Needle stick injuries among junior doctors

Views:
 
Category: Others/ Misc
     
 

Presentation Description

No description available.

Comments

Presentation Transcript

PowerPoint Presentation:

2/27/2012 copyright (your organization) 2003 1 Needle stick injuries among junior doctors in a tertiary care hospital, Manipur Dr. Ebenezer Phesao, PGT, Community Medicine, Regional Institute of Medical Sciences Imphal, Manipur

PowerPoint Presentation:

2/27/2012 copyright (your organization) 2003 2 Introduction Needlestick injury a per cutaneous piercing wound typically set by a needle point but possibly also by other sharp instruments or objects These events are of concern risk to transmit blood-borne diseases like HBV, HCV and HIV

PowerPoint Presentation:

WHO reports 2002 Out of the 35 million health-care workers, 2 million experience per cutaneous exposure to infectious diseases / year 37.6% - Hepatitis B 39% - Hepatitis C 4.4% of HIV/AIDS

PowerPoint Presentation:

Junior doctors have the greatest risk of exposure to blood-borne pathogens their numerous encounters involving the use of sharp instruments on patients ↑ propensity for injury while learning new technical skill sets Compounded by ↑ HIV, HBV and HCV among hospitalized patients

PowerPoint Presentation:

Aims & Objects To determine the prevalence of needle stick injuries (NSIs) among junior doctors of RIMS To assess the measures undertaken by the respondent after the NSI

PowerPoint Presentation:

Materials & Methods Study design: Cross sectional Study Setting: RIMS, Imphal, Manipur Study period: Sept to Oct 2011 Study population: Internees, House Officers and Postgraduate trainees of RIMS

PowerPoint Presentation:

Exclusion Criteria PGs in Community medicine, Physiology, Forensic medicine, Pharmacology and Anatomy Those who could not be contacted until the last day of data collection Those who refused to participate Study Tools: Questionnaire method Includes questions on Particulars of the respondent Questions pertaining to NSI

PowerPoint Presentation:

Statistical Analysis Data entry and analysis was done using SPSS 11 Descriptive statistics like mean and percentage were used. Analysis done using Chi square test P-value of <0.05 taken as significant Ethical Consideration Approval was sought from Institutional Ethics Sub-committee, RIMS, Imphal Informed verbal consent taken Confidentiality maintained

PowerPoint Presentation:

Results

PowerPoint Presentation:

Internee 92 PG’s 245 House Officer 45 382 289 (75.65%) Fig 1: Flowchart showing n umber of responses Couldn’t be contacted Refusals 17 76

PowerPoint Presentation:

2/27/2012 copyright (your organization) 2003 11 Fig 2: Percentage distribution of the respondents by sex

PowerPoint Presentation:

2/27/2012 copyright (your organization) 2003 12 Fig 3: Percentage distribution of the respondents by age

PowerPoint Presentation:

Fig 4: Percentage distribution of the respondents by designation

PowerPoint Presentation:

Variables Needlestick Injuries P-value Present n(%) Absent n(%) SEX Male 89 (33.8) 114 (56.2) 0.31 Female 25 (30.2) 61 (69.8) AGE GROUP (years) <25 42 (39.1) 68 (60.9) 0.60 df =2 25-30 52 (42.6) 70 (57.4) >30 20 (35.1) 37 (64.9) Table 1: Distribution of NSIs by characteristic of the respondents

PowerPoint Presentation:

Variables Needlestick Injuries P-value Present n(%) Absent n(%) Designa - tion Internee 32 (40.0) 48 (60.0) 0.90 df = 2 House officer 10 (41.7) 14 (58.3) PG trainees 72 (39.5) 113 (60.5) Table 1 contd ….

PowerPoint Presentation:

Characteristics Frequency (%) Activities Blood withdrawal 38 (33.3) Suturing 31 (27.3) Giving Injection 19 (16.6) Recapping 17 (14.9) Others 9 (7.9) Type of needle Open bored 58 (50.9) Closed bored 40 (35.1) Both 16 (14.0) Table 2: Characteristics of the most recent Needle Stick Injury

PowerPoint Presentation:

Characteristics Frequency (%) Wearing gloves Yes 52 (45.6) No 62 (54.4) Circumstances During rush 64 (51.6) Un Cooperative patient 18 (14.5) Lack of assistance 10 (8.1) Fatigue 22 (17.7) Others 10 (8.1) Table 2 contd ….

PowerPoint Presentation:

Table 3: Measures undertaken by the respondents after Needle Stick Injury Measures Undertaken Frequency Wash with water only 5 (4.4) Wash with water and soap 18 (15.8) Applied antiseptic only 6 (5.3) Wash with water and applied antiseptic 19 (16.7)

PowerPoint Presentation:

Table 3 contd.. Measures Undertaken Frequency Wash with water and soap and applied antiseptic 51 (44.7) Wash with water and soap, applied antiseptic and PEP 9 (7.9) Only PEP 1 (0.9) Nothing 5 (4.4)

PowerPoint Presentation:

Table 3 contd : Blood Test Done After NSI Measures Undertaken Frequency Done HIV testing 37 (32.4) Done HBV testing 27 (23.7) Done HCV testing 27 (23.7)

PowerPoint Presentation:

Conclusion: Nearly half of the respondents had NSI 10 doctors of the 114, took PEP after the NSI Maximum NSI took place during blood withdrawal Only one third of the doctors who got NSI did blood testing (HIV, HBV, HCV)

PowerPoint Presentation:

2/27/2012 copyright (your organization) 2003 22

authorStream Live Help