Prevalence of surgical injuries, the commonest causes of the same and uptake of pep amongst health workers at Jinja regional referral hospital
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Date
2018-11
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Kampala International University. School of Health Sciences Western Campus
Abstract
A needle stick surgical injury is said to have occurred if a medical practitioner punctures the skin with a needle or sharp instrument that has been in contact with a patient’s blood. Splashing of blood or other body fluids to the conjunctiva is also included. OBJECTIVE; To determine the prevalence of surgical injuries, commonest causes attributed to the same and uptake of PEP amongst health workers at Jinja Regional Referral Hospital. METHODS; A descriptive cross sectional retrospective study was used with 168 documents reviewed. RESULTS; The study revealed a significant number of HCWs getting needle prick accidents and majority of these being nurses (35%) and interns (20%). 38% of accidents occur in the procedure rooms and 29% in the inpatient department wards and 20% of the injuries occurred in theatre. Majority, (48%) of the injuries occur during the night when HCWs are on night shift. Surgical needle manipulation 23%, disposal 17% and IV access 15% were the biggest culprit processes responsible for most injuries. Syringe needles were responsible for 36% of injuries followed by suture needles which were responsible for 26%, phlebotomy needles, 15%, IV cannula 12% and scalpel 11%. 68 HCWs were started on PEP after the NSI with 58 of them getting well and only 4 of them acquiring an infection. RECOMMENDATIONS; Refresher courses are required for HCWs who are less experienced. Safety guidelines need to be pinned in visually accessible sites in both procedure rooms and inpatient wards since most injuries occur there for easy reference in case need arises. Strict and proper schedule programming for staff and adequate breaks after long working hours to avoid fatigue. Closer monitoring and possible daily counseling of workers that have been initiated on PEP treatment.
Description
A dissertation submitted to the faculty of clinical medicine and dentistry in partial fulfillment of the requirements for the award of bachelor of medicine and bachelor of surgery degree of Kampala International University
Keywords
Surgical injuries, Pep, Health care workers, Jinja regional referral hospital