A cross-sectional observational study to assess the awareness regarding needle prick injuries among health care providers of a tertiary care teaching hospital in Madhya Pradesh, India

Sunil K. Guleri, Ram K. Panika


Background: Health care workers (HCW) are at risk of an occupational exposure to blood borne diseases like HIV and Hepatitis B through accidental needle stick injuries. This study was conducted to assess the awareness regarding needle prick injuries among health care providers and their exposure to NSIs in a tertiary care medical college hospital with 750 bed capacity.

Methods: This cross sectional observational study was conducted on 300 voluntarily participated HCWs out of total 650 HCWs. A semi structured questionnaire was used to assess their knowledge about exposure to blood and body fluids, needle stick injuries and associated risks and post exposure prophylaxis. Details of previous exposures to NSIs in last one year (2017-18) were also asked and their opinion about role and responsibilities of hospital administration for management of NSI was also recorded.

Results: More than 90% HCWs were aware of exposure to blood and body fluids, 80.7% were aware of needle stick injuries, all 100% were aware of transmission of HIV and Hepatitis B from NSis and 78% were aware of post exposure prophylaxis. 97 cases of NSIs occurred in last one year which was higher than estimated EPInet data. Injection needle was most commonly (93.8%) involved in causing accidental NSIs.

Conclusions: Practice of universal precautions and standard injection procedures by HCWs should be followed and education, training, and group insurance should be provided by hospital administration for prevention of NSIs.


Awareness, Injuries, Prophylaxis

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Bhattacharya A, Basu M, Das P. The pattern of needle stick injury among health care workers at West Bengal. Muller J Med Sci Res. 2014;5(1):29-33.

Mehta A, Rodrigues C, Singhal T, Lopes N, D'Souza N, Sathe K, et al. Interventions to reduce needle stick injuries at a tertiary care centre. Indian J Med Microbiol. 2010;28:17-20.

Chogle NL, Chogle MN, Divatia, Dasgupta D. Awareness of post-exposure prophylaxis guidelines against occupational exposure to HIV in a Mumbai hospital. Natl Med J India. 2002;15:69-72.

Wig N. HIV: Awareness of management of occupational exposure in healthcare workers. Indian J Med Sci. 2003;57:192-8.

Rele M, Methur M, Turbadkar D. Risk of needle stick injuries in health care workers:A report. Indian J Med Microbiol. 2002;20:206-7.

Tetali S, Choudhury PL. Occupational exposure to sharps and splash:Risk among health care providers in three tertiary care hospitals in South India. Indian J Occup Environ Med. 2006;10:35-40.

Perry J, Parker G, Jagger J. EPINET report: 2003 percutaneous injury rates. Adv Exposure Prev. 2005;7:2-45.

Mehta A, Rodrigues C, Ghag S, Bavi P, Shenai S, Dastur F. Needlestick injuries in a tertiary care centre in Mumbai, India. J Hosp Infect. 2005;60:368-73.

Kermode M, Jolley D, Langkham B, Thomas MS, Crofts N. Occupational exposure to blood and risk of bloodborne virus infection among health care workers in rural north Indian health care settings. Am J Infect Control. 2005;33:34-41.

Richard VS, Kenneth J, Ramaprabha P, Kirupakaran H, Chandy GM. Impact of introduction of sharps containers and of education programmes on the pattern of needle stick injuries in a tertiary care centre in India. J Hosp Infect. 2001;47:163-5.

Perry SJ, Parker G, Jagger J. EPINET report: 2003 percutaneous injury rates. Adv. Exposure Prev. 2005;7:2-45.

WHO AIDS series 3 guidelines for nursing management of people infected with HIV. Geneva: WHO; 1988.

Ingole K, Pawar S and Pathak S. 2016. Needle Stick Injuries among Health Care Worker at Tertiary Care Hospital. Int J Curr Microbiol App Sci. 2016;5(12):718-25.

Jaybhaye D, Dahire P, Nagaonkar A, Vedpathak V, Deo D, Kawalkar U. Needle stick injuries among health care workers in tertiary care hospital of rural India. Int J Med Sci Public Health. 2014;3(1):49- 52.

Muralidhar S, Singh PK, Jain RK, Malhotra M, Bala M. Needle stick injuries among health care workers in a tertiary care hospital of India. Indian J Med Res, 2010;131(3):405-10.

Chacko J, Isaac R. Percutaneous injuries among medical interns and their knowledge and practice of post-exposure prophylaxis for HIV. Indian J Public Health. 2007;51:127-9.