Hostname: page-component-586b7cd67f-rcrh6 Total loading time: 0 Render date: 2024-11-29T08:18:02.730Z Has data issue: false hasContentIssue false
  • English
  • Français

Impact of a Recapping Device on Venepuncture-Related Needlestick Injury

Published online by Cambridge University Press:  21 June 2016

Paul N. Goldwater ,
R. Law ,
A.D. Nixon ,
J.A. Officer  and
J.F. Cleland
Paul N. Goldwater*
Affiliation:
Adelaide Children's Hospital, North Adelaide, South Australia
R. Law
Affiliation:
School of Medical Laboratory Technology, Auckland Hospital, Auckland, New Zealand
A.D. Nixon
Affiliation:
Department of Haematology, Auckland Hospital, Auckland, New Zealand
J.A. Officer
Affiliation:
The Medical Laboratory, Auckland, New Zealand
J.F. Cleland
Affiliation:
The Medical Laboratory, Auckland, New Zealand
*
The Adelaide Children's Hospital, North Adelaide, South Australia
Get access Rights & Permissions [Opens in a new window]

Abstract

In a 33-month prospective analysis of needlestick injuries, venepuncturists working under Centers for Disease Control (CDC) guidelines for handling used needles were shown to incur a needlestick injury for every 3,175 to 4,006 needle-handling procedures. On the other hand, users of a simple device designed to reduce the risk of injury when recapping used needles were shown to incur a needlestick only once in every 16,100 venepunctures performed (P<0.00l). This represents a fourfold reduction in the rate of needlestick injuries. We thus question the effectiveness of the CDC nonrecapping policy.

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 10 , Issue 1 , January 1989 , pp. 21 - 25
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1989

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Seeff, LB, Wright, EC, Zimmerman, HJ, et al: Type B hepatitis after needle-stick exposure: Prevention with hepatitis B immune globulin. Ann Intern Med. 1978;88:285–293.Google Scholar
2.Weiss, SH. Saxinger, WC, Rechtman, D, et al: HTLV-III infection among health care workers. Association with needle-stick injuries. JAMA. 1985;254:2089–2093.Google Scholar
3.Stricof, RI., Morse, DL: HTLV-III/LAV seroconversion following a deep intramuscular needlestick injury. N Engl J Med. 1986;314:1115.Google Scholar
4.Anonymous: Needlestick transmission of HTLV-III Prom a patient infected in Africa. Lancet. 1984;2:1376–1377.Google Scholar
5.Oksenhendler, E, Harzic, M, LeRoux, J-M. et al: HIV infection with seroconversion after a superficial needlestick injury to the finger. N Engl J Med. 1986;315:582.Google Scholar
6.Neisson-Vernant, C, Arfi, S, Mathez, D. et al: Needlestick HIV seroconversion in a nurse. Lancet. 19%;2:814.Google Scholar
7.CDC: Acquired immune deficiency syndrome and human immunodeficiency virus infection among health care workers. MMWR. 1988;37:229–239.Google Scholar
8.CDC: Recommendations for preventing transmission of infection with human T-Iymphotropic virus type II I/lymphadenopathy-associated virus in the workplace. MMWR. 1985;34:691–695.Google Scholar
9.Nixon, AD, Law, R. Officer, JA, et al: Simple device to prevent accidental needle-stick injuries. Lancet. 1986;1:888–889.CrossRefGoogle Scholar
10.Mc Cray, E, Winslow, N. Solomon, SL, et al: Prospective evaluation of health cat-e workers with parenteral or mucous-membrane exposure to blood from patients with acquired immunodeficiency syndrome. Intel-national Conference on AIDS, Atlanta, Georgia, April 14-17, 1985.Google Scholar
11.Mc Cray, E: The cooperative needlestick study group Occupational risk of acquired mimunodeficiency syndrome among health care workers. N Engl J Med. 1986;314:1127–1132.Google Scholar
12.Sumner, W: Needlecaps to prevent needlestick injuries. Infect Control. 1985;6:495–497.CrossRefGoogle ScholarPubMed
13.Dandoy, S, Kirkman-Liff, B: Hepatitis B prevention to small rural hospitals. West J Med. 1984;141:627–630.Google Scholar
14.Krasinski, K, LaCouture, R, Holzman, KSEffect of changing needle disposal systems on needle puncture injuries. Infect Control. 1987;8:59–62.Google Scholar
15.Ruben, FL, Norden Ceti Rockwell, Ket al: Epidemiology of accidental needle puncture wounds in hospital workers. Am J Med Sci. 1983;286(1):26–30.Google Scholar
16.Kirkman-Lift, B, Dandoy, S: Hepatitis B-What price exposure? Am J Nurs. 1984;84:988–990.Google Scholar
17.Reuter, JB. Campbell, JA: Cost analysis of a needlestick protocol. Med Decis Making. 1982;2(2):133–137.Google Scholar
18.Neuberger, JS. Harris, J-O, Kundin, WD, et al: Incidence of needlestick injuries in hospital personnel: Implications for- prevention. Am J Infect Control. 1984;12:171–176.Google Scholar
19.Ribner, BS, Landry, MN. Gholson, GL, et al: Impact of a rigid, puncture-resistant container system upon needlestic k injuries. Infect Control. 1987;8:63–66.CrossRefGoogle Scholar
20.Advisory Committee on Dangerous Pathogens: LAV/HTLV-III—The ausative agent of AIDS and related conditions — Revised guidelines. UK Department of Health and Social Security, June 1986, p 6.Google Scholar