28. Ou YS, Wu HC, Guo YL, Shiao JSC. Comparing risk changes of needlestick injuries between countries adopted and not adopted the needlestick safety and prevention act: A meta-analysis. Infect
Control Hosp Epidemiol 2021:1-7. doi: 10.1017/ice. 2021.372
24

Recommended for you

65th Publication- JPBS- 5th Name.pdf
65th Publication- JPBS- 5th Name.pdf65th Publication- JPBS- 5th Name.pdf
65th Publication- JPBS- 5th Name.pdf

This study aimed to evaluate the knowledge and concerns of 124 dental health professionals in southern India regarding COVID-19. A survey was administered to assess understanding of COVID-19 transmission, oral manifestations, appropriate testing and emergency procedures. The results found good knowledge of COVID-19 and precautions, but some lack of awareness regarding appropriate testing and managing contaminated air. While most respondents understood transmission risks and emergency protocols, there was uncertainty around testing patients and using mouthwashes as prevention. This highlights gaps in knowledge that could be addressed with further education for dental professionals on COVID-19 clinical guidelines.

CV_Abridged_Errichetti_103115
CV_Abridged_Errichetti_103115CV_Abridged_Errichetti_103115
CV_Abridged_Errichetti_103115

Anthony Errichetti has over 20 years of experience in patient simulation education and administration. He has established simulation centers, developed assessment tools, and taught in medical education programs. He currently directs communication skills assessment for a national medical licensing examination.

Shampoo - cosmetics B.pharm mpharam.pptx
Shampoo - cosmetics B.pharm mpharam.pptxShampoo - cosmetics B.pharm mpharam.pptx
Shampoo - cosmetics B.pharm mpharam.pptx

#Shampoo cosmetics Industrial pharmacy B.pharm M.pharm Cosmeceutical GMR academy

cosmeticsb.pharamm.pharm
THANK YOU
NEEDLE STICK INJURY - JOURNAL CLUB PRESENTATION - DR SHAMIN EABENSON

More Related Content

Similar to NEEDLE STICK INJURY - JOURNAL CLUB PRESENTATION - DR SHAMIN EABENSON

By administering assessments and analyzing the results, targeted a
By administering assessments and analyzing the results, targeted aBy administering assessments and analyzing the results, targeted a
By administering assessments and analyzing the results, targeted a
TawnaDelatorrejs
 
RESUME VISHNU
RESUME VISHNURESUME VISHNU
RESUME VISHNU
chaivish
 
Knowledge and Attitude of Dental Students and Staffs towards Basic life Suppo...
Knowledge and Attitude of Dental Students and Staffs towards Basic life Suppo...Knowledge and Attitude of Dental Students and Staffs towards Basic life Suppo...
Knowledge and Attitude of Dental Students and Staffs towards Basic life Suppo...
IJAEMSJORNAL
 
A Cross Sectional Study of Musculoskeletal Problems Among Dentists in Pondich...
A Cross Sectional Study of Musculoskeletal Problems Among Dentists in Pondich...A Cross Sectional Study of Musculoskeletal Problems Among Dentists in Pondich...
A Cross Sectional Study of Musculoskeletal Problems Among Dentists in Pondich...
QUESTJOURNAL
 
Iprc2014 presentation nathawut 12 aug 2014
Iprc2014 presentation nathawut 12 aug 2014Iprc2014 presentation nathawut 12 aug 2014
Iprc2014 presentation nathawut 12 aug 2014
Nathawut Kaewsutha
 
Metaphor of Thought on Online Teaching during Lockdown by Medical and Dental ...
Metaphor of Thought on Online Teaching during Lockdown by Medical and Dental ...Metaphor of Thought on Online Teaching during Lockdown by Medical and Dental ...
Metaphor of Thought on Online Teaching during Lockdown by Medical and Dental ...
ijtsrd
 
Resume, CV, of Periodontist
Resume, CV, of PeriodontistResume, CV, of Periodontist
Resume, CV, of Periodontist
Prof. Dr. Ninad Moon
 
CV_Shaheen
CV_ShaheenCV_Shaheen
doc
docdoc
Oral health Knowledge, attitudes and behaviour among a sample of Kurdish peop...
Oral health Knowledge, attitudes and behaviour among a sample of Kurdish peop...Oral health Knowledge, attitudes and behaviour among a sample of Kurdish peop...
Oral health Knowledge, attitudes and behaviour among a sample of Kurdish peop...
iosrjce
 
Clinical Health Issue Essay Example Paper.docx
Clinical Health Issue Essay Example Paper.docxClinical Health Issue Essay Example Paper.docx
Clinical Health Issue Essay Example Paper.docx
4934bk
 
Running head Patient Safety and Risk Management in Dental Pra.docx
Running head Patient Safety and Risk Management in Dental Pra.docxRunning head Patient Safety and Risk Management in Dental Pra.docx
Running head Patient Safety and Risk Management in Dental Pra.docx
todd581
 
Running head Patient Safety and Risk Management in Dental Pra.docx
Running head Patient Safety and Risk Management in Dental Pra.docxRunning head Patient Safety and Risk Management in Dental Pra.docx
Running head Patient Safety and Risk Management in Dental Pra.docx
glendar3
 
nurs fpx 4020 assessment 4 improvement plan tool kit.pdf
nurs fpx 4020 assessment 4 improvement plan tool kit.pdfnurs fpx 4020 assessment 4 improvement plan tool kit.pdf
nurs fpx 4020 assessment 4 improvement plan tool kit.pdf
Carolyn Harker
 
Kalpana ebd
Kalpana ebdKalpana ebd
Kalpana ebd
Kumari Kalpana
 
Explorative study to assess the knowledge & attitude towards NABH accreditati...
Explorative study to assess the knowledge & attitude towards NABH accreditati...Explorative study to assess the knowledge & attitude towards NABH accreditati...
Explorative study to assess the knowledge & attitude towards NABH accreditati...
iosrjce
 
Knowledge and Apprehension of Dental Health Professionals Pertaining to COVID...
Knowledge and Apprehension of Dental Health Professionals Pertaining to COVID...Knowledge and Apprehension of Dental Health Professionals Pertaining to COVID...
Knowledge and Apprehension of Dental Health Professionals Pertaining to COVID...
DrHeena tiwari
 
255th publication jpbs- 5th name
255th publication  jpbs- 5th name255th publication  jpbs- 5th name
255th publication jpbs- 5th name
CLOVE Dental OMNI Hospitals Andhra Hospital
 
65th Publication- JPBS- 5th Name.pdf
65th Publication- JPBS- 5th Name.pdf65th Publication- JPBS- 5th Name.pdf
65th Publication- JPBS- 5th Name.pdf
CLOVE Dental OMNI Hospitals Andhra Hospital
 
CV_Abridged_Errichetti_103115
CV_Abridged_Errichetti_103115CV_Abridged_Errichetti_103115
CV_Abridged_Errichetti_103115
Tony Errichetti
 

Similar to NEEDLE STICK INJURY - JOURNAL CLUB PRESENTATION - DR SHAMIN EABENSON (20)

By administering assessments and analyzing the results, targeted a
By administering assessments and analyzing the results, targeted aBy administering assessments and analyzing the results, targeted a
By administering assessments and analyzing the results, targeted a
 
RESUME VISHNU
RESUME VISHNURESUME VISHNU
RESUME VISHNU
 
Knowledge and Attitude of Dental Students and Staffs towards Basic life Suppo...
Knowledge and Attitude of Dental Students and Staffs towards Basic life Suppo...Knowledge and Attitude of Dental Students and Staffs towards Basic life Suppo...
Knowledge and Attitude of Dental Students and Staffs towards Basic life Suppo...
 
A Cross Sectional Study of Musculoskeletal Problems Among Dentists in Pondich...
A Cross Sectional Study of Musculoskeletal Problems Among Dentists in Pondich...A Cross Sectional Study of Musculoskeletal Problems Among Dentists in Pondich...
A Cross Sectional Study of Musculoskeletal Problems Among Dentists in Pondich...
 
Iprc2014 presentation nathawut 12 aug 2014
Iprc2014 presentation nathawut 12 aug 2014Iprc2014 presentation nathawut 12 aug 2014
Iprc2014 presentation nathawut 12 aug 2014
 
Metaphor of Thought on Online Teaching during Lockdown by Medical and Dental ...
Metaphor of Thought on Online Teaching during Lockdown by Medical and Dental ...Metaphor of Thought on Online Teaching during Lockdown by Medical and Dental ...
Metaphor of Thought on Online Teaching during Lockdown by Medical and Dental ...
 
Resume, CV, of Periodontist
Resume, CV, of PeriodontistResume, CV, of Periodontist
Resume, CV, of Periodontist
 
CV_Shaheen
CV_ShaheenCV_Shaheen
CV_Shaheen
 
doc
docdoc
doc
 
Oral health Knowledge, attitudes and behaviour among a sample of Kurdish peop...
Oral health Knowledge, attitudes and behaviour among a sample of Kurdish peop...Oral health Knowledge, attitudes and behaviour among a sample of Kurdish peop...
Oral health Knowledge, attitudes and behaviour among a sample of Kurdish peop...
 
Clinical Health Issue Essay Example Paper.docx
Clinical Health Issue Essay Example Paper.docxClinical Health Issue Essay Example Paper.docx
Clinical Health Issue Essay Example Paper.docx
 
Running head Patient Safety and Risk Management in Dental Pra.docx
Running head Patient Safety and Risk Management in Dental Pra.docxRunning head Patient Safety and Risk Management in Dental Pra.docx
Running head Patient Safety and Risk Management in Dental Pra.docx
 
Running head Patient Safety and Risk Management in Dental Pra.docx
Running head Patient Safety and Risk Management in Dental Pra.docxRunning head Patient Safety and Risk Management in Dental Pra.docx
Running head Patient Safety and Risk Management in Dental Pra.docx
 
nurs fpx 4020 assessment 4 improvement plan tool kit.pdf
nurs fpx 4020 assessment 4 improvement plan tool kit.pdfnurs fpx 4020 assessment 4 improvement plan tool kit.pdf
nurs fpx 4020 assessment 4 improvement plan tool kit.pdf
 
Kalpana ebd
Kalpana ebdKalpana ebd
Kalpana ebd
 
Explorative study to assess the knowledge & attitude towards NABH accreditati...
Explorative study to assess the knowledge & attitude towards NABH accreditati...Explorative study to assess the knowledge & attitude towards NABH accreditati...
Explorative study to assess the knowledge & attitude towards NABH accreditati...
 
Knowledge and Apprehension of Dental Health Professionals Pertaining to COVID...
Knowledge and Apprehension of Dental Health Professionals Pertaining to COVID...Knowledge and Apprehension of Dental Health Professionals Pertaining to COVID...
Knowledge and Apprehension of Dental Health Professionals Pertaining to COVID...
 
255th publication jpbs- 5th name
255th publication  jpbs- 5th name255th publication  jpbs- 5th name
255th publication jpbs- 5th name
 
65th Publication- JPBS- 5th Name.pdf
65th Publication- JPBS- 5th Name.pdf65th Publication- JPBS- 5th Name.pdf
65th Publication- JPBS- 5th Name.pdf
 
CV_Abridged_Errichetti_103115
CV_Abridged_Errichetti_103115CV_Abridged_Errichetti_103115
CV_Abridged_Errichetti_103115
 

Recently uploaded

Shampoo - cosmetics B.pharm mpharam.pptx
Shampoo - cosmetics B.pharm mpharam.pptxShampoo - cosmetics B.pharm mpharam.pptx
Shampoo - cosmetics B.pharm mpharam.pptx
G.M.R ACADEMY G.M.R
 
How dental support group work...........
How dental support group work...........How dental support group work...........
How dental support group work...........
AvilasDentalGroup
 
HEALTH ASSESSMENT-BREAST AND AXILLA.pptx
HEALTH ASSESSMENT-BREAST AND AXILLA.pptxHEALTH ASSESSMENT-BREAST AND AXILLA.pptx
HEALTH ASSESSMENT-BREAST AND AXILLA.pptx
Rommel Luis III Israel
 
HEALTH ASSESSMENT- FEMALE & MALE GENITO-URINARY SYSTEM
HEALTH ASSESSMENT- FEMALE & MALE GENITO-URINARY SYSTEMHEALTH ASSESSMENT- FEMALE & MALE GENITO-URINARY SYSTEM
HEALTH ASSESSMENT- FEMALE & MALE GENITO-URINARY SYSTEM
Rommel Luis III Israel
 
Yoga Philosophy Lifestyle , ethics Teacher Training Certificate Course
Yoga Philosophy Lifestyle , ethics Teacher Training Certificate CourseYoga Philosophy Lifestyle , ethics Teacher Training Certificate Course
Yoga Philosophy Lifestyle , ethics Teacher Training Certificate Course
Karuna Yoga Vidya Peetham
 
Yogic Sukshma Vyayama Teacher Training Course
Yogic Sukshma Vyayama Teacher Training CourseYogic Sukshma Vyayama Teacher Training Course
Yogic Sukshma Vyayama Teacher Training Course
Karuna Yoga Vidya Peetham
 
Revolutionize Pain Management with Almagia’s PEMF Devices Shop Now.pptx
Revolutionize Pain Management with Almagia’s PEMF Devices Shop Now.pptxRevolutionize Pain Management with Almagia’s PEMF Devices Shop Now.pptx
Revolutionize Pain Management with Almagia’s PEMF Devices Shop Now.pptx
ALMAGIA INTERNATIONAL
 
Abortion pills in Kuwait))௵+918133066128௹Get Cytotec Pills IN Kuwait City
Abortion pills in Kuwait))௵+918133066128௹Get Cytotec Pills IN Kuwait CityAbortion pills in Kuwait))௵+918133066128௹Get Cytotec Pills IN Kuwait City
Abortion pills in Kuwait))௵+918133066128௹Get Cytotec Pills IN Kuwait City
maishakhanam230
 
M2ComSys - BPO - RCM Services Profile - 2022.pptx
M2ComSys - BPO - RCM Services Profile - 2022.pptxM2ComSys - BPO - RCM Services Profile - 2022.pptx
M2ComSys - BPO - RCM Services Profile - 2022.pptx
josemonk
 
TheHistroke 340B Program Solutions | TheHistroke
TheHistroke 340B Program Solutions | TheHistrokeTheHistroke 340B Program Solutions | TheHistroke
TheHistroke 340B Program Solutions | TheHistroke
TheHistroke
 
فورمة مكافحة عدوي القمة1 د حاتم البيطار.pdf
فورمة مكافحة عدوي القمة1 د حاتم البيطار.pdfفورمة مكافحة عدوي القمة1 د حاتم البيطار.pdf
فورمة مكافحة عدوي القمة1 د حاتم البيطار.pdf
د حاتم البيطار
 
Top Rated Massage Center In Ajman | Massage Center Deals Sharjah
Top Rated Massage Center In Ajman | Massage Center Deals SharjahTop Rated Massage Center In Ajman | Massage Center Deals Sharjah
Top Rated Massage Center In Ajman | Massage Center Deals Sharjah
Jameela Massage and Relaxation Centre Ajman
 
Discovering Peaceful Minds Mental Healthcare
Discovering Peaceful Minds Mental HealthcareDiscovering Peaceful Minds Mental Healthcare
Discovering Peaceful Minds Mental Healthcare
nursepractitionernea
 
Diagnosis and treatment planning in complete denture.pptx
Diagnosis and treatment planning in complete denture.pptxDiagnosis and treatment planning in complete denture.pptx
Diagnosis and treatment planning in complete denture.pptx
SatvikaPrasad
 
Automated Feedback in Digital Depression Screening: DISCOVER Trial | The Life...
Automated Feedback in Digital Depression Screening: DISCOVER Trial | The Life...Automated Feedback in Digital Depression Screening: DISCOVER Trial | The Life...
Automated Feedback in Digital Depression Screening: DISCOVER Trial | The Life...
The Lifesciences Magazine
 
Get a Massage from Malayali Kerala Spa Ajman to Improve Your Overall Immunity
Get a Massage from Malayali Kerala Spa Ajman to Improve Your Overall ImmunityGet a Massage from Malayali Kerala Spa Ajman to Improve Your Overall Immunity
Get a Massage from Malayali Kerala Spa Ajman to Improve Your Overall Immunity
Malayali Kerala Spa Ajman
 
Teaching Methodology of Hatha Yoga Teacher Training Course.pptx
Teaching Methodology of Hatha Yoga Teacher Training Course.pptxTeaching Methodology of Hatha Yoga Teacher Training Course.pptx
Teaching Methodology of Hatha Yoga Teacher Training Course.pptx
Karuna Yoga Vidya Peetham
 
VITAMINS(referred as a Organic compound)
VITAMINS(referred as a Organic compound)VITAMINS(referred as a Organic compound)
VITAMINS(referred as a Organic compound)
saloniswain225
 
Age-Related_Eye_Conditions_Presentation.pptx
Age-Related_Eye_Conditions_Presentation.pptxAge-Related_Eye_Conditions_Presentation.pptx
Age-Related_Eye_Conditions_Presentation.pptx
Damaris Akhigbe
 
disease condition seen in adolescent girl " ANEMIA"
disease condition seen in adolescent girl " ANEMIA"disease condition seen in adolescent girl " ANEMIA"
disease condition seen in adolescent girl " ANEMIA"
purvipatel517209
 

Recently uploaded (20)

Shampoo - cosmetics B.pharm mpharam.pptx
Shampoo - cosmetics B.pharm mpharam.pptxShampoo - cosmetics B.pharm mpharam.pptx
Shampoo - cosmetics B.pharm mpharam.pptx
 
How dental support group work...........
How dental support group work...........How dental support group work...........
How dental support group work...........
 
HEALTH ASSESSMENT-BREAST AND AXILLA.pptx
HEALTH ASSESSMENT-BREAST AND AXILLA.pptxHEALTH ASSESSMENT-BREAST AND AXILLA.pptx
HEALTH ASSESSMENT-BREAST AND AXILLA.pptx
 
HEALTH ASSESSMENT- FEMALE & MALE GENITO-URINARY SYSTEM
HEALTH ASSESSMENT- FEMALE & MALE GENITO-URINARY SYSTEMHEALTH ASSESSMENT- FEMALE & MALE GENITO-URINARY SYSTEM
HEALTH ASSESSMENT- FEMALE & MALE GENITO-URINARY SYSTEM
 
Yoga Philosophy Lifestyle , ethics Teacher Training Certificate Course
Yoga Philosophy Lifestyle , ethics Teacher Training Certificate CourseYoga Philosophy Lifestyle , ethics Teacher Training Certificate Course
Yoga Philosophy Lifestyle , ethics Teacher Training Certificate Course
 
Yogic Sukshma Vyayama Teacher Training Course
Yogic Sukshma Vyayama Teacher Training CourseYogic Sukshma Vyayama Teacher Training Course
Yogic Sukshma Vyayama Teacher Training Course
 
Revolutionize Pain Management with Almagia’s PEMF Devices Shop Now.pptx
Revolutionize Pain Management with Almagia’s PEMF Devices Shop Now.pptxRevolutionize Pain Management with Almagia’s PEMF Devices Shop Now.pptx
Revolutionize Pain Management with Almagia’s PEMF Devices Shop Now.pptx
 
Abortion pills in Kuwait))௵+918133066128௹Get Cytotec Pills IN Kuwait City
Abortion pills in Kuwait))௵+918133066128௹Get Cytotec Pills IN Kuwait CityAbortion pills in Kuwait))௵+918133066128௹Get Cytotec Pills IN Kuwait City
Abortion pills in Kuwait))௵+918133066128௹Get Cytotec Pills IN Kuwait City
 
M2ComSys - BPO - RCM Services Profile - 2022.pptx
M2ComSys - BPO - RCM Services Profile - 2022.pptxM2ComSys - BPO - RCM Services Profile - 2022.pptx
M2ComSys - BPO - RCM Services Profile - 2022.pptx
 
TheHistroke 340B Program Solutions | TheHistroke
TheHistroke 340B Program Solutions | TheHistrokeTheHistroke 340B Program Solutions | TheHistroke
TheHistroke 340B Program Solutions | TheHistroke
 
فورمة مكافحة عدوي القمة1 د حاتم البيطار.pdf
فورمة مكافحة عدوي القمة1 د حاتم البيطار.pdfفورمة مكافحة عدوي القمة1 د حاتم البيطار.pdf
فورمة مكافحة عدوي القمة1 د حاتم البيطار.pdf
 
Top Rated Massage Center In Ajman | Massage Center Deals Sharjah
Top Rated Massage Center In Ajman | Massage Center Deals SharjahTop Rated Massage Center In Ajman | Massage Center Deals Sharjah
Top Rated Massage Center In Ajman | Massage Center Deals Sharjah
 
Discovering Peaceful Minds Mental Healthcare
Discovering Peaceful Minds Mental HealthcareDiscovering Peaceful Minds Mental Healthcare
Discovering Peaceful Minds Mental Healthcare
 
Diagnosis and treatment planning in complete denture.pptx
Diagnosis and treatment planning in complete denture.pptxDiagnosis and treatment planning in complete denture.pptx
Diagnosis and treatment planning in complete denture.pptx
 
Automated Feedback in Digital Depression Screening: DISCOVER Trial | The Life...
Automated Feedback in Digital Depression Screening: DISCOVER Trial | The Life...Automated Feedback in Digital Depression Screening: DISCOVER Trial | The Life...
Automated Feedback in Digital Depression Screening: DISCOVER Trial | The Life...
 
Get a Massage from Malayali Kerala Spa Ajman to Improve Your Overall Immunity
Get a Massage from Malayali Kerala Spa Ajman to Improve Your Overall ImmunityGet a Massage from Malayali Kerala Spa Ajman to Improve Your Overall Immunity
Get a Massage from Malayali Kerala Spa Ajman to Improve Your Overall Immunity
 
Teaching Methodology of Hatha Yoga Teacher Training Course.pptx
Teaching Methodology of Hatha Yoga Teacher Training Course.pptxTeaching Methodology of Hatha Yoga Teacher Training Course.pptx
Teaching Methodology of Hatha Yoga Teacher Training Course.pptx
 
VITAMINS(referred as a Organic compound)
VITAMINS(referred as a Organic compound)VITAMINS(referred as a Organic compound)
VITAMINS(referred as a Organic compound)
 
Age-Related_Eye_Conditions_Presentation.pptx
Age-Related_Eye_Conditions_Presentation.pptxAge-Related_Eye_Conditions_Presentation.pptx
Age-Related_Eye_Conditions_Presentation.pptx
 
disease condition seen in adolescent girl " ANEMIA"
disease condition seen in adolescent girl " ANEMIA"disease condition seen in adolescent girl " ANEMIA"
disease condition seen in adolescent girl " ANEMIA"
 

NEEDLE STICK INJURY - JOURNAL CLUB PRESENTATION - DR SHAMIN EABENSON

  • 1. JOURNAL CLUB PRESENTATION Moderator : Dr. M.C.Yadavannavar Presenter: Dr. Shamin E
  • 2. Needlestick And Sharps' Injury In Healthcare Students: Prevalence, Knowledge, Attitude And Practice  Authors :  Uma Vasant Datar (Bharati Vidyapeeth Deemed to be University, Dental College and Hospital, Sangli, Maharashtra),  Mamata Kamat (Bharati Vidyapeeth Deemed to be University, Dental College and Hospital, Sangli, Maharashtra),  Mahesh Khairnar (Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh),  Umesh Wadgave (ESIC Dental College and Hospital, Kalburgi, Karnataka),  Karishma Madhusudhan Desai (Dr. D.Y. Patil Dental College and Hospital, Dr. D.Y.Patil Vidyapeeth Pimpri, Pune, Maharashtra, India) Journal of Family Medicine and Primary Care, Volume 11 : Issue 10 : October 2022 2
  • 3. INTRODUCTION  Needlestick and sharps injury (NSI/SI) is a grave occupational hazard amongst healthcare professionals (HCPs).  The risk of transmission of HBV is highest (6%–30%), followed by HCV (1.8%) and HIV (0%– 10%).  Most of the NSI are preventable - proper knowledge of handling instruments, following precautions, knowledge of post-exposure prophylaxis (PEP).  Students - more vulnerable - training periods, due to - lack of practical experience and skill. 3
  • 4.  Most NSIs are preventable by proper knowledge of handling of the instrument, by following precautions, and sound knowledge of post-exposure prophylaxis (PEP).  Understanding the gap in knowledge and the disparity between knowledge and practice will aid in structuring healthcare curricula and preventive guidelines for NSI. 4 INTRODUCTION…………..
  • 5. OBJECTIVES  To assess the prevalence of needle stick injury among healthcare students.  To evaluate the knowledge, attitude, and practice regarding its prevention and management. 5
  • 6. METHODS  STUDY DESIGN : Cross-sectional study.  STUDY POPULATION : Healthcare students belonging to Dental, Medical, and Nursing faculty.  STUDY AREA : An academic healthcare institute in Sangli, Maharashtra 6
  • 7. INCLUSION CRITERIA  Healthcare students during their training period belonging to Dental, Medical, and Nursing stream.  Students who gave consent to participate in the study. 7
  • 8. SAMPLING TECHNIQUE 8 942 participants – briefed about purpose of study, informed consent obtained. Questionnaire – Adopted, modified and developed from published literature Institutional ethical clearance obtained Pre test conducted on 30 students Kappa statistics – to assess test retest reliability 0.61-substantial agreement 30 minutes allotted to the participants to fill the questionnaire To avoid contamination – requested not to discuss
  • 9.  The data collected was entered in Microsoft Excel.  The statistical analysis was performed using SPSS version 20.  Descriptive statistics - to study the prevalence of NSI.  Chi-squared test, unpaired t-test, and ANOVA - to evaluate the differences in sub-groups(i.e., based on profession, gender, and experience). 9 STATISTICALANALYSIS
  • 10. RESULTS 10 SAMPLE DEMOGRAPHICS Stream Number of participants Dental 400 Medical 364 Nursing 170 Total 942 Gender Number of participants Male 347 Female 586
  • 11. 11
  • 12. 12
  • 13. 13
  • 14. 14
  • 15. 15
  • 16. DISCUSSION 16 AUTHORS RESULT PRESENT STUDY Madhavan et al., Ayub et al., Pavithran et al. Students’ knowledge regarding NSI and NSI prevention - satisfactory, knowledge of PEP was lacking, unaware of various components of the WHO-recommended guidelines for PEP Students’ knowledge regarding NSI and NSI prevention - satisfactory, knowledge of PEP was lacking, unaware of various components of the WHO-recommended guidelines for PEP Hussain et al. Highest incidence (76.4%) among nursing students Highest incidence seen in Dental students
  • 17. 17 AUTHORS RESULT PRESENT STUDY Matsumoto et al. Madhavan et al. and Pavithran et al. 55.3% of injuries occurred during the procedure, Recapping as the second most prevalent cause of NSI. Majority of the NSI (48.1%) occurred during the procedure Hussain et al. Madhavan et al. 77.4% of students, respectively, did not report NSIs. 68% of students, respectively, did not report NSIs. 78.4% of participants did not report an injury
  • 18. CONCLUSION  1 in 4 students - NSI during their training period, Only 1 in 4 students reported the injury.  Steps that can be taken at the institutional level: • Compulsory HBV vaccination, • Organizing lectures and hands-on sessions on NSI prevention. • Formulating standard operating procedures in the event of sharps injury.  Governing authorities need to revise the curricula for better learning outcomes.  Phasing out of conventional devices and using safety devices.  A National NSI registry and surveillance – for swift response and follow-up. 18
  • 20. 20 ITEMS COMMENTS Title and abstract Study design - not mentioned in title. Mentioned in abstract and methodology. An informative and balanced summary - mentioned in the abstract. Background/rationale Clearly reported. Objectives Clearly stated. Study design Mentioned. Setting Date when the study was conducted is not been mentioned.
  • 21. 21 ITEMS COMMENTS Variables Gender, Clinical exposure and Stream of Medicine Data sources/ measurement Clearly mentioned Bias Present, Recall bias. Study size 942 participants. Statistical methods SPSS version 20, Descriptive statistics - prevalence of NSI. Chi-squared test, unpaired t-test, and ANOVA – differences in sub-groups based on profession, gender, and experience. Descriptive data Given.
  • 22. 22 ITEMS COMMENTS Outcome data Clearly mentioned in tables. Main results The objective of the study was reflected in the results. Limitations Recall bias of the student, regarding the experience, by its cross-sectional design and restriction to one institutional medical campus. Interpretation Overall interpretation of results considering objectives and results from similar studies is given. Generalisability Yes Funding Bharati Vidyapeeth Deemed University
  • 23. 1. King KC, Strony R. Needlestick. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2021. PMID: 29630199. 2. Rishi E, Shantha B, Dhami A, Rishi P, Rajapriya HC. Needle stick injuries in a tertiary eye-care hospital: Incidence, management, outcomes, and recommendations. Indian J Ophthalmol 2017;65:999-1003. 3. Jaggi N, Nirwan P, Chakraborty M. Process improvement to effectively manage and reduce sharps injuries in a Tertiary Hospital in Northern India. J Healthc Qual Res 2020;35:141-8. 4. Bindra S, Ramana Reddy KV, Chakrabarty A, Chaudhary K. Awareness about needle stick injures and sharps disposal: A study conducted at army college of dental sciences. J Maxillofac Oral Surg 2014;13:419-24. 5. Hussain JS, Ram SM, Galinde J, Jingade RR. Occupational exposure to sharp instrument injuries among dental, medical, and nursing students in Mahatma Gandhi Mission’s Campus, Navi Mumbai, India. J Contemp Dent 2012;2:1–10. 6. 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;8:840-5. 7. Yoshikawa T, Wada K, Lee JJ, Mitsuda T, Kidouchi K, Kurosu H, et al. Incidence rate of needlestick and sharps injuries in 67 Japanese hospitals: A national surveillance study. PLoS One 2013;8:e77524. 8. Treviño H 2nd, Romero Arenas MA. Systematic review of blood-borne pathogen exposure rates among medical students. J Surg Res 2020;255:66-70. 9. McDowall J, Laher AE. Cross-sectional survey on occupational needle stick injuries amongst prehospital emergency medical service personnel in Johannesburg. Afr J Emerg Med 2019;9:197-201. 10. Pereira MC, Mello FW, Ribeiro DM, Porporatti AL, da Costa S Junior, Flores-Mir C, et al. Prevalence of reported percutaneous injuries on dentists: A meta-analysis. J Dent 2018;76:9-18. 11. Goel V, Kumar D, Lingaiah R, Singh S. occurrence of needlestick and injuries among health-care workers of a tertiary care teaching hospital in North India. J Lab Physicians 2017;9:20-25. 12. Ayub A, Goyal A, Kotwal A, Kulkarni A, Kotwal A, Mahen A. Infection control practices in health care: Teaching and learning requirements of medical undergraduates. Med J Armed Forces India 2013;69:107-12. 13. Pavithran VK, Murali R, Krishna M, Shamala A, Yalamalli M, Kumar AV. Knowledge, attitude, and practice of needle stick and sharps injuries among dental professionals of Bangalore, India. J Int Soc Prev Community Dent 2015;5:406-12. 14. Motaarefi H, Mahmoudi H, Mohammadi E , Hasanpour-Dehkordi A. Factors associated with needlestick injuries in health care occupations: A systematic review. J Clin Diagn Res 2016;10:IE01-4. 15. Hakeem A, Alsaigh S, Alasmari A, Aloushan A, Bin Saleh F, Yousef Z. Awareness, concerns, and protection strategies against bloodborne viruses among surgeons. Cureus 2019;11:e4242. 23 REFERENCES
  • 24. REFERENCES……. 16. Matsumoto H, Sunakawa M, Suda H, Izumi Y. Analysis of factors related to needle-stick and sharps injuries at a dental specialty university hospital and possible prevention methods. J Oral Sci 2019;61:164-70. 17. Sriram S. Study of needle stick injuries among healthcare providers: Evidence from a teaching hospital in India. J Family Med Prim Care 2019;8:599-603. 18. Cooke CE, Stephens JM. Clinical, economic, and humanistic burden of needlestick injuries in healthcare workers. Med Devices (Auckl) 2017;10:225-35. 19. Mengistu DA, Tolera ST. Prevalence of occupational exposure to needle-stick injury and associated factors among healthcare workers of developing countries: Systematic review. J Occup Health 2020;62:e12179. 20. Auta A, Adewuyi EO, Tor-Anyiin A, Edor JP, Kureh GT, Khanal V, et al. Global prevalence of percutaneous injuries among healthcare workers: A systematic review and meta-analysis. Int J Epidemiol 2018;47:1972-80. 21. Bouya S, Balouchi A, Rafiemanesh H, Amirshahi M, Dastres M, Moghadam MP, et al. Global prevalence and device related causes of needle stick injuries among health care workers: A systematic review and meta-analysis. Ann Glob Health 2020;86:35. 22. Cheetham S, Ngo HT, Liira J, Liira H. Education, and training for preventing sharps injuries and splash exposures in healthcare workers. Cochrane Database Syst Rev 2021;4:CD012060. 23. Chen M, Zhang L. Prevalence of needlestick injuries among nursing interns: A systematic review and meta-analysis. Ann Palliat Med 2021;10:7525-33. 24. Al Johani A, Karuppiah K, Al Mutairi A, Al Mutair A. Narrative review of infection control knowledge, and attitude among healthcare workers. J Epidemiol Glob Health 2021;11:20-5. 25. Silva AMBD, Bim LL, Bim FL, Sousa AFL, Domingues PCA, Nicolussi AC, et al. Patient safety and infection control: Bases for curricular integration. Rev Bras Enferm 2018;71:1170-7. 26. Yang H, Zhang H, Lu Y, Gu Y, Zhou J, Bai Y. A program to improve the knowledge, attitudes, and practices of needle stick and sharps injuries through bundled interventions among nurses: An KAP mode-based approach to intervention. Psychol Health Med 2022;27:999-1010. 27. Wu SH, Huang CC, Huang SS, Yang YY, Liu CW, Shulruf B, et al. Effect of virtual reality training to decreases rates of needle stick/sharp injuries in new-coming medical and nursing interns in Taiwan. J Educ Eval Health Prof 2020;17:1. doi: 10.3352/jeehp. 2020.17.1. 28. Ou YS, Wu HC, Guo YL, Shiao JSC. Comparing risk changes of needlestick injuries between countries adopted and not adopted the needlestick safety and prevention act: A meta-analysis. Infect Control Hosp Epidemiol 2021:1-7. doi: 10.1017/ice. 2021.372 24

Editor's Notes

  1. A p-value is a statistical measurement used to validate a hypothesis against observed data. A p-value measures the probability of obtaining the observed results, assuming that the null hypothesis is true. The lower the p-value, the greater the statistical significance of the observed difference. A p-value of 0.05 or lower is generally considered statistically significant.1 P-value can serve as an alternative to—or in addition to—preselected confidence levels for hypothesis testing.
  2. Knowledge, attitude and practice of NSI prevention and management Twenty‑four questions assessed the knowledge, approach, and practice regarding NSI prevention and NSI management. Only 32% of participants correctly identified HBV as a virus with the highest transmission rate. Only 38.5% and 32.5% of participants identified the correct PEP against HIV and HBV. Although 52.5% of students identified the correct method of needle disposal, only 20.9% of students used the proper method. The knowledge in general regarding NSI was adequate, but only 14.3% of students could identify high‑risk exposure. Regarding practice, it was observed that students’ adherence to protocol was unsatisfactory. Only 55.4% of students had been vaccinated against HBV. The students had shown a positive approach regarding NSI, wherein 84% of students opined that needlestick injury was a cause of concern and stated that NSI was preventable.
  3. Profession against knowledge, attitude and practices of NSI prevention On comparing knowledge the of BBV transmission amongst three study groups, it was found that dental students scored marginally better than medical and nursing students (P < 0.05). Nursing students had better knowledge about NSI prevention than other study group. But the difference was not statistically significant. Likewise, nursing students had better knowledge of PEP (P<0.05) than medical and dental students. Medical students showed better adherence to protocol (P<0.05) than dental and nursing students, and the difference was statistically significant (P<0.05). The dental students had better risk perception (P < 0.05) than the students of medical and nursing professions [Table 2].
  4. Gender against knowledge, attitude and practices of NSI prevention Statistically, we found a significant difference in knowledge PEP, and risk perception between the two genders (P < 0.05). Female students scored better than male students in questions on NSI prevention. Also, regarding questions related to PEP, female students fared better than male students. Female students exhibited a positive attitude toward NSI prevention compared to male students. Level of education against knowledge, attitude, and practices of NSI prevention Clinical students fared better than preclinical students concerning knowledge of BBV (P = 0.00). Clinical students had better knowledge about PEP than preclinical students. Clinical students had risk perception (P = 0.00) as well.
  5. Incidence of NSI amongst the study groups A total of 237 students (25.15%) had experienced NSI . The incidence was maximum in dental students(n = 98), followed by medical (n = 85) and nursing (n = 54) students when the entire student population was considered, it is not statistically significant. Incidence was maximum infemales (130) and males (105) and this was statistically significant.
  6. Most of the injuries were percutaneous with hollow bore needles(54.5%) and were experienced during the procedure (48.1%). The leading causes of NSI were during administration of anesthesia, blood collection, and suturing [Table 5]. One hundred eighty‑one students did not report the injury, and 186 participants did not take PEP [Table 5].