A study on safe injection practices among healthcare professionals in a tertiary care hospital in Delhi

Authors

  • Rajneesh Mohan Siwan Community Health Administration, The National Institute of Health and Family Welfare, Baba Gangnath Marg, Munirka, New Delhi, India
  • Jayanta K. Das The National Institute of Health and Family Welfare, Baba Gangnath Marg, Munirka, New Delhi, India
  • Sanjay Gupta Department of Epidemiology, The National Institute of Health and Family Welfare, Baba Gangnath Marg, Munirka, New Delhi, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20190197

Keywords:

Injection, Practices, Healthcare professionals, World Health Organization

Abstract

Background: As per available estimates, around three billion injections are administered annually in India and out of these, 1.89 billion are being unsafe. The present study was undertaken to observe and assess injection practices among Healthcare Professionals (HCP) in a tertiary care hospital.

Methods: This was a cross-sectional, descriptive study conducted among doctors and nurses of purposively selected five departments in a government tertiary care hospital in Delhi. Primary data was collected using Self-administered questionnaire (SAQ) technique for which WHO Tool C Questionnaire was suitably modified, pre-tested and administered to HCP. Number of participants were 250 (131 doctors and 119 nurses). Injection practices were also observed in HCP and a total of 126 observations (60 in doctors & 66 in nurses) were made. Collected data was analyzed using Microsoft Excel & SPSS.

Results: Though overall injection practices of the HCP were satisfactory but unsafe practices with respect to use of unclean surface for injection preparation (35%), not maintaining proper hand hygiene (33%) and not segregating bio medical waste at source by (22.3%) HCP were observed.

Conclusions: Though compliance to best international injection practices in many areas were observed still unsafe practices were observed. Guidelines on Injection safety, Post Exposure Prophylaxis (PEP), judicious use of injections and reporting of adverse events/ sentinel events/near miss events to be prepared by the hospital at the earliest. It must be ensured that these guidelines are complied with by the HCP.

References

WHO. Safety of injections-questions and answers. Geneva: WHO; 2004. Available at: http://who.int/injection_safety/about/resources/en/ QuestionAndAnswersInjectionSafety.pdf. Accessed on 30 August 2016.

World Health Organisation. WHO fact sheet no: 231, injection safety. Geneva: World Health Organisation; 2002. Available at: www.who.int/mediacentre/factsheets/fs231/en/. Accessed on 27 January 2018.

Hutin Y, Hauri A, Chiarello L, Catlin M, Stilwell B, Ghebrehiwet T, et al. Best infection control practices for intradermal, subcutaneous, and intramuscular needle injections. Bulletin of the World Health Organization. 2003;81:491-500.

IPEN Study Group. Injection practices in India. WHO South-East Asia J Public Health. 2012;1(2):189-200.

Drucker E, Alcabes PG, Marx PA. The injection century: Massive unsterile injections and the emergence of human pathogens. Lancet. 2001;358:1989-92.

Simonsen L, Kane A, Lloyd J, Zaffran M, Kane M. Unsafe injections in the developing world and transmission of bloodborne pathogens. Bull WHO 1999;77:789-800.

WHO. Infection prevention and control. Geneva Switzerland: WHO; 2015. Available from: http://www.who.int/infection-prevention/countries/ injections/en/ Accessed on 18 February 2018.

World Health Organization. Aide-memoire for a strategy to protect health workers from infection with bloodborne viruses. Geneva, Switzerland (CH): WHO; 2003 November. 2 P. Report No.: WHO/BCT/03.11.

Patel DA, Gupta PA, Kinariwala DM, Shah HS, Trivedi GR, Vegad MM. An investigation of an outbreak of viral hepatitis B in Modasa town, Gujarat, India. J Glob Infect Dis. 2012;4:55-9.

Kermode M. Unsafe injections in low-income country health settings: need for injection safety promotion to prevent the spread of blood-borne viruses. Health Promot Int. 2004;19(1):95-103.

Sahu D, Gandhi N. Assessment of safe injection practices in a Tertiary care Hospital: A Cross- Sectional Study from Chattisgarh. Ntl J of Community Med 2015;6(4):500-503.

Mehta DR, Pillai A, Singh AP. An observational study of safe injection practices in a tertiary care teaching hospital. Int J Applied Res. 2016;2(5):733-7.

Rehan HS, Copra D, Sah RK, Chawla T, Agarwal A, Sharma GK. Injection practices of healthcare professionals in a Tertiary Care Hospital. Journal of Infection and Public Health. 2012;5:177-81.

Paul B, Chattopadhyay D, Bisoi S, Misra R, Bhattacharya N, Biswas B.A study on safe Injection Practices of Nursing Personnel in a Tertiary Care Hospital of Kolkata, West Bengal, India. TAF Prev Med Bull. 2011;10(6):681-6.

Okezie O, Kevin E, Diwe C. Knowledge, perception and practice of injection safety and healthcare waste management among teaching hospital staff in south east Nigeria: an intervention study. Pan African Medical J. 2014;17:218.

Hauri A, Armstrong G, Hutin Y. The global burden of disease attributable to contaminated injections given in health care settings. Int J STD AIDS. 2004;15(1):7-16.

Vong S, Perzi JF, Sok S, Goldstein S, Hutin Y, Tullochs. Rapid assessment of injection practices in Cambodia. BMC Public Health. 2005;5:56.

WHO. Guide to good prescribing, practical manual. Geneva Switzerland: WHO; 2011: 142. Report No.: WHO/DAP/94.11. Available from: http://apps.who.int/medicinedocs/pdf/whozip23e/whozip23e.pdf. Accessed on 18 February 2018.

Paul B, Chattopadhyay D, Bisoi S, Misra R, Bhattacharya N, Biswas B.A study on safe Injection Practices of Nursing Personnel in a Tertiary Care Hospital of Kolkata, West Bengal, India. TAF Prev Med Bull. 2011;10(6):681-6.

Downloads

Published

2019-01-24

How to Cite

Siwan, R. M., Das, J. K., & Gupta, S. (2019). A study on safe injection practices among healthcare professionals in a tertiary care hospital in Delhi. International Journal Of Community Medicine And Public Health, 6(2), 721–726. https://doi.org/10.18203/2394-6040.ijcmph20190197

Issue

Section

Original Research Articles