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Research ArticleOriginal Article
Open Access

Assessment of sharps penetrating injury, mucosal exposure and compliance with standard precautions of health workers at a University Hospital in Turkey

Hıdır Sarı, Saim Dayan, Hüsna Balkan, Yeliz Çiçek and Mehmet Özel
Saudi Medical Journal June 2023, 44 (6) 588-593; DOI: https://doi.org/10.15537/smj.2023.44.6.20220898
Hıdır Sarı
From the Department of Public Health (Sarı, Balkan), Department of Infectious Diseases and Clinical Microbiology (Dayan, Çiçek), Faculty of Medicine, Dicle University, Department of Emergency Medicine (Özel), Diyarbakır Gazi Yasargil Training and Research Hospital, University of Health Sciences, Diyarbakır, Turkey
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Saim Dayan
From the Department of Public Health (Sarı, Balkan), Department of Infectious Diseases and Clinical Microbiology (Dayan, Çiçek), Faculty of Medicine, Dicle University, Department of Emergency Medicine (Özel), Diyarbakır Gazi Yasargil Training and Research Hospital, University of Health Sciences, Diyarbakır, Turkey
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Hüsna Balkan
From the Department of Public Health (Sarı, Balkan), Department of Infectious Diseases and Clinical Microbiology (Dayan, Çiçek), Faculty of Medicine, Dicle University, Department of Emergency Medicine (Özel), Diyarbakır Gazi Yasargil Training and Research Hospital, University of Health Sciences, Diyarbakır, Turkey
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Yeliz Çiçek
From the Department of Public Health (Sarı, Balkan), Department of Infectious Diseases and Clinical Microbiology (Dayan, Çiçek), Faculty of Medicine, Dicle University, Department of Emergency Medicine (Özel), Diyarbakır Gazi Yasargil Training and Research Hospital, University of Health Sciences, Diyarbakır, Turkey
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Mehmet Özel
From the Department of Public Health (Sarı, Balkan), Department of Infectious Diseases and Clinical Microbiology (Dayan, Çiçek), Faculty of Medicine, Dicle University, Department of Emergency Medicine (Özel), Diyarbakır Gazi Yasargil Training and Research Hospital, University of Health Sciences, Diyarbakır, Turkey
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Article Figures & Data

Tables

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    Table 1

    - Sociodemographic characteristics of the participants by type of injury.

    CharacteristicsSPIMucosalTotal
    n(%)n(%)n(%)
    Age
    20-2930(31.6)2(40.0)32(32.0)
    30-3945(47.4)3(60.0)48(48.0)
    40 and over20(21.1)0(0)20(20.0)
    Gender
    Male56(58.9)3(60.0)59(59.0)
    Female39(41.1)2(40.0)41(41.0)
    Education
    High school and below62(65.2)3(60)65(65.0)
    Associate’s degree/bachelor’s degree27(28.4)0(0)27(27.0)
    Masters/doctorate6(6.4)2(40.0)8(8.0)
    Profession
    Physician9(9.5)2(40.0)11(11.0)
    Nurse/midwife/emergency medical technician33(34.7)2(40.0)35(35.0)
    Support staff/cleaning staff50(52.6)1(20.0)51(51.0)
    Other* 3(3.2)0(0)3(3.0)
    Working unit
    Internal wards26(27.4)1(20.0)27(27.0)
    Surgical wards18(18.9)1(20.0)19(19.0)
    Internal intensive care units7(7.4)0(0)7(7.0)
    Surgical intensive care units10(10.5)1(20.0)11(11.0)
    Emergency unit14(14.7)0(0)14(14.0)
    Operating room6(6.3)2(40.0)8(8.0)
    Medical waste4(4.2)0(0)4(4.0)
    Other ** 10(10.5)0(0)10(10.0)
    Worked shift
    Day (08:00 am-16:00 pm)62(65.3)3(60.0)65(65.0)
    Night (16:00 pm-08:00 am)14(14.7)1(20.0)15(15.0)
    24 hours19(20.0)1(20.0)20(20.0)
    Total*** 95(95.0)5(5)100(100)
    • ↵* Patient registration (1), radiology technician (1), laboratory (1) ** Emergency laboratory (1), biomedical (1), laundry (1), experimental animals laboratory (1), radiology (4), sterilization unit (2)*** row %, SPI: sharps penetrating injury

    • View popup
    Table 2

    - Reasons for injury of participants.

    Reasonsn%
    Sharps penetrating injury
    Injury with a needle thrown into a garbage bag2323.0
    Injury from a needle left exposed during cleaning1616.0
    Injury when capping the needle1010.0
    Injury while connecting IV line/IV cannula to the patient77.0
    Injury when throwing a needle into the sharps boxes77.0
    Injury while checking blood sugar66.0
    Injury with surgical suture needle in the operating room55.0
    Injury while taking blood from the patient44.0
    Injury with scalpel44.0
    Injury while injecting33.0
    By accident while in my colleague’s hands11.0
    Other* 99.0
    Mucosal exposure
    The nose, eyes, oral mucosa exposure with blood or body fluids55.0
    Total100100
    • ↵* glass incision (2), injury by the sharp edge of the device probe (1), ingrown nail (3), hand cut by the examination table (1), wire sinking (1), sinking of the cutter during load lowering (1)

    • View popup
    Table 3

    - Scale of compliance with standard precautions.

    ItemsNeverSeldomSometimesAlways
    n%n%n%n%
    I wash my hands between patient contacts.2(2.0)2(2.0)5(5.0)91(91.0)
    I only use water for hand washing.13(13.0)3(3.0)5(5.0)79(79.0)
    I use alcoholic hand rubs as an alternative if my hands are not visibly soiled.30(30.0)15(15.0)11(11.0)44(44.0)
    I recap used needles after giving an injection.55(55.0)6(6.0)4(4.0)35(35.0)
    I put used sharps articles into sharps boxes.0(0.0)0(0.0)1(1.0)99(99.0)
    The sharps box is discarded only when it is full.42(42.0)3(3.0)2(2.0)53(53.0)
    I remove personal protective equipment (PPE) in a designated area.20(20.0)5(5.0)5(5.0)70(70.0)
    I take a shower in case of extensive splashing even after I have put on personal protective equipment (PPE).5(5.0)7(7.0)4(4.0)84(84.0)
    I cover my wound(s) or lesion(s) with a waterproof dressing before patient contact.6(6.0)6(6.0)6(6.0)82(82.0)
    I wear gloves when I am exposed to body fluids, blood products, and any excretion of patients.1(1.0)0(0.0)0(0.0)99(99.0)
    I change gloves between patient contacts.0(0.0)2(2.0)2(2.0)96(96.0)
    I decontaminate my hands immediately after removal of gloves.0(0.0)1(1.0)0(0.0)99(99.0)
    I wear a surgical mask alone or in combination with goggles, face shield, and apron whenever there is a possibility of a splash or splatter.8(8.0)10(10.0)7(7.0)75(75.0)
    My mouth and nose are covered when I wear a mask.0(0.0)0(0.0)0(0.0)100(100.0)
    I reuse a surgical mask or disposable personal protective equipment (PPE).14(14.0)4(4.0)6(6.0)76(76.0)
    I wear a gown or apron when exposed to blood, body fluids, or any patient excretions.4(4.0)7(7.0)8(8.0)81(81.0)
    Waste contaminated with blood, body fluids, secretion, and excretion is placed in red plastic bags irrespective of the patient’s infection status.3(3.0)0(0.0)1(1.0)96(96.0)
    I decontaminate surfaces and equipment after use.0(0.0)1(1.0)3(3.0)96(96.0)
    I wear gloves to decontaminate used equipment that is visibly soiled.0(0.0)0(0.0)1(1.0)99(99.0)
    I clean up spillage of blood or other body fluids immediately with disinfectants.10(10.0)3(3.0)3(3.0)84(84.0)
    • View popup
    Table 4

    - The scale of compliance with standard precautions scores according to the sociodemographic characteristics of the participants.

    Characteristicsmean±SDP-value***
    Age
    20-2916.63±2.240.846
    30-3916.21±2.59
    40 and over16.40±2.30
    Gender
    Male16.15±2.440.227
    Female16.71±2.35
    Marital status
    Married16.47±2.260.731
    Single16.19±2.74
    Education
    Under high school15.96±2.500.240
    High school16.95±1.87
    University and above16.09±2.7
    Profession
    Physician16.09±2.800.961
    Nurse/midwife/emergency medical technician16.29±2.56
    Support staff/cleaning staff16.51±2.24
    Other* 16.33±3.05
    Working unit
    Internal wards15.67±2.320.082
    Surgical wards16.86±1.46
    Internal intensive care units16.84±2.65
    Surgical intensive care units17.82±1.53
    Emergency unit15.86±2.34
    Operating room17.13±3.52
    Medical waste15.50±2.38
    Other ** 16.00±2.16
    Worked shift
    Day (08:00 am-16:00 pm)16.28±2.550.789
    Night (16:00 pm-08:00 am)16.80±2.07
    24 hours16.40±2.21
    Work experiences (year)
    ≤ 516.47±2.260.675
    6≤1016.58±2.36
    >1015.87±2.74
    • ↵* Patient registration (1), radiology technician (1), laboratory (1) **Emergency laboratory (1), biomedical (1), laundry (1), experimental animals laboratory (1), radiology (4), sterilization unit (2) ***: p>0.05 difference is not significant.

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Saudi Medical Journal: 44 (6)
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Assessment of sharps penetrating injury, mucosal exposure and compliance with standard precautions of health workers at a University Hospital in Turkey
Hıdır Sarı, Saim Dayan, Hüsna Balkan, Yeliz Çiçek, Mehmet Özel
Saudi Medical Journal Jun 2023, 44 (6) 588-593; DOI: 10.15537/smj.2023.44.6.20220898

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Assessment of sharps penetrating injury, mucosal exposure and compliance with standard precautions of health workers at a University Hospital in Turkey
Hıdır Sarı, Saim Dayan, Hüsna Balkan, Yeliz Çiçek, Mehmet Özel
Saudi Medical Journal Jun 2023, 44 (6) 588-593; DOI: 10.15537/smj.2023.44.6.20220898
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