Prevention of Needle-Stick Injuries in Healthcare Facilities: A Meta-Analysis

Details

• Personal Author:
  Cifuentes M ; Kriebel D ; Quinn M ; Tarigan LH
• Description:
  OBJECTIVE: To estimate the summary effectiveness of different needle-stick injury (NSI)-prevention interventions. DESIGN: We conducted a meta-analysis of English-language articles evaluating methods for reducing needle stick, sharp, or percutaneous injuries published from 2002 to 2012 identified using PubMed and Medline EBSCO databases. Data were extracted using a standardized instrument. Random effects models were used to estimate the summary effectiveness of 3 interventions: training alone, safety-engineered devices (SEDs) alone, and the combination of training and SEDs. SETTING: Healthcare facilities, mainly hospitals. PARTICIPANTS: Healthcare workers including physicians, midwives, and nurses. RESULTS: From an initial pool of 250 potentially relevant studies, 17 studies met our inclusion criteria. Six eligible studies evaluated the effectiveness of training interventions, and the summary effect of the training intervention was 0.66 (95% CI, 0.50-0.89). The summary effect across the 5 studies that assessed the efficacy of SEDs was 0.51 (95% CI, 0.40-0.64). A total of 8 studies evaluated the effectiveness of training plus SEDs, with a summary effect of 0.38 (95% CI, 0.28-0.50). CONCLUSION: Training combined with SEDs can substantially reduce the risk of NSIs. [Description provided by NIOSH]
• Subjects:
  Blood Blood-Borne Pathogens Epidemiology Health Personnel Hematologic Diseases Needlestick Injuries Occupational Health Safety
• Keywords:
  Bloodborne Pathogens Health Care Personnel Injury Prevention Needlestick Injuries Safety Engineering Safety Research Sharps Surveillance Programs Systematic Reviews
• ISSN:
  0899-823X
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Massachusetts ; OSHA Region 1
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  36
• Issue:
  7
• NIOSHTIC Number:
  nn:20052289
• Citation:
  Infect Control Hosp Epidemiol 2015 Jul; 36(7):823-829
• Contact Point Address:
  David Kriebel, Department of Work Environment, College of Health Sciences, University of Massachusetts Lowell, Lowell, Massachusetts, USA
• Email:
  David_Kriebel@uml.edu
• Federal Fiscal Year:
  2015
• Performing Organization:
  University of Massachusetts - Lowell
• Peer Reviewed:
  True
• Start Date:
  20040901
• Source Full Name:
  Infection Control and Hospital Epidemiology
• End Date:
  20230831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:b33a0d1c1335671abbf061098d1152ee0948668f6721cbc711654319bd8f05273490b993608cde62b81fb5367bc0a521faa0efe45d3aaaffcf333d67b1a0e282
• Download URL:
  https://stacks.cdc.gov/view/cdc/211839/cdc_211839_DS1.pdf
• File Type:
  [PDF - 374.46 KB ]