Current Situation and Problems of Needlestick and Sharp Instrument Injuries

DOI Web Site 6 References
  • HATANAKA Shigekatsu
    Department of Clinical Laboratory, Incorporated Medical Institution “Seicho-kai”
  • KADOTANI Misato
    Department of Clinical Laboratory, Incorporated Medical Institution “Seicho-kai”
  • TAKAHASHI Yoichi
    Department of Infection Control, Incorporated Medical Institution “Seicho-kai”
  • KOIZUMI Yuichi
    Department of Clinical Pharmacy, Fuchu Hospital, Incorporated Medical Institution “Seicho-kai”

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  • 当院における針刺し切創の現状と今後の課題
  • トウ イン トクベツ トクテイ イリョウ ホウジン セイチョウカイ フチュウ ビョウイン ニ オケル ハリサシ セッソウ ノ ゲンジョウ ト コンゴ ノ カダイ

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Abstract

The details of needlestick and sharp instrument injuries were collected from April 1996 to November 2004 using the report format of EPINet (Japanese Version), and software developed by our hospital. The recorded data were correlated to investigate the percentage and the number of cases, classified by monthly occurrence, occupation, year, place, cause, and equipment. The relationships between the risk of needlestick and sharp instrument injuries with these factors were assessed. The annual number of occurrences decreased year by year. In particular, pincushion injuries from a needle with a disposable injector decreased, resulting from the introduction of the equipment for blood-gas analysis with a safety device. The sickroom was the most common location of needlestick and sharp instrument injuries. The needle of the disposable injector was the most dangerous type of equipment, followed by winged steel needles.“At recapping” was the procedure most involved in needlestick and sharp instrument injuries, followed by “Until It Discards”. However, the annual changes showed that the percentage of “At recapping” decreased, and the percentage of “Until it Discards” increased. After the establishment of the prohibition of recapping, the used needle could not be disposed of immediately in the sickroom where the needle is used frequently, because there were no drop-off containers nearby. In the future, steps should be taken to handle the used needles. The statistics of needlestick and sharp instrument injuries prove that the long-term accident prevention measures taken are effective, but also showed that the HBs antibody level of the injured medical staff tended to be low, so preventive measures should be established urgently.

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