Needle Stick Injuries Among Healthcare Waste Handlers in A Tertiary Care Hospital of Delhi
Needle Stick Injuries Among Healthcare Waste Handlers in A Tertiary Care Hospital of Delhi
Needle Stick Injuries Among Healthcare Waste Handlers in A Tertiary Care Hospital of Delhi
Abstract
Introduction: World Health Organization (WHO) reports in the World Health Report 2002 that of
the 35 million HCWs, 2 million suffer percutaneous exposure to infectious diseases each year.
Healthcare waste handlers who are responsible for handling and collection of healthcare wastes
are vulnerable to the hazards of occupational exposure to biomedical waste (BMW) as a conse-
quence of improper disposal practices of the waste generators.
Objective: The study was conducted to determine the prevalence of Needle stick injury (NSI)
among the study subjects, and to study the knowledge and practice regarding Needle stick injury
(NSI) among the study subjects.
Results: Sixty two (31.1%) workers had knowledge that NSI during BMW handling can cause he-
patitis and 127 (63.8%) had knowledge that it can lead to HIV infection among them. The preva-
lence of NSI came to be 14.6% within the past six months.
Conclusion: A gap between knowledge and practice regarding action after NSI was found; there-
fore, measures to increase awareness are definitely required.
Almost 37.6% of Hepatitis B, 39% of Hepatitis C and hospital of Delhi. Bio-medical waste handlers were
4.4% of HIV/AIDS in HCWs globally are due to NSI, and defined as those hospital workers responsible for col-
the risk of transmission of infection from an infected lection and/or transport of BMW generated in the
patient to the HCW following a NSI are: Hepatitis B 3– hospital.4 A total of 390 workers formed our sample
10%, Hepatitis C 3%, and HIV 0.3%. The two most frame. Of 390 healthcare waste handlers, study sub-
common causes of NSIs are recapping of needles, and jects were chosen on the basis of convenience accord-
the unsafe collection and disposal of sharps waste.3 ing to their work shift. Out of 390 waste handlers, 199
Many studies have been conducted among healthcare formed our study sample.
workers responsible for generating waste like doctors,
nurses, laboratory technicians, but there are only a A semi-structured, interviewer-administered ques-
few studies which focus on Healthcare waste handlers tionnaire was used to collect data. The questionnaire
responsible for handling and collection of healthcare included questions regarding socio-demographic cha-
wastes. This group of waste handlers is vulnerable to racteristics, knowledge and awareness of diseases
the hazards of occupational exposure to biomedical transmitted due to NSI, vaccination and knowledge
waste (BMW) as a consequence of improper disposal and practice regarding management of NSI. A six-
practices of the waste generators. month period prevalence of NSI was taken. Data col-
lection was done from August to September 2015.
Hence the present study was conducted among Data thus collected was entered in MS Excel and ana-
healthcare waste handlers who were involved in col- lyzed for quantitative data. Mean, median, range, and
lection, storage and disposal of BMW. The objectives qualitative data was expressed as frequency and pro-
of the study were: to determine the prevalence of NSI portions.
among the Bio-medical waste handlers and to study
the knowledge and practice regarding NSI among the Results
study subjects.
Out of 199 participants, 162 (81%) were male and 37
Methodology (18.5%) were female. Among them, 163 (81.9%) were
married and 36 (18.1%) were unmarried. The age of
A hospital-based, cross-sectional study was conducted the participants ranged from 19 to 55 years, with the
among healthcare waste handlers in a tertiary care mean age of 30.6±8.05 years.
Table1.Distribution of Study Participants according to Sociodemographic Profile
Sociodemographic Profile Number (N=199) %
Age
<20 7 3.5
20–30 92 46.5
30–40 70 35.0
>40 30 15.0
Religion
Hindu 191 96.0
Muslim 6 3.0
Christian 2 1.0
Educational status
Illiterate 33 16.6
Primary 28 14.1
Middle 70 35.2
High 52 26.1
Sr. Secondary 12 6.0
Graduation 4 2.0
Total 199 100
The average work experience of the study participants checkup before job recruitment. All the study subjects
was 4.50 years, ranging from 2.0 to 6.0 years. There (n=199, 100%) knew that personal protective equip-
were 142 (71.3%) waste handlers who had pre- ment should be used while working, of which two par-
placement training and 29 (14.6%) who had health ticipants (1.0%) were not using any precautions while
15 ISSN: 2455-7048
Singh A et al. Epidem. Int. 2017; 2(2)
handling healthcare waste. One hundred ninety-seven infection among them. Of 199 study subjects, 46
(99.0%) wore gloves, 195 (98.0%) wore masks, 66 (23%) were aware that Hepatitis B vaccination is rec-
(33.2%) wore aprons, and 40 (20.1%) wore shoe cov- ommended, while only 17 (8.5%) had ever received
ers while handling yellow and blue/metallic contain- hepatitis B vaccine.
ers carrying sharps. Sixty-two (31.1%) workers knew
that NSI during BMW handling can cause hepatitis and There were 29 (14.6%) study subjects who had a his-
127 (63.8%) had knowledge that it can lead to HIV tory of NSI within the past six months.
Table 2.Distribution of Study Participants according to Knowledge and Practice about
What to Do following a Needle Stick Injury
Number %
Knowledge regarding Management of NSI (N=199)*
Consult the Medical Officer 185 93.0
Let the wound bleed 98 49.2
Wash wound with water and soap 59 29.6
Wash wound with water only 72 36.2
Press the wound with mouth 37 18.6
Do nothing, continue to work 4 0.2
Action Taken after NSI (n=29)*
Consulted the Medical Officer 24 82.8
Did not follow up 5 17.2
*Multiple responses present
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Epidem. Int. 2017; 2(2) Singh A et al.
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