Needlestick and sharps injuries in an Indonesian tertiary teaching hospital from 2014 to 2017: a cohort study
Objective Needlestick and sharps injuries among healthcare workers (HCWs) pose significant occupational health problems. We aim to provide incidence and other epidemiological aspects of needlestick and sharp injuries (NSSIs) among HCWs in a tertiary teaching hospital in Indonesia, to inform the eval...
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| Format: | Article |
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BMJ Publishing Group
2020-12-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/10/12/e041494.full |
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| author | Alvina Widhani Evy Yunihastuti Dewi Mira Ratih Matdoan Rifkiah Aisyah Ainum Jhariah Hidayah Andri Sanityoso Sulaiman Teguh Harjono Karjadi Czeresna Heriawan Soejono |
| author_facet | Alvina Widhani Evy Yunihastuti Dewi Mira Ratih Matdoan Rifkiah Aisyah Ainum Jhariah Hidayah Andri Sanityoso Sulaiman Teguh Harjono Karjadi Czeresna Heriawan Soejono |
| author_sort | Alvina Widhani |
| collection | DOAJ |
| description | Objective Needlestick and sharps injuries among healthcare workers (HCWs) pose significant occupational health problems. We aim to provide incidence and other epidemiological aspects of needlestick and sharp injuries (NSSIs) among HCWs in a tertiary teaching hospital in Indonesia, to inform the evaluation of NSSIs prevention programme.Methods A cohort study was conducted at Cipto Mangunkusumo Hospital in Jakarta. We analysed data of the sharps injury programme at the hospital between January 2014 and December 2017. Incidence of NSSIs was calculated per 1000 person-years (1000-PY).Results Over the 4-year period, a total of 286 NSSIs were reported. The mean NSSIs incidence rate for 4 years was 13.3/1000-PY, peaking in 2015 (15.5/1000-PY) then decreasing afterward. Most NSSIs were experienced by nurses (42.7%), but the highest incidence was among midwives (18.9/1000-PY), followed by nurses, medical students and medical doctors (15.2/1000-PY, 12.6/1000-PY and 11.8/1000-PY, respectively). The devices causing the highest proportion of NSSIs were hollow-bore needles (66.8%), followed by suture needles (14.3%) and solid needles (10.8%). 9.4% of NSSIs were related to insulin pen injection. Of all the incidents, 31.3% occurred during surgical procedures, 25.9% during blood collections, 14.3% during administering injection of drugs and 13.3% during waste cleaning.Conclusion In conclusion, this study showed varied incidences of NSSI among different occupations, with the highest among midwives and nurses. Many unsafe work practices still continue, which is of utmost concern. We suggest opportunities for prevention including training and cultivating safer workplace practices. |
| format | Article |
| id | doaj-art-833b4a71f8e64b22a22ede882e803cee |
| institution | OA Journals |
| issn | 2044-6055 |
| language | English |
| publishDate | 2020-12-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-833b4a71f8e64b22a22ede882e803cee2025-08-20T02:18:58ZengBMJ Publishing GroupBMJ Open2044-60552020-12-01101210.1136/bmjopen-2020-041494Needlestick and sharps injuries in an Indonesian tertiary teaching hospital from 2014 to 2017: a cohort studyAlvina Widhani0Evy Yunihastuti1Dewi Mira Ratih2Matdoan Rifkiah Aisyah3Ainum Jhariah Hidayah4Andri Sanityoso Sulaiman5Teguh Harjono Karjadi6Czeresna Heriawan Soejono7Faculty of Medicine, Department of Internal Medicine, Universitas Indonesia, Jakarta, IndonesiaHIV Integrated Unit, Hospital Dr Cipto Mangunkusumo, Central Jakarta, DKI Jakarta, IndonesiaDepartment of Internal Medicine Faculty of Medicine Universitas Indonesia, Hospital Dr Cipto Mangunkusumo, Central Jakarta, DKI Jakarta, IndonesiaHIV Integrated Unit, Hospital Dr Cipto Mangunkusumo, Central Jakarta, DKI Jakarta, IndonesiaHIV Integrated Unit, Hospital Dr Cipto Mangunkusumo, Central Jakarta, DKI Jakarta, IndonesiaDepartment of Internal Medicine Faculty of Medicine Universitas Indonesia, Hospital Dr Cipto Mangunkusumo, Central Jakarta, DKI Jakarta, IndonesiaDepartment of Internal Medicine Faculty of Medicine Universitas Indonesia, Hospital Dr Cipto Mangunkusumo, Central Jakarta, DKI Jakarta, IndonesiaDepartment of Internal Medicine Faculty of Medicine Universitas Indonesia, Hospital Dr Cipto Mangunkusumo, Central Jakarta, DKI Jakarta, IndonesiaObjective Needlestick and sharps injuries among healthcare workers (HCWs) pose significant occupational health problems. We aim to provide incidence and other epidemiological aspects of needlestick and sharp injuries (NSSIs) among HCWs in a tertiary teaching hospital in Indonesia, to inform the evaluation of NSSIs prevention programme.Methods A cohort study was conducted at Cipto Mangunkusumo Hospital in Jakarta. We analysed data of the sharps injury programme at the hospital between January 2014 and December 2017. Incidence of NSSIs was calculated per 1000 person-years (1000-PY).Results Over the 4-year period, a total of 286 NSSIs were reported. The mean NSSIs incidence rate for 4 years was 13.3/1000-PY, peaking in 2015 (15.5/1000-PY) then decreasing afterward. Most NSSIs were experienced by nurses (42.7%), but the highest incidence was among midwives (18.9/1000-PY), followed by nurses, medical students and medical doctors (15.2/1000-PY, 12.6/1000-PY and 11.8/1000-PY, respectively). The devices causing the highest proportion of NSSIs were hollow-bore needles (66.8%), followed by suture needles (14.3%) and solid needles (10.8%). 9.4% of NSSIs were related to insulin pen injection. Of all the incidents, 31.3% occurred during surgical procedures, 25.9% during blood collections, 14.3% during administering injection of drugs and 13.3% during waste cleaning.Conclusion In conclusion, this study showed varied incidences of NSSI among different occupations, with the highest among midwives and nurses. Many unsafe work practices still continue, which is of utmost concern. We suggest opportunities for prevention including training and cultivating safer workplace practices.https://bmjopen.bmj.com/content/10/12/e041494.full |
| spellingShingle | Alvina Widhani Evy Yunihastuti Dewi Mira Ratih Matdoan Rifkiah Aisyah Ainum Jhariah Hidayah Andri Sanityoso Sulaiman Teguh Harjono Karjadi Czeresna Heriawan Soejono Needlestick and sharps injuries in an Indonesian tertiary teaching hospital from 2014 to 2017: a cohort study BMJ Open |
| title | Needlestick and sharps injuries in an Indonesian tertiary teaching hospital from 2014 to 2017: a cohort study |
| title_full | Needlestick and sharps injuries in an Indonesian tertiary teaching hospital from 2014 to 2017: a cohort study |
| title_fullStr | Needlestick and sharps injuries in an Indonesian tertiary teaching hospital from 2014 to 2017: a cohort study |
| title_full_unstemmed | Needlestick and sharps injuries in an Indonesian tertiary teaching hospital from 2014 to 2017: a cohort study |
| title_short | Needlestick and sharps injuries in an Indonesian tertiary teaching hospital from 2014 to 2017: a cohort study |
| title_sort | needlestick and sharps injuries in an indonesian tertiary teaching hospital from 2014 to 2017 a cohort study |
| url | https://bmjopen.bmj.com/content/10/12/e041494.full |
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