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Using an intravenous catheter system to prevent needlestick injury
Dimitri Sossai et al (2010) Using an intravenous catheter system to prevent needlestick injury. Nursing Standard. 24, 29, 42-46. Date of acceptance: September 23 2009.
Abstract
Aim To identify the effect of a sharps awareness campaign and the introduction of a safety catheter device on the annual incidence of needlestick injuries between 2003 and 2007. Method In 2003, a sharps awareness campaign began in San Martino Hospital in Genoa, Italy. In 2005, a safety catheter was introduced and healthcare workers were trained in its use. Data for all occupational accidents from 2003 to 2007 were collected and analysed. Results After introduction of the sharps awareness campaign and use of safety catheters, reported incidents of sharps injuries involving catheters fell from 19 in 2004 to two in 2007 and in neither of those two cases were needlestick prevention devices used. Overall, the rate of needlestick injuries was 24.1 per 100,000 cases when conventional catheters were used and 0.4 per 100,000 cases with safety catheters. Conclusion The sharps awareness campaign and newly adopted needlestick prevention device may have contributed to the prevention of percutaneous injuries caused by catheters. Until the onset of the campaign, the reported annual incidence of needlestick injuries was six. This increased to a peak of 19 reported injuries in 2004, which could be attributed to improved reporting effected by the campaign.
Authors
Dimitri Sossai, manager, Health Safety and Prevention Department, Azienda Ospedaliera Universitaria San Martino, Genoa; Vincenzo Puro, manager, Department of Epidemiology, Istituto Nazionale per le Malattie Infettive, Lazzaro Spallanzani, Rome; Luca Chiappatoli and Giulio Dagnino, biomedical engineers; Bernardo Odone, chemist; Annamaria Polimeri, biologist, Health Safety and Prevention Department, Azienda Ospedaliera Universitaria San Martino, Genoa;
References: Adams D, Elliott TS (2006) Impact of safety needle devices on occupationally acquired needlestick injuries: a four-year prospective study. Journal of Hospital Infection. 64, 1, 50-55. Asai T, Hidaka I, Kawashima A, Miki T, Inada K, Kawachi S (2002) Efficacy of catheter needles with safeguard mechanisms. Anaesthesia. 57, 6, 572-577. Centers for Disease Control and Prevention (2004) Workbook for Designing, Implementing, and Evaluating a Sharps Injury Prevention Program. www.cdc.gov/sharpssafety/pdf/ WorkbookComplete.pdf. (Last accessed: March 8 2010.) Elder A, Paterson C (2006) Sharps injuries in UK health care: a review of injury rates, viral transmission and potential efficacy of safety devices. Occupational Medicine (Oxford). 56, 8, 566-574. Hadaway LC (2001) Vascular access devices pinpoint safety. Nursing Management. 32, 10, 51-53. Hoban V (2005) Needlestick injuries. Nursing Times. 101, 14, 18-20. Huber MA, Terezhalmy GT (2007) HIV: infection control issues for oral healthcare personnel. Journal of Contemporary Dental Practice. 8, 3, 1-12. Ippolito G, Puro V, Petrosillo N, De Carli G (1999) Surveillance of occupational exposure to bloodborne pathogens in health care workers: the Italian national programme. Euro Surveillance. 4, 3, 33-36. Lavery I, Ingram P (2006) Prevention of infection in peripheral intravenous devices. Nursing Standard. 20, 49, 49-56. Lee JM, Botteman MF, Xanthakos N, Nicklasson L (2005) Needlestick injuries in the United States. Epidemiologic, economic, and quality of life issues. American Association of Occupational Health Nurses Journal. 53, 3, 117-133. Makary MA, Al-Attar A, Holzmueller CG et al (2007) Needlestick injuries among surgeons in training. New England Journal of Medicine. 356, 26, 2693-2699. Ross RS, Viazov S, Roggendorf M (2000) Risk of hepatitis C transmission from infected medical staff to patients: model-based calculations for surgical settings. Archives of Internal Medicine. 160, 15, 2313-2316. Sossai D (2006) Risk assessment of bloodborne pathogens in a hospital: patients and health care workers. Ninth Annual Conference of the European Biosafety Association. May 31-June 2. The Hague, The Netherlands. Trim JC (2004) A review of needle-protective devices to prevent sharps injuries. British Journal of Nursing. 13, 3, 144-153. Tuma S, Sepkowitz KA (2006) Efficacy of safety-engineered device implementation in the prevention of percutaneous injuries: a review of published studies. Clinical Infectious Diseases. 42, 8, 1159-1170. White SM (2008) Needlestick injuries – a testing time. Nursing in Critical Care. 13, 1, 1-2. Wilburn SQ (2004) Needlestick and sharps injury prevention. Online Journal of Issues in Nursing. 9, 3, 5. 46 march 24 :: vol 24 no 29 :: 2010 NURSING STANDARD Copyright of Nursing Standard is the property of RCN Publishing Company and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder 's express written permission. However, users may print, download, or email articles for individual use.