Cross-sectional Study Assessing the Risk of Needlestick Injury from an Insulin Pen Among Nursing Care Providers

Overview

Journal J Int Med Res

Publisher Sage Publications

Specialty General Medicine

Date 2020 Oct 28

PMID 33108918

Authors

Yanlin Zhang

Li Liu

Kaixiu Cai

LiRong Zhang

Ling Liu

Xianli Zhou

Zhiping Liu

Yu Peng

Affiliations

Soon will be listed here.

Abstract

Objective: Needlestick injuries caused by insulin pen injection are a serious occupational hazard for health care workers in China. We evaluated the prevalence of stick injuries with insulin pen injection and identified associated risk factors.

Methods: This cross-sectional survey was conducted from 1 October to 30 November 2018 in two tier three hospitals in Chongqing, China. Self-administered questionnaires were developed by the Chinese Nursing Association Diabetes Care Special Committee. We analyzed associations between potential risk factors and injuries at different operational steps.

Results: A total 233 of 302 (77%) participants (mean age 28.5±5.3 years) reported a needlestick incident. Most respondents (49%) had 3 to 10 years' working experience and had received injection safety training. Most needlestick injuries occurred while recapping needles after injection. The risk of injury was significantly associated with department and job position. The injury rate increased with increased number of years worked. Respondents with ≥10 years working experience reported the highest needle-capping injury rate (88%): odds ratio 1.93, 95% confidence interval, 1.01 to 3.69.

Conclusion: Recapping needles after injection showed the highest risk for stick injury with an insulin pen. Nurses in the surgery department and those with longer work histories were more likely to be injured.

References

Hu C, Jia W . Diabetes in China: Epidemiology and Genetic Risk Factors and Their Clinical Utility in Personalized Medication. Diabetes. 2017; 67(1):3-11. DOI: 10.2337/dbi17-0013. View

Pellissier G, Migueres B, Tarantola A, Abiteboul D, Lolom I, Bouvet E . Risk of needlestick injuries by injection pens. J Hosp Infect. 2006; 63(1):60-4. DOI: 10.1016/j.jhin.2005.12.006. View

Zhang L, Ai Y, Liu J, Yue N, Xuan J, Bal V . Economic burden of needlestick injuries among healthcare workers in China. J Med Econ. 2020; 23(7):683-689. DOI: 10.1080/13696998.2020.1737534. View

Trinkoff A, Le R, Geiger-Brown J, Lipscomb J . Work schedule, needle use, and needlestick injuries among registered nurses. Infect Control Hosp Epidemiol. 2007; 28(2):156-64. DOI: 10.1086/510785. View

Stefanati A, Boschetto P, Previato S, Kuhdari P, De Paris P, Nardini M . [A survey on injuries among nurses and nursing students: a descriptive epidemiologic analysis between 2002 and 2012 at a University Hospital]. Med Lav. 2015; 106(3):216-29. View

Bekele T, Gebremariam A, Kaso M, Ahmed K . Factors Associated with Occupational Needle Stick and Sharps Injuries among Hospital Healthcare Workers in Bale Zone, Southeast Ethiopia. PLoS One. 2015; 10(10):e0140382. PMC: 4607483. DOI: 10.1371/journal.pone.0140382. View

Yakushiji F, Funaki Y, Yamakawa K, Kudo A, Fujita H, Yasuda M . The AutoShield Pen Needle is useful for preventing accidental puncture while administering insulin to others by injection. J Diabetes Sci Technol. 2012; 6(3):723-4. PMC: 3440053. DOI: 10.1177/193229681200600332. View

Kunishima H, Yoshida E, Caputo J, Mikamo H . Estimating the national cost burden of in-hospital needlestick injuries among healthcare workers in Japan. PLoS One. 2019; 14(11):e0224142. PMC: 6837393. DOI: 10.1371/journal.pone.0224142. View

Motaarefi H, Mahmoudi H, Mohammadi E, Hasanpour-Dehkordi A . Factors Associated with Needlestick Injuries in Health Care Occupations: A Systematic Review. J Clin Diagn Res. 2016; 10(8):IE01-IE04. PMC: 5028444. DOI: 10.7860/JCDR/2016/17973.8221. View

10.

Gao X, Hu B, Suo Y, Lu Q, Chen B, Hou T . A large-scale survey on sharp injuries among hospital-based healthcare workers in China. Sci Rep. 2017; 7:42620. PMC: 5311998. DOI: 10.1038/srep42620. View

11.

Sohn J, Kim B, Kim S, Han C . Mental health of healthcare workers who experience needlestick and sharps injuries. J Occup Health. 2006; 48(6):474-9. DOI: 10.1539/joh.48.474. View

12.

Lo W, Chiou S, Huang N, Chien L . Long work hours and chronic insomnia are associated with needlestick and sharps injuries among hospital nurses in Taiwan: A national survey. Int J Nurs Stud. 2016; 64:130-136. DOI: 10.1016/j.ijnurstu.2016.10.007. View

13.

Wang C, Huang L, Li J, Dai J . Relationship between psychosocial working conditions, stress perception, and needle-stick injury among healthcare workers in Shanghai. BMC Public Health. 2019; 19(1):874. PMC: 6610837. DOI: 10.1186/s12889-019-7181-7. View

14.

Costigliola V, Frid A, Letondeur C, Strauss K . Needlestick injuries in European nurses in diabetes. Diabetes Metab. 2012; 38 Suppl 1:S9-14. DOI: 10.1016/S1262-3636(12)70976-X. View