Evaluation of occupational exposure in healthcare workers via a trio-strategy of pre-KAP survey, educational intervention, and post-KAP survey
DOI:
https://doi.org/10.3396/ijic.v21.23772Keywords:
KAP survey, Health-care workers, educational session, BBPs, Occupational exposure, Trio strategy, Risk factorsAbstract
Background: Occupational exposures in form of sharps injury, splashes are common among healthcare workers (HCWs). There is a need to identify associated risks and provide focused training sessions accordingly. Knowledge, Attitude and Practices (KAP) survey has emerged as an effective tool to measure impact of trainings. In this study we are evaluating the impact of occupational safety training among health care workers via pre and post KAP surveys.
Aims: To estimate the prevalence of self-reported occupational exposures and evaluate the risk factors associated with it. To assess the impact of single educational session on healthcare workers.
Methods: All exposures based on self-reporting were recorded and evaluated. Impact of education on HCWs was evaluated via a Trio strategy of pre-KAP, followed by educational session and post- KAP assessment surveys.
Findings: The prevalence of self-reported occupational exposure was found to be 3.88%, most commonly in nurses (27%) and primarily during blood sample collection (19%). Detailed data was compiled for risk factor analysis. Significant improvements (p<0.001), in knowledge, attitude and practices were recorded with 33.6%, 19.1% and 26.7% respectively, after the educational session.
Conclusion: Focused and multiple educational sessions are required to increase reporting of exposure events and consolidation of knowledge, positive attitude and good practices in HCWs.
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References
1. Occupational Safety and Health Standards, 1910.1030 – bloodborne pathogens, (b) Definitions, Appendix A. Available from: https://www.osha.gov/laws-regs/regulations/standardnumber/1910/1910.1030 [cited 14 August 2021].
2. Mengistu DA, Dirirsa G, Elsai M, Ayele DM, Bayu K. Deriba W, et al. Global Occupational Exposure to Blood and Body Fluids among Healthcare Workers: Systematic Review and Meta-Analysis. Canadian Journal of Infectious Diseases and Medical Microbiology 2022; 5732046: 16. doi: 10.1155/2022/5732046
3. Abalkhail A, Kabir R, Elmosaad YM, Alwashmi ASS, Alhumaydhi FA, Alslamah T, et al. Needle-stick and sharp injuries among hospital healthcare workers in Saudi Arabia: a cross-sectional survey. Int J Environ Res Public Health 2022; 19(10): 1. doi: 10.3390/ijerph19106342
4. Garus-Pakowska A, Górajski M, Szatko F. Knowledge and attitudes of dentists with respect to the risks of blood-borne pathogens – a cross-sectional study in Poland. Int J Environ Res Public Health 2017; 14(1): 69. doi: 10.3390/ijerph14010069
5. Guruprasad Y, Chauhan D. Knowledge, attitude and practice regarding risk of HIV infection through accidental needlestick injuries among dental students of Raichur, India. Natl J Maxillofac Surg 2011; 2(2): 152. doi: 10.4103/0975-5950.94470
6. Gambhir R, Gill S, Kapoor V, Singh S, Singh A. Knowledge, awareness and practice regarding needle stick injuries in dental profession in India: a systematic review. Niger Med J 2013; 54(6): 365. doi: 10.4103/0300-1652.126283
7. Bhargava A, Mishra B, Thakur A, Dogra V, Loomba P, Gupta S. Assessment of knowledge, attitude and practices among healthcare workers in a tertiary care hospital on needle stick injury. Int J Health Care Qual Assur 2013; 26(6): 549–58. doi: 10.1108/IJHCQA-04-2012-0035
8. Madhavan A, Asokan A, Vasudevan A, Maniyappan J, Veena K. Comparison of knowledge, attitude, and practices regarding needle-stick injury among health care providers. J Family Med Prim Care 2019; 8(3): 840–5. doi: 10.4103/jfmpc.jfmpc_103_19
9. National AIDS Control Organization. National guidelines for HIV care and treatment, 2021. New Delhi: NACO, Ministry of Health and Family Welfare, Government of India; 2021. Available from: http://naco.gov.in/sites/default/files/National_Guidelines_for_HIV_Care_and_Treatment_2021.pdf [cited 30 October 2022].
10. CDC. Updated US. Public health service guidelines for the management of occupational exposures to human immunodeficiency virus and recommendations for post exposure prophylaxis. Atlanta: CDC Stacks Public Health Publications; 2013, pp. 24–7.
11. Centers for Disease Control and Prevention. Standard precautions and advising HCP to report exposures. MMWR 2013; 62(10): 12–16.
12. Moorman AC, de Perio MA, Goldschmidt R, Chu C, Kuhar D, Henderson DK, et al. Testing and clinical management of health care personnel potentially exposed to hepatitis C virus – CDC Guidance, United States, 2020. MMWR Recomm Rep 2020; 69(6): 1–8. doi: 10.15585/mmwr.rr6906a1
13. Asgedom AA, Bråtveit M, Moen BE. Knowledge, attitude and practice related to chemical hazards and personal protective equipment among particleboard workers in Ethiopia: a cross-sectional study. BMC Public Health 2019; 19(1): 440. doi: 10.1186/s12889-019-6807-0
14. Mishra R, Sharma SK, Gupta PK, Gupta P, Vasantha Kalyani C. Occupational health cognizance: needle stick injuries among student nurses. Int J Afr Nurs Sci 2021; 15: 100370. doi: 10.1016/j.ijans.2021.100370
15. Jain M. Practices of health care personnel regarding occupational exposure. J Clin Diagn Res 2016; 10(11): 15. doi: 10.7860/JCDR/2016/20934.8893
16. Jaybhaye D, Dahire P, Nagaonkar A, Vedpathak V, Deo D, Kawalkar U. Needle stick injuries among health care workers in tertiary care hospital in tertiary care hospital of rural India. Int J Med Sci Public Health 2014; 3(1): 49. doi: 10.5455/ijmsph.2013.230920133
17. Shriyan A, Annamma R. Incidence of occupational exposures in a tertiary health care center. Indian J Sex Transm Dis AIDS 2012; 33(2): 91. doi: 10.4103/0253-7184.102111
18. Yasin J, Fisseha R, Mekonnen F, Yirdaw K. Occupational exposure to blood and body fluids and associated factors among health care workers at the University of Gondar Hospital, Northwest Ethiopia. Environ Health Prev Med 2019; 24(1): 18. doi: 10.1186/s12199-019-0769-9
19. Abere G, Yenealem DG, Wami SD. Occupational exposure to blood and body fluids among health care workers in Gondar Town, Northwest Ethiopia: a result from cross-sectional study. J Environ Public Health 2020; 2020: 1–9. doi: 10.1155/2020/3640247
20. Selladurai S, Shireen N. A study to estimate the prevalence of occupational exposure to blood and body fluids among the health care workers in a teaching hospital attached to Bangalore Medical College and Research Institute (BMCRI). Natl J Community Med 2019; 10(05): 252–5.
21. Nwoga HO, Ajuba MO, Omotowo B. Prevalence of occupational accidents among healthcare workers in government primary health facilities in Enugu Metropolis, South-East Nigeria. Int J Sci Res Publ 2020; 10(06): 668–73. doi: 10.29322/IJSRP.10.06.2020.p10278
22. al Jarallah A, Ahmed A. Risk management approach of needle stick and sharp injuries among nurses, Saudi Arabia: an interventional study. J Arab Soc Med Res 2016; 11(2): 50.
23. Goel V, Kumar D, Lingaiah R, Singh S. Occurrence of needlestick and injuries among health-care workers of a tertiary care teaching hospital in North India. J Lab Physicians 2017; 9(1): 20–5. doi: 10.4103/0974-2727.187917
24. Jaggi N, Nirwan P, Chakraborty M. Process improvement to effectively manage and reduce sharps injuries in a Tertiary Hospital in Northern India. J Healthc Qual Res 2020; 35(3): 141–8.
25. Bouya S, Balouchi A, Rafiemanesh H, Amirshahi M, Dastres M, Moghadam MP, et al. Global prevalence and device related causes of needle stick injuries among health care workers: a systematic review and meta-analysis. Ann Glob Health 2020; 86(1): 35. doi: 10.5334/aogh.2698
26. Alfulayw KH, Al-Otaibi ST, Alqahtani HA. Factors associated with needlestick injuries among healthcare workers: implications for prevention. BMC Health Serv Res 2021; 21(1): 1074.
27. Thiyagarajan M, Ranganathan U, Shivekar S, Rangasamy G. Trends of voluntary reporting of needlestick injuries and hepatitis B vaccination status among health-care workers of a tertiary health care center in Puducherry. J Lab Physicians 2019; 11(4): 352–5. doi: 10.4103/JLP.JLP_93_19
28. Joukar F, Mansour-Ghanaei F, Naghipour M, Asgharnezhad M. Needlestick injuries among healthcare workers: why they do not report their incidence? Iran J Nurs Midwifery Res 2018; 23(5): 382.
29. Valsan C, Paul J, Kuttichira P, Varghese R, Joseph S. Magnitude and profile of occupational exposures to blood and body fluids among health-care workers: a study from a tertiary care teaching hospital. J Patient Saf Infect Control 2017; 5(2): 47–51. doi: 10.4103/jpsic.jpsic_18_17
30. Sakr CJ, Alameddine R, Hoteit R, Daou C, Doudakian R, Kreidieh K, et al. Occupational exposure to blood-borne pathogens among healthcare workers in a tertiary care center in Lebanon. Ann Work Expo Health 2021; 65(4): 475–84. doi: 10.1093/annweh/wxaa117
31. Hada V, Saurabh K, Sharma A, Nag VL, Gadepalli RS, Maurya AK. Nursing students: a vulnerable health-care worker for needlesticks injuries in teaching hospitals. J Family Med Prim Care 2018; 7(4): 717–20. doi: 10.4103/jfmpc.jfmpc_265_17
32. Yazie TD, Sharew GB, Abebe W. Knowledge, attitude, and practice of healthcare professionals regarding infection prevention at Gondar University referral hospital, northwest Ethiopia: a cross-sectional study. BMC Res Notes 2019; 12(1): 563. doi: 10.4103/jfmpc.jfmpc_265_17
33. Mesfin YM, Kibret KT. Assessment of knowledge and practice towards hepatitis B among medical and health science students in Haramaya University, Ethiopia. PLoS One 2013; 8(11): e79642. doi: 10.1371/journal.pone.0079642
34. Li H, Wu CX, Yang PP. [Risk factors analysis and intervention of blood-borne occupational exposure in medical staff]. Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi 2022; 40(1): 53–6.
35. Al-Abhar N, Moghram GS, Al-Gunaid EA, al Serouri A, Khader Y. Occupational exposure to needle stick injuries and hepatitis B vaccination coverage among clinical laboratory staff in Sana’a, Yemen: cross-sectional study. JMIR Public Health Surveill 2020; 6(1): e15812. doi: 10.2196/15812
36. Shrestha I. Impact of educational intervention on knowledge and practice of universal precautions among nurses. J Patan Acad Health Sci 2015; 1(1): 57–60. doi: 10.3126/jpahs.v1i1.13022
37. Khelgi A, Raj R, Reji R, Chandran R. Knowledge, attitude and practice regarding needle-stick injuries among nursing staff in a Tertiary Care Hospital, Mangalore, India. J Evol Med Dent Sci 2021; 10(30): 2290–3. doi: 10.14260/jemds/2021/468
38. Ndu AC, Arinze-Onyia SU. Standard precaution knowledge and adherence: do doctors differ from medical laboratory scientists? Malawi Med J 2018; 29(4): 294. doi: 10.4314/mmj.v29i4.3
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