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

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    Author
    Cooke, C.E.
    Stephens, J.M.
    Date
    2017
    Journal
    Medical Devices: Evidence and Research
    Publisher
    Dove Medical Press Ltd
    Type
    Article
    
    Metadata
    Show full item record
    See at
    https://doi.org/10.2147/MDER.S140846
    Abstract
    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. Copyright 2017 Cooke and Stephens.
    Keyword
    Blood-borne pathogens
    Healthcare personnel safety
    Injections
    Occupational injuries
    Safety-engineered devices
    Identifier to cite or link to this item
    https://www.scopus.com/inward/record.uri?eid=2-s2.0-85032858253&doi=10.2147%2fMDER.S140846&partnerID=40&md5=9b27e0acb98cc6cc2c79f24c44dce662; http://hdl.handle.net/10713/10946
    ae974a485f413a2113503eed53cd6c53
    10.2147/MDER.S140846
    Scopus Count
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    UMB Open Access Articles 2017

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