Rapid assessment of safe injection practice in a tertiary care hospital of Eastern India

Authors

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20174117

Keywords:

Awareness, Injection safety, Hub cutter, Recapping, OT8 indicator

Abstract

Background: Unsafe injection practice is harmful to the patients, providers and community especially in a tertiary care hospital. On this backdrop, a rapid assessment of injection practice has been conducted with aim of identifying determinants and indicators of safe injection practice.

Methods: A cross sectional study was conducted among 20 providers, 20 prescribers, 100 prescriptions and 120 general population by convenient sampling as per WHO from November 2016 to April 2017 in the hospital of VSS Institute of Medical Sciences & Research, Burla using interview, observation method and analysis of prescriptions.

Results: Knowledge about possibility of transmission of HCV due to unsafe injection practice was 80% among providers and 40% among general population. All providers were using sterile syringe and needle though 60% of them were seen not using gloves in case IV Injection/blood transfusion and needle recapping was done by half of them 100 per cent of injection providers reported that they have access to a sharps waste disposal facility. Needle recapping was done by half of them. OT8 indicator was 26.7(%). Average number of injections per person based on the population data was 1 injection per annum.

Conclusions: Unsafe injection practice has to be tackled by CME among prescribers about rationale use of injections, antibiotics from essential drug list, regular supply of equipment and hub cutter and education of providers and people about injection safety will prevent avoidable communicable diseases. 

References

World Bank, “Injection Safety at a glance “, WHO & Sign, September, 2003, Available at: http://siteresources.worldbank.org/INTPHAAG/Resources/AAGInjectionSafety9-03.pdf. Accessed on 15 July 2016.

Inclen study Group, The INCLEN Trust International. Injection practices in India. WHO South-East Asia J Public Health. 2012;1(2):189-200.

Hauri AM, Armstrong GL, Hutin YJF. The global burden of disease attributable to contaminated injections given in health care settings. Int J STD AIDS. 2004;15:7-16.

Kane A, Lloyd J, Zaffran M, Simonsen L, Kane M. Transmission of hepatitis B, hepatitis C and human immunodeficiency viruses through unsafe injections in the developing world: model-based regional estimates. Bull WHO. 1999;77:801-7.

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.

Injection Practices: Rapid Assessment And Response Guide: World Health Organization (Who) Basic Support For Institutionalizing Child Survival Ii (Basics Ii) Safe Injection Global Network (SIGN) Published 2002. Available at: http://pdf.usaid.gov/ pdf_docs/Pnacm862.pdf. Accessed on 27 September 2016.

Guide to Infection Prevention for Outpatient Settings: Minimum Expectations for Safe Care. Available at: http://www.cdc.gov/HAI/pdfs/ guidelines/standatds-of-ambulatory-care-7-2011.pdf Accessed on 27 September 2016.

Kumar A, Khuwaja AK, Khuwaja AM. Knowledge Practice Gaps About Needle Stick Injuries among Healthcare Workers At Tertiary Care Hospitals Of Pakistan. J Ayub Med Coll Abbottabad. 2012;24(3-4):50-2.

Sahu D, Gandhi N. Assessment Of Safe Injection Practices In A Tertiary Care Hospital: A Cross-Sectional Study From Chhattisgarh. Ntl J Community Med. 2015;6(4):500-3.

Nayak A, Gharat V, Bansal RK. An Assessment of Injection Practices in Urban Health Centres of Surat City: Are the Health Care Workers Safe? National J Community Med. 2012;3(1):125-8.

Vong S, Perz J, Sok S, Som S. Rapid assessment of injection practices in Cambodia, 2002. BMC Public Health. 2005;5:56.

Obi AI, Ofili AN. Injection safety Practices among Medical Doctors in a Tertiary Health Institution in South Southern Nigeria. JDMS. 2013;8(1):42-9.

Hutin YJF. Injection Practices in Albania: Rapid Assessment and Proposed Action Plan. Department of Blood Safety and Clinical Technology. World Health Organization. 2000: 1-25.

Rajasekharan M, Shivaganam G, ThirumalaIkolundusubramainan P, Namasivayam K, Ravindranath C. Injection practices in Southern part of India. Public Health. 2003;117(3):208-13.

Ofori-Asenso R, Brhlikova P, Pollock AM. Prescribing indicators at primary health care centers within the WHO African region: a systematic analysis (1995–2015). BMC Public Health. 2016;16:724.

Kumar J, Shaik MM, Kathi MC, Deka A, Gambhir SS. Prescribing indicators and pattern of use of antibiotics among medical outpatients in a teaching hospital of Central Nepal. J College Medical Sciences-Nepal. 2010;6(2):7-13.

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Published

2017-09-22

How to Cite

Panda, S. C. (2017). Rapid assessment of safe injection practice in a tertiary care hospital of Eastern India. International Journal Of Community Medicine And Public Health, 4(10), 3576–3581. https://doi.org/10.18203/2394-6040.ijcmph20174117

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Original Research Articles