Assessment Of Safe Injection Practices in A Tertiary Care Hospital: A Cross-Sectional Study from Chhattisgarh
Keywords:
Injection providers, Knowledge, Safe injectionAbstract
Background: Unsafe injection practices are associated with transmis- sion of blood -borne pathogens. The present study was undertaken to determine the knowledge and practice about safe injection among injection providers in a tertiary care hospital.
Methods: a cross –sectional survey of sixty two nurses was done in their working hours and 2119 observations were made in pre- designed pre-tested proforma.
Results: Injection provider’s knowledge about risk of transmission of pathogens like HIV was 77.4%, for HBV was 33.8%, and for HCV was 1.6%. While knowledge about unsafe injection practices like reuse of same needle was 98.3% and reuse of same syringe with needle changed was 96.7%. Risk practices observed were providers did not wore gloves (43.1%), did not washed hands (70.3%), shredding of needle not done after use (91.7%), syringes and needle were placed on a surface or carried any distance prior to disposal (64.4%), injec- tion provider reached into a mass of used needle and syringes (36.6%) and recapping of needle was done (33.1%).
Conclusion: The results indicates knowledge about safe injection practices was sufficient, despite that unsafe practices associated with risk to provider and community was seen.
References
Hutin Y, Hauri A, Chiarello L, Catlin M, Stilwel B,Ghebrehiwet T, et al. Best infection control practices for intradermal, subcutaneous and intramuscular needle in- jections. Bull WHO 2003;81:491-500
Geneva: World Health Organization (WHO), “Safety of Injections Question and Answers,” Publication No. WHO/EHT/04.06, Secretariat of the Safe Injection Global Network, Department of Essential Health Technologies, 2011. Available at http://who.int/injection_safety/resources/en/index.ht ml last accessed on 08.08.2015
Simonsen L, Kane A, Llyod J, Zaffran M, Kane M. Unsafe injections in the developing world and transmission of blood borne pathogens: a review. Bull WHO 1999; 77:789- 98
Hauri AM, Armstrong GL, Hutin YJF. The global burden of disease attributable to contaminated injections given in health care settings. Int J STD AIDS. 2004; 15:7-16
Hutin YJ, Hauri AM, Armstrong GL: use of injections in health care settings worldwide 2000:literature review and regional estimates. BMJ 2003,327 (7423):1075
Lakshman M, Nichter M: Contamination of medicine injection paraphernalia used by registered medical practi- tioners in south India: an ethnographic study. Social Science and Medicine 2000,51:11-28.
Rajasekaran M, Sivagnanam G, Thirumalaikolundusu- bramanian P, Namasivayam K, Ravindranath C: Injection practices in southern part of India. Public Health 2003, 117:208-213
Reeler AV. Anthropological perspectives on injections: a review. Bull World Health Organization 2000;78: 135-43
WHO fact sheet no.231 safety of injections.2002. Available from: http://www.int/inffs/en/fact231.html. last ac- cessed on 19.10.2015
Anand K, Pandav CS, Kapoor SK. Injection use in a vil- lage in north India. Natl Med J India 2001;14: 143-4
Kotwal A , Priya R, Thakur R, Gupta V, Kotwal J, Seth T. Injection practices in a metropolis of north India: percep- tions, determinants and issues of safety. Indian J of Med Sci 2004;58:334-44
Injection practices in India. IPEN study Group. WHO South-East Asia journal of Public Health 2012;1(2):189-200
Vincent E Omorogbe, Vivian O Omuemu, Alphonsus R Isara. Injection safety practices among nursing staff of mission hospitals in Benin City, Nigeria. Annals of Afri- can Medicine, 2012;11(1):36-41
Chowdhury AZ, Roy T et al.. A comprehensive situation assessment of injection practices in primary health care hospitals in Bangladesh. BMC Public Health 2011, 11:779
Bolarinwa OA, Salaudeen AG, Aderibigbe SA, Musa OI, Akande TM, Bamidele JO. Injection practices among pri- mary health care workers in Ilorin, Kwara state of Nige- ria. Health Science Journal, 2012; 6(3): 495-508
Bobby Paul, Sima Roy, Dipankar Chattopadhyay, Suka- mol Bisoi, Raghunath Misra , Nabanita Bhattacharya, Biswajit Biswas. A Study on Safe Injection Practices of Nursing Personnel in a Tertiary Care Hospital of Kolkata, West Bengal, India. TAF Prev Med Bull. 2011; 10(6): 681- 686
Fitzner J, Aguilera JF, Yameogo A, Duclos P, Hutin YJ. Injection practices in Burkina Faso in 2000. Int J Qual Health Care. 2004; 16(4):303-8.
Al Awaidy S, Bawikar S, Duclos P. Safe Injection Practic- es in Oman in a primary health care setting in Oman . East Mediterr Health J. 2006;12 suppl 2:S 207-16
Daly AD, Nxumalo MP, Beillik RJ. An assessment of safe injection practices in health facilities in Swaziland. S Afr Med J.2004; 94 (3):194-7
Federal Ministry of Health, John Snow Inc/Making Injec- tion Safer/ Nigeria. Injection safety in context of injection prevention and control trainers guide. Do not harm facili- tators guide.2006;2-103.
Ashish Naik, Vaibhav Gharat, R.K.Bansal. An assessment of injection practices in urban Health centres of Surat city: are the health Care workers safe? National Journal of Community Medicine. 2012; 3(1):125-128
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
The authors retain the copyright of their article, with first publication rights granted to Medsci Publications.
