Clinical, economic, and humanistic burden of needlestick injuries in healthcare workers

Catherine E Cooke,1 Jennifer M Stephens2 1Department of Pharmacy Practice & Science, University of Maryland School of Pharmacy, Baltimore, MD, 2Pharmerit International, Bethesda, MD, USA Introduction: Needlestick injuries (NSIs) from a contaminated needle put healthcare workers (HCW...

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Autores principales:	Cooke CE, Stephens JM
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	Needlestick injury Bloodborne pathogens Healthcare personnel safety Safety-engineered devices Medical technology R855-855.5
Acceso en línea:	https://doaj.org/article/f4168c7ea0424117b26330ef36da4d35
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spelling	oai:doaj.org-article:f4168c7ea0424117b26330ef36da4d352021-12-02T02:56:38ZClinical, economic, and humanistic burden of needlestick injuries in healthcare workers1179-1470https://doaj.org/article/f4168c7ea0424117b26330ef36da4d352017-09-01T00:00:00Zhttps://www.dovepress.com/clinical-economic-and-humanistic-burden-of-needlestick-injuries-in-hea-peer-reviewed-article-MDERhttps://doaj.org/toc/1179-1470Catherine E Cooke,1 Jennifer M Stephens2 1Department of Pharmacy Practice & Science, University of Maryland School of Pharmacy, Baltimore, MD, 2Pharmerit International, Bethesda, MD, USA Introduction: Needlestick injuries (NSIs) from a contaminated needle put healthcare workers (HCWs) at risk of becoming infected with a blood-borne virus and suffering serious short- and long-term medical consequences. Hypodermic injections using disposable syringes and needles are the most frequent cause of NSIs. Objective: To perform a systematic literature review on NSI and active safety-engineered devices for hypodermic injection. Methods: MEDLINE, EMBASE, and COCHRANE databases were searched for studies that evaluated the clinical, economic, or humanistic outcomes of NSI or active safety-engineered devices. Results: NSIs have been reported by 14.9%–69.4% of HCWs with the wide range due to differences in countries, settings, and methodologies used to determine rates. Exposure to contaminated sharps is responsible for 37%–39% of the worldwide cases of hepatitis B and C infections in HCWs. HCWs may experience serious emotional effects and mental health disorders after a NSI, resulting in work loss and post-traumatic stress disorder. In 2015 International US$ (IntUS$), the average cost of a NSI was IntUS$747 (range IntUS$199–1,691). Hypodermic injections, the most frequent cause of NSI, are responsible for 32%–36% of NSIs. The use of safety devices that cover the needle-tip after hypodermic injection lowers the risk of NSI per HCW by 43.4%–100% compared to conventional devices. The economic value of converting to safety injective devices shows net savings, favorable budget impact, and overall cost-effectiveness. Conclusion: The clinical, economic, and humanistic burden is substantial for HCWs who experience a NSI. Safety-engineered devices for hypodermic injection demonstrate value by reducing NSI risk, and the associated direct and indirect costs, psychological stress on HCWs, and occupational blood-borne viral infection risk. Keywords: injections, occupational injuries, blood-borne pathogens, healthcare personnel safety, safety-engineered devicesCooke CEStephens JMDove Medical PressarticleNeedlestick injuryBloodborne pathogensHealthcare personnel safetySafety-engineered devicesMedical technologyR855-855.5ENMedical Devices: Evidence and Research, Vol Volume 10, Pp 225-235 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Needlestick injury Bloodborne pathogens Healthcare personnel safety Safety-engineered devices Medical technology R855-855.5
spellingShingle	Needlestick injury Bloodborne pathogens Healthcare personnel safety Safety-engineered devices Medical technology R855-855.5 Cooke CE Stephens JM Clinical, economic, and humanistic burden of needlestick injuries in healthcare workers
description	Catherine E Cooke,1 Jennifer M Stephens2 1Department of Pharmacy Practice & Science, University of Maryland School of Pharmacy, Baltimore, MD, 2Pharmerit International, Bethesda, MD, USA Introduction: Needlestick injuries (NSIs) from a contaminated needle put healthcare workers (HCWs) at risk of becoming infected with a blood-borne virus and suffering serious short- and long-term medical consequences. Hypodermic injections using disposable syringes and needles are the most frequent cause of NSIs. Objective: To perform a systematic literature review on NSI and active safety-engineered devices for hypodermic injection. Methods: MEDLINE, EMBASE, and COCHRANE databases were searched for studies that evaluated the clinical, economic, or humanistic outcomes of NSI or active safety-engineered devices. Results: NSIs have been reported by 14.9%–69.4% of HCWs with the wide range due to differences in countries, settings, and methodologies used to determine rates. Exposure to contaminated sharps is responsible for 37%–39% of the worldwide cases of hepatitis B and C infections in HCWs. HCWs may experience serious emotional effects and mental health disorders after a NSI, resulting in work loss and post-traumatic stress disorder. In 2015 International US$ (IntUS$), the average cost of a NSI was IntUS$747 (range IntUS$199–1,691). Hypodermic injections, the most frequent cause of NSI, are responsible for 32%–36% of NSIs. The use of safety devices that cover the needle-tip after hypodermic injection lowers the risk of NSI per HCW by 43.4%–100% compared to conventional devices. The economic value of converting to safety injective devices shows net savings, favorable budget impact, and overall cost-effectiveness. Conclusion: The clinical, economic, and humanistic burden is substantial for HCWs who experience a NSI. Safety-engineered devices for hypodermic injection demonstrate value by reducing NSI risk, and the associated direct and indirect costs, psychological stress on HCWs, and occupational blood-borne viral infection risk. Keywords: injections, occupational injuries, blood-borne pathogens, healthcare personnel safety, safety-engineered devices
format	article
author	Cooke CE Stephens JM
author_facet	Cooke CE Stephens JM
author_sort	Cooke CE
title	Clinical, economic, and humanistic burden of needlestick injuries in healthcare workers
title_short	Clinical, economic, and humanistic burden of needlestick injuries in healthcare workers
title_full	Clinical, economic, and humanistic burden of needlestick injuries in healthcare workers
title_fullStr	Clinical, economic, and humanistic burden of needlestick injuries in healthcare workers
title_full_unstemmed	Clinical, economic, and humanistic burden of needlestick injuries in healthcare workers
title_sort	clinical, economic, and humanistic burden of needlestick injuries in healthcare workers
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/f4168c7ea0424117b26330ef36da4d35
work_keys_str_mv	AT cookece clinicaleconomicandhumanisticburdenofneedlestickinjuriesinhealthcareworkers AT stephensjm clinicaleconomicandhumanisticburdenofneedlestickinjuriesinhealthcareworkers
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Clinical, economic, and humanistic burden of needlestick injuries in healthcare workers

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