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Setting–
Incidence and Prevention
• Bacteria: • Virus:
Bacillus anthracis HAV, HBV, HCV
Leptospira HIV
Strept.
pneumoniae CMV, HSV, EBV
Borrelia recurrentis Measles
Mycobacterium
leprae Parvovirus B19
Listeria
Poliovirus
Brucella
Yellow fever
• Protozoa:
Malaria
Toxoplasma gondii
Sharps injuries
• Handwashing
• Gloves
• Gowns/aprons
• Masks/eye shields/goggles/face
shields
• Appropriate handling and disposal of
waste
• Aseptic techniques
Percutaneous injuries during surgery
HBV 6 - 30
HCV 3 - 10
HIV 0.3
Average risk of seroconversion following a
percutaneous exposure to an infected source
Lanphear BP. Epidemiol rev. 1994;16(2):437-50
virus Seroconversion
risk %
HBsAg +ve, 5
HBeAg –ve
HBsAg +ve, 19 - 30
HBeAg +ve
Hep C 1-8
HIV 0.31
Hollow-bore needles and other devices associated with
percutaneous injuries in NaSH hospitals, by % total
percutaneous injuries (n=4.951) June 1995-July 1999.
CDC 1999
Causes of percutaneous injuries with hollow-bore
needles in NaSH hospitals, by % total percutaneous
injuries
(n=3,057) June 1995-July 1999. Source : CDC 1999
Incidence of Sharps Injuries in UMMC
2000 - 2005
25
25 * Doctor:
Medical officer - 16
20
House officer - 9
20
Total case
15
15
10
9
10 8
7
5
2 2
1 1
0
r
an
t
se
nt
t
se
te
t
er
se
to
an
an
en
de
as
an
oc
ur
ur
ci
ur
st
nd
ud
ni
tu
W
N
tN
le
.N
D
si
tte
St
ch
lS
C
f
lA
al
af
en
ss
Te
A
e
al
ic
ta
St
ta
A
at
ud
li n
ic
en
en
b.
iv
ed
St
C
D
La
Pr
D
M
er
rt
Po
Job category
Total case
0
2
4
6
8
10
12
Dental Faculty
PTj Trauma & Kecemasan
10 10 10
Operation theater
6
Outpatient clinic
6
Labour ward
5
12U
4
9U
4
8D
5UB 4
4
11U
4
7U
3
7D
3
Laboratory
3
4U
3
Laundry
3
Radiology
Location
2
7E
2
8U
by Locations
13U
2
TSSU
2
10U
1
8E
1
5UA
1
Mortuary
(January - December 2005)
SCN
1
Pasca
Incidence of Sharps Injuries in UMMC
Other hospital
1
Disposal Area
Total case
0
10
20
30
40
50
60
54
Hollow bore needle
10
Lancet
7
Stylet
7
Scalpel
7
Suture needle
3
Not known
2
Dental probe
2
Vacuitaner
1
Electro-cautery device
Type of sharps
of Sharp
BMA needle
1
Wire
1
Microtome blade
(January - December 2005)
Skin hook
1
0
10
20
30
o
5
15
25
re it
ev em
ic d
e is
p
28
It le Wh os
em ft ile
in a
p a re l
W ro p c
h tr p 17
ile u ro app
p d pr in
B u ed ia g
et tt f te
w in
14
ro
ee g m pl
n i t ac
In
s e m
tr e
p te as
i h
8
re p
p s
nt
o b
D
ar o s ag
at f h
is io m ar
as n p
8
ul
s o ti
- s
em f st b
re in
W b u ep
it lin se
7
pr
h g
d d of ...
S ra
w e r
How it occur?
tu vi eu
in ce sa
g
5
ck
b a o b
y n r l..
e eq .
It
em i te ed u
m ip
4
pi le m
pr fr
er ot o en
t
ce ru m
d d r u
3
si in b
d g be
by How Injuries Occur
e fr r
o o
f m
3
di o
s ...
(January - December 2005)
po
B s al
ef c
o
1
re on
u ...
se
o
1
f
Incidence of Sharps injuries in UMMC
ite
m
1
Staff with exposure to HIV, Hep.B and C
• Culture of safety.
• Organisation makes SI prevention a
prominent priority
• Management and staff have a shared
commitment to prevent SI
• Staff is encouraged to report SI
promptly
• Appropriate management of
occupational exposure