A study of contaminated sharp injury and associated morbidity among health care workers

Dharmendra Kumar Gupta, Meenakshi Singh, V. K. Agarwal, Sanjeev Sharma, Saurabh Mishra


Background: Needles are one of the biomedical waste materials generated during the treatment or procedure in the hospital. Improper handling, capping or disposal technique causes a major health hazard among the health care workers (HCWs). Needle stick injuries (NSIs) can occur accidentally at any time when people use, disassemble, or dispose needle. The aim of the present study were to find out the burden of chronic morbid condition due to NSIs to HCWs, to find out various risk factors responsible for causing chronic disease to HCWs and to suggest the prevention and control of needle stick injury among the HCWs.

Methods: A cross-sectional study, conducted among HCWs. Sample size was estimated by using standard formula and 312 HCWs were taken in study. Equal number of respondent was taken from each group. The information has been collected and data entry has been done using specific software SPSS version 20.0.

Results: Most of the HCWs were infected with hepatitis B (24.0%) followed by hepatitis C virus (8.7%) and HIV (1.9%) after the percutaneous injuries with needle of infectious patients during any intervention procedures of the patients.

Conclusions: Occupational exposures to percutaneous injuries are substantial source of infections with blood borne pathogens among health-care workers because of the poor practice as well as not opting personal protective equipment’s during intervention process regarding preventive and control measures. These infections are highly preventable and should be eliminated.


Health care workers, Needle stick injury, Hepatitis B virus

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NIOSH. Preventing needle stick injuries in health care settings. Washington, DC: National Institute for Occupational Safety and Health; 1999: 2000-2108.

Hofmann F, Beie M. Needle stick injuries in health care– frequency, causes and preventive strategies. Gesundheitswesen, 2002;64:259-66.

Wilbum SQ. Needle sticks and sharps injury prevention. Online J Issues Nurs. 2004;9(3):5.

NIOSH. Preventing needle stick injuries in health care settings. U.S. Department of Health and Human Services. Cincinnati: DHHS (NIOSH) Publication; 1999.

Centers for Disease Control and Prevention. Guidelines for infection control in health care personnel. Infect Control Hosp Epidemiol. 1998;19:445.

Pruss-Ustun A, Rapiti E, Hutin Y. Sharps injuries: global burden of disease from sharps injuries to health-care workers. WHO Environmental mental Burden of Disease Series, No. 3. Available at: Accessed on 12 October 2012.

Tokars JI, Marcus R, Culver DH, Schable CA, McKibben PS, Bandea C, et al. Surveillance of HIV infection and zidovudine use among health care workers after occupational exposure to HIV-infected blood. Ann Intern Med. 1993;118(12):913-19.

Wilburn SQ, Eijkemans G. Preventing Needle stick Injuries among Health care workers. Int J Occup Environ Health. 2004;10:451-6.

Kane A, Lloyd J, Zaffran M, Simonsen L, Kane M. Transmission of hepatitis B, hepatitis C and human immunodeficiency virus in the developing world: model based on regional estimates. Bull WHO. 1999;77(10):801-7.

Khurram M, Ijaz K, Bushra HT, Khan NY, Bushra H, Hussain H. Needle stick injuries: a survey of doctors working at tertiary care hospitals of Rawalpindi. JPMA. 2011;61:63.

Sharma S, Gupta A, Arora A. Knowledge, attitude and practices on needle stick and sharps injuries in tertiary care cardiac hospital: A survey. Indian J Med Sci. 2010;64:396-401.

Shah R, Mehta HK, Fancy M, Nayak S, Donga BN. Knowledge and awareness regarding needle stick injuries among health care workers in tertiary care hospital in Ahmadabad Gujarat. Nat J Community Med. 2010;1(2):93-5.

Montella F, Di Sora F, Recchia O. Can HIV-1 infection be transmitted by a “discarded” syringe?. J Acquir Immune Defic Syndr. 1992;5:1274-5.

Hofranipour FG, Asadpour M, Ardebili HW, Niknam S, Hajizades E. Needle stick/sharp injuries and determinants in nursing care. Europ J Soc Sci. 2009;2(2):191-2.

Khan AA, Kumar A, Sayani R. Needle stick injuries- risk and preventive factor: a study among HCWs in tertiary care hospital in Pakistan. Global J Health Sci. 2013;5(4):85-92.

Alam M. Knowledge, attitude and practice and healthcare workers on needle stick injuries. Ann Saudi Med. 2002;22(5-6):1-4.

Mihir G, Parul P, Sunil N, Mehta HK, Rakesh S, Dharmesh D, et al. Needle stick and sharp instruments injuries among Health care providers at cardiology institute, Ahmedabad. Natl J Community Med. 2010;1(2):114-7.

Ashat M, Batia V, Pyri S, Thakare M, Koushal V. Needle stick injury and HIV risk among health care in north India. Indian J Med Sci. 2011;65(9):371-8.

Kakizaki M, Ikeda N, Ali M, Enkhtuya B, Tsolmon M, Shibuya K, et al. Needle stick and sharps injuries among health care workers at public tertiary hospitals in an urban community in Mongolia. BMC Res Note. 2011;4:184.

Singru AS, Banerjee A. Occupational exposure to blood and body fluids among health care workers in a teaching hospital in Mumbai, India. Indian J Community Med. 2008;33(1):26-30.

Rampal L, Zakaria R, Sook LW. Needle stick and sharps injuries and factors associated among health care workers in a Malaysian hospital. Europ J Soc Sci. 2010;13:354-62.

Hofranipour FG, Asadpour M, Asrdebili HE, Niknami S, Hajizades E. Needle stick/sharp injuries and determinants in nursing care workers. Eur J Soc Sci. 2009;2(11):191-7.

Shah R, Mehta HK, Fancy M, Nayak S, Donga BN. Knowledge andawareness regarding needle stick injuries among health care workers in tertiary care hospital in Ahmadabad Gujarat. National J Com Med. 2010;1(2):93-6.