Abstract Ref Number = APCP1260
SHARP OBJECTS INJURIES SITUATION IN CIPTO MANGUNKUSUMO NATIONAL GENERAL HOSPITAL
Hindra Satari,Stephanie A Hatibie,Ari Prayitno
RSCM FKUI RSCMFKUI
Background : Health care workers (HCWs) are at risk of occupationally acquired bloodborne diseases as the result of sharp object injuries (SOIs). The injured skin caused by SOI can be the port d’entree of pathogen transmission such as hepatitis B and C viral, and human immunodeficiency virus (HIV). The aim of this study was to investigate the frequency of SOIs among the health care workers in Cipto Mangunkusumo National General Hospital, Jakarta, Indonesia.
Material : This cross-sectional study was conducted during January 2014 December 2017. The target population consisted of the all hospital staff. SOIs data was collected from Prevention and Infection Control team report form.
Results : Total cases of sharp object injuries were 191 cases during 2014-2017 (approximately 48 cases per year), with the peak incidence in 2015. Among those, the majority was caused by needle stick injury (74%) cases. Other were caused by scalpel, surgical suture needles, and intravenous catheter needles. The peak time of injuries occurred at 08 a.m – 03 p.m. Most cases of injuries were occurred in the emergency room (37% cases), followed by patient ward (30%), and others (operating room, outpatient clinic, pathology anatomy laboratory and radiology). Doctors and residents were those who were most injured by sharp objects (74% cases) followed by nurses and midwives (47.6%). Others were nursing students (7.8%), medical students (5.7%), cleaning services (4%), patient-helpers (4%), and medical laboratory analyst (1.6%).
Conclusions : The prevalence of SOIs is high among medical staff who frequently exposed to syringe on their duties. According to Centers for Disease Control and Prevention (CDC), the incidence of sharp object injuries among HCWs were approximately 385.000 cases per year. The incidence in our hospital were approximately 48 cases per year. This contrast data might be due to iceberg phenomenon. It seems that increasing HCWs awareness can be effective in finding the real number of cases.
Keywords: sharp object injuries needle stick health-care workers