Risk Factors of Needlestick and Sharp Injuries among Health Care Workers at Sanglah Tertiary Hospital

Background: Needlestick and sharp injuries (NSIs) remain one of the main occupational hazards among health care workers (HCWs) that lead to blood-borne pathogen exposure. Purpose: This study examined the risk factors for NSIs among HCWs at a tertiary referral hospital in Bali. Methods: A case-contro...

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Autores principales: I Komang Widarma Atmaja, I Made Ady Wirawan, I Ketut Suarjana
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Publicado: Universitas Airlangga 2021
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spelling oai:doaj.org-article:b015c2a932de4423ac2163c1d84318aa2021-12-02T11:53:59ZRisk Factors of Needlestick and Sharp Injuries among Health Care Workers at Sanglah Tertiary Hospital2301-71712541-092X10.20473/jbe.V9I12021.36-43https://doaj.org/article/b015c2a932de4423ac2163c1d84318aa2021-01-01T00:00:00Zhttps://e-journal.unair.ac.id/JBE/article/view/16910https://doaj.org/toc/2301-7171https://doaj.org/toc/2541-092XBackground: Needlestick and sharp injuries (NSIs) remain one of the main occupational hazards among health care workers (HCWs) that lead to blood-borne pathogen exposure. Purpose: This study examined the risk factors for NSIs among HCWs at a tertiary referral hospital in Bali. Methods: A case-control study was conducted at Sanglah General Hospital, Bali, involving 171 HCWs, divided into 81 cases and 90 control subjects. The sample was selected using a simple random sampling technique. Data were collected using questionnaires and analyzed using multiple logistic regression. Results: The majority of respondents had experienced NSIs once, in the morning shift, and had affected an individual’s hands. The most frequent activity leading to NSIs was giving an injection and most of the situations causing NSIs involved accidental self-action, and recapping needles. Factors associated with the incidence of NSIs were work career or experience of <5 years (p < 0.01; adjusted odds ratio [AOR]=5.04; 95% confidence interval [CI] = 2.04–12.42), non-compliance with working procedures (p = 0.01; AOR = 2.47; 95%CI= 1.26–4.82), female HCWs (p = 0.03; AOR = 2.21; 95% CI = 1.01–4.55), and unsafe workplace conditions (p = 0.04; AOR = 2.23; 95% CI = 1.01–4.92). Conclusion: Personal and environmental factors such as gender, work experience, compliance with working procedures, and workplace conditions are among the risk factors for NSIs. Occupational health and safety policies and programs focusing on the relevant factors, accompanied by adequate supervision, are necessary to reduce the risk of NSIs occurring.I Komang Widarma AtmajaI Made Ady WirawanI Ketut SuarjanaUniversitas Airlanggaarticlehealth personneloccupational epidemiologyoccupational injuriesrisk factorsPublic aspects of medicineRA1-1270Infectious and parasitic diseasesRC109-216ENIDJurnal Berkala Epidemiologi, Vol 9, Iss 1, Pp 36-43 (2021)
institution DOAJ
collection DOAJ
language EN
ID
topic health personnel
occupational epidemiology
occupational injuries
risk factors
Public aspects of medicine
RA1-1270
Infectious and parasitic diseases
RC109-216
spellingShingle health personnel
occupational epidemiology
occupational injuries
risk factors
Public aspects of medicine
RA1-1270
Infectious and parasitic diseases
RC109-216
I Komang Widarma Atmaja
I Made Ady Wirawan
I Ketut Suarjana
Risk Factors of Needlestick and Sharp Injuries among Health Care Workers at Sanglah Tertiary Hospital
description Background: Needlestick and sharp injuries (NSIs) remain one of the main occupational hazards among health care workers (HCWs) that lead to blood-borne pathogen exposure. Purpose: This study examined the risk factors for NSIs among HCWs at a tertiary referral hospital in Bali. Methods: A case-control study was conducted at Sanglah General Hospital, Bali, involving 171 HCWs, divided into 81 cases and 90 control subjects. The sample was selected using a simple random sampling technique. Data were collected using questionnaires and analyzed using multiple logistic regression. Results: The majority of respondents had experienced NSIs once, in the morning shift, and had affected an individual’s hands. The most frequent activity leading to NSIs was giving an injection and most of the situations causing NSIs involved accidental self-action, and recapping needles. Factors associated with the incidence of NSIs were work career or experience of <5 years (p < 0.01; adjusted odds ratio [AOR]=5.04; 95% confidence interval [CI] = 2.04–12.42), non-compliance with working procedures (p = 0.01; AOR = 2.47; 95%CI= 1.26–4.82), female HCWs (p = 0.03; AOR = 2.21; 95% CI = 1.01–4.55), and unsafe workplace conditions (p = 0.04; AOR = 2.23; 95% CI = 1.01–4.92). Conclusion: Personal and environmental factors such as gender, work experience, compliance with working procedures, and workplace conditions are among the risk factors for NSIs. Occupational health and safety policies and programs focusing on the relevant factors, accompanied by adequate supervision, are necessary to reduce the risk of NSIs occurring.
format article
author I Komang Widarma Atmaja
I Made Ady Wirawan
I Ketut Suarjana
author_facet I Komang Widarma Atmaja
I Made Ady Wirawan
I Ketut Suarjana
author_sort I Komang Widarma Atmaja
title Risk Factors of Needlestick and Sharp Injuries among Health Care Workers at Sanglah Tertiary Hospital
title_short Risk Factors of Needlestick and Sharp Injuries among Health Care Workers at Sanglah Tertiary Hospital
title_full Risk Factors of Needlestick and Sharp Injuries among Health Care Workers at Sanglah Tertiary Hospital
title_fullStr Risk Factors of Needlestick and Sharp Injuries among Health Care Workers at Sanglah Tertiary Hospital
title_full_unstemmed Risk Factors of Needlestick and Sharp Injuries among Health Care Workers at Sanglah Tertiary Hospital
title_sort risk factors of needlestick and sharp injuries among health care workers at sanglah tertiary hospital
publisher Universitas Airlangga
publishDate 2021
url https://doaj.org/article/b015c2a932de4423ac2163c1d84318aa
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