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. 2012 Jul;33(2):91-7.
doi: 10.4103/0253-7184.102111.

Incidence of occupational exposures in a tertiary health care center

Amrita Shriyan  1 , R Roche, Annamma
Affiliations

Incidence of occupational exposures in a tertiary health care center

Amrita Shriyan et al. Indian J Sex Transm Dis AIDS. 2012 Jul.

Abstract

Introduction: Occupational exposure to Hepatitis B virus (HBV), human immunodeficiency virus (HIV) and Hepatitis C virus (HCV) infection is a cause of concern to all health care workers (HCWs), especially those, in hospitals. Among the HCWs, nurses, interns, technicians, resident doctors and housekeeping staff have the highest incidence of occupational exposure.

Aims: To analyze the cases of needle stick injuries and other exposures to patient's blood or body fluids among health care workers.

Materials and methods: A detailed account of the exposure is documented which includes incidence of needle stick injuries (NSI) and implementation of post-exposure prophylaxis (PEP) as per the hospital guidelines. We report a two-year continuing surveillance study where 255 health care workers (HCWs) were included. PEP was given to HCWs sustaining NSI or exposures to blood and body fluids when the source is known sero-positive or even unknown where the risk of transmission is high. Follow-up of these HCW's was done after three and six months of exposure.

Results: Of the 255 HCWs, 59 sustained needle stick injuries and two were exposed to splashes. 31 of the NSI were from known sources and 28 from unknown sources. From known sources, thirteen were seropositive; seven for HIV, three for HCV and three for HBV. Nineteen of them sustained needle stick during needle re-capping, six of them during clean up, six of them while discarding into the container, 17 during administration of injection, eight of them during suturing, two occurred in restless patient, 17 during needle disposal.

Conclusion: So far, no case of sero-conversion as a result of needle stick injuries was reported at our center.

Keywords: Human immunodeficiency virus; Occupational exposure; hepatitis B and C virus; post-exposure prophylaxis.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Incidence of Needle Stick Injuries at AJ Hospital
Figure 2
Figure 2
Site OF Exposure
Figure 3
Figure 3
Status of skin on Exposure
Figure 4
Figure 4
Presence of Blood
Figure 5
Figure 5
Depth of Injury
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