Skip to main content
Erschienen in: Irish Journal of Medical Science (1971 -) 3/2009

01.09.2009 | Original Article

Barriers to the reporting and management of needlestick injuries among surgeons

verfasst von: R. Kennedy, S. Kelly, S. Gonsalves, P. A. Mc Cann

Erschienen in: Irish Journal of Medical Science (1971 -) | Ausgabe 3/2009

Einloggen, um Zugang zu erhalten

Abstract

Objective

Needlestick injuries are common within surgical practice and carry the risk of transmission of blood borne viruses. Key to reducing this risk is an accessible system of reporting and involvement of occupational health services. We aimed to identify surgeons’ attitude and experience dealing with such injuries and identify why in many cases needlestick injuries go unreported.

Methods

70 questionnaires were hand delivered to surgeons and trainees across 3 UK hospitals and a variety of surgical specialties. The number of injuries and reporting practice was identified. Surgeons were asked to identify from a list the reasons why they did not report their injuries and record importance on a 5-point scale (0–4).

Results

52 surgeons and trainees replied (75%). 42 (81%) had suffered at least 1 needlestick injury with 4 (8%) reporting more than 20. 8 (19%) had reported all their injuries to occupational health with no significant difference in reporting between consultants and trainees (P = 0.2). 12 (23%) felt that reporting of injuries helped to reduce transmission rates. 18 (35%) said that a needlestick had caused them moderate or significant anxiety. The top reasons for not reporting were (0–4). (1) Process too time consuming (2.7), (2) transmission risk very low (2.6), (3) do not want to disrupt operating list (2.0), (4) post exposure prophylaxis ineffective (1.3).

Conclusions

Most surgeons and trainees do not report all their needlestick injuries to occupational health despite many reporting injury related anxiety. The process is felt to take too long and the perceived risk of viral transmission is low.
Literatur
6.
Zurück zum Zitat Duff SE, Wong CKM, May RE (1999) Surgeons’ and occupational health departments’ awareness of guidelines on post-exposure prophylaxis for staff exposed to HIV: telephone survey. BMJ 319:162–178PubMed Duff SE, Wong CKM, May RE (1999) Surgeons’ and occupational health departments’ awareness of guidelines on post-exposure prophylaxis for staff exposed to HIV: telephone survey. BMJ 319:162–178PubMed
8.
Zurück zum Zitat Wilburn S, Eijkemans G (2004) Preventing needlestick injuries among healthcare workers: A WHO-ICN Collaboration. Int J Occup Environ Health 10:451–456PubMed Wilburn S, Eijkemans G (2004) Preventing needlestick injuries among healthcare workers: A WHO-ICN Collaboration. Int J Occup Environ Health 10:451–456PubMed
9.
Zurück zum Zitat The Senate of Surgery of Great Britain and Ireland. Blood borne viruses and their implications for surgical practice and training. Senate Paper 4—September 1998 The Senate of Surgery of Great Britain and Ireland. Blood borne viruses and their implications for surgical practice and training. Senate Paper 4—September 1998
10.
Zurück zum Zitat UK Department of Health Document. “Guidance on Clinical Healthcare Workers: Protection against infection with blood borne viruses” UK Department of Health Document. “Guidance on Clinical Healthcare Workers: Protection against infection with blood borne viruses”
11.
Zurück zum Zitat Updated US (2001) Public Health Service guidelines for the management of occupational exposures to HBV, HCV and HIV and recommendations for postexposure prophylaxis. MMWR Morb Mortal Wkly Rep 50(RR-11):1–52 Updated US (2001) Public Health Service guidelines for the management of occupational exposures to HBV, HCV and HIV and recommendations for postexposure prophylaxis. MMWR Morb Mortal Wkly Rep 50(RR-11):1–52
12.
Zurück zum Zitat Jefferies D (1995) Surgery and bloodborne viruses. Public Health Lab Serv Microbiol Dig 12:150–154 Jefferies D (1995) Surgery and bloodborne viruses. Public Health Lab Serv Microbiol Dig 12:150–154
Metadaten
Titel
Barriers to the reporting and management of needlestick injuries among surgeons
verfasst von
R. Kennedy
S. Kelly
S. Gonsalves
P. A. Mc Cann
Publikationsdatum
01.09.2009
Verlag
Springer-Verlag
Erschienen in
Irish Journal of Medical Science (1971 -) / Ausgabe 3/2009
Print ISSN: 0021-1265
Elektronische ISSN: 1863-4362
DOI
https://doi.org/10.1007/s11845-009-0359-8

Weitere Artikel der Ausgabe 3/2009

Irish Journal of Medical Science (1971 -) 3/2009 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.