Preventif Needlestick

8/17/2019 Preventif Needlestick

1/22

Part I:Background

Preventing Needlesticks

and Other Sharps

Injuries…

Everything You Need to Know


2/22

• Part I: Background

• Part II: Safer Sharps Devices

• Part III: Safe Work Practices


3/22

The Problem

• CDC estimates ~385, sharps in!uriesannua""# among hospita"$%ased hea"thcarepersonne" &'(, in!uries)da#*

+ an# more in other hea"thcare settings &e-g-, emergenc#services, home care, nursing homes*

• .ncreased risk for %"ood%orne virus transmission

• Cost"# to personne" and hea"thcare s#stem


4/22

Risks o Seroconversion due to Sharps Injur!from a known positive source

Virus

/B0

/C0

/.0

Risk (Range)

1$32

~ 42

-32

&isk for /B0 app"ies if not /B vaccinated*


5/22

"hat is the Risk or #I$ %lone&

• Percutaneous -32

• ucous mem%rane -(2

• 6on$intact skin 7-(2


6/22

Occupational #I$ Transmission among '(S(#ealthcare Personnel) *+,-./001

• 5 documented cases + i-e-, /.0 negative at time of e9posure and

%ecame /.0 positive during fo""o:$up period

• (3 other cases +

i-e-, 6o documented e9posure and nokno:n risk factor for /.0 infection


7/22

Occupational #I$ Transmission2ocumented 3ases 4n5-67

• 5 &882* invo"ved percutaneous e9posures

;5 caused %# ho""o:$%ore need"es, ha"f of:hich :ere used in a vein or arter#

• 5 mucocutaneous e9posures

• 4 e9posure route unkno:n


8/22

3osts o Sharps Injuries

• Base"ine and fo""o:$up "a%orator# testing

• oss of income ) "oss of career

• ?motiona" costs• Societa" costs

@Aa""e#, et- a"- Costs of anagement of @ccupationa" ?9posure to B"ood and Bod# "uids-

.C/?, u"# 4, v 48, 6o- -


9/22

Preventing

Sharps Injuriesis Our 8oal9


10/22

#o 2o Sharps Injuries #appen&

• Who gets in!ured

• Where do the# happen

• When do in!uries occur

• What devices are invo"ved

• /o: can the# %e prevented


11/22

2ata Sources

• 6ationa" Survei""ance S#stemfor /ea"thcare Workers

&6aS/*

• ?9posure Prevention

.nformation 6et:ork&?P.6etE*


12/22

Who 8ets Injured&

Occupational Groups

of Healthcare

Personnel Exposed to

BloodBod! "luids#

6aS/ une (FF5GDecem%er 43

&nH43,(F*


13/22

Where 2o Sharps Injuries Occur&

• Patient oom 3F2

&.npatientI edica" + .CJs *

• @perating oom 42• @utpatient 82

• ? 82

• >a%orator# 52• @ther (32

SourceI 6aS/, une (FF5GDecem%er 43


14/22

When 2o Sharps Injuries Occur&

• During use ;(2

• Kfter use)%efore disposa" ;2

• During and after disposa" (52

• @ther ;2



15/22

What 2evices are Involved in Sharps Injuries&

$ix %e&ices 'ccount for * of 'll In+uries

• Disposa%"e S#ringes 32

• Suture 6eed"es 42

• Winged$Stee" 6eed"es (42

• .ntravenous Catheter St#"ets 52

• Ph"e%otom# 6eed"es 32

• Sca"pe"s 82



16/22

agger, et a"- ates of need"e$stick in!ur# caused %# various devices in a universit# hospita"-6?- (F88L3(F-

2evices that Re;uire


17/22

How %o In+uries Occur ,ith Hollo-.Bore /eedles0

1ircu2stances 'ssociated -ith Hollo-.Bore /eedle

In+uries /a$H 3une 45567%ece28er 9; (n


18/22

Sharps Injuries %re Preventable

Pre&enta8ilit! of /eedlesticks in /a$H Hospitals#

3une 4556..%ece28er 9= (n96)


19/22

Preventing Sharps Injuries is a National Priorit!9

• edera" and state "a:s increase enforcementof sharps in!ur# prevention

+ 6eed"estick Safet# and Prevention Kct, 4

+ @S/K enforcement of need"estick prevention increasing

+ 4( states :ith "a:s)regu"ations

•CDCI targets need"esticks for e"imination


20/22

Sharps Injuries at ======#ospital 4 period of time7

• >ast #ear MMMMM sharps in!uries :ere reported %# ouremp"o#ees)staff

•


21/22

"hat are Strategies to >liminate Sharps Injuries&

• ?"iminate or reduce the use of need"es andother sharps

• Jse devices :ith safet# features to iso"atesharps

• Jse safer practices to minimiNe risk for

remaining haNards


22/22

• Part II: Safer Sharps Devices

• Part III: Safe Work Practices

Preventif Needlestick

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