Needlestick injuries and other occupational exposures to body fluids amongst employees and medical students of a German university: incidence and follow-up.

The aim of this study was to obtain data concerning the incidence, reporting and follow-up of occupational exposure to blood or other body fluids (OEB). A questionnaire was distributed to employees and medical students (N=787) and official reports of OEB during the year 2003 (N=203) and their consequent follow-up (N=100) were evaluated. The percentages of needlestick injuries were 29.5% for students and 22.5% for employees. Incidence rates per 1000 employee days were 0.61 for needlestick injuries or sharp object injuries and 0.27 for mucocutaneous exposure to body fluids. The mean rate of underreporting was approximately 45%. Contrary to expectations, only 4.3% of nurses and 3.9% of doctors officially reported an OEB in 2003. The number of persons who did not attend for a serological test increased during the follow-up period. Considering all documented test results, 35 out of 100 affected persons were lost to follow-up due to default of appearance. As a consequence, the employer should provide safety devices and enforce didactical interventions with practical training and incident reporting. Periodical occupational health medicals, including serological testing, should be mandatory for all employees, including medical students and student nurses. To increase compliance after OEB, a short follow-up period using improved laboratory tests requires further discussion.

[1]  Kimberly D. McCoy,et al.  Percutaneous injury, blood exposure, and adherence to standard precautions: are hospital-based health care providers still at risk? , 2003, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[2]  R. Choudhury,et al.  An examination of needlestick injury rates, hepatitis B vaccination uptake and instruction on 'sharps' technique among medical students. , 1992, The Journal of hospital infection.

[3]  S. Mackinnon,et al.  Needlestick injuries among medical students. , 2003, American journal of infection control.

[4]  H. Drexler,et al.  Student health policy of a German medical school--results of a cross sectional study concerning students' immunity to vaccine-preventable diseases. , 2004, International journal of hygiene and environmental health.

[5]  I. Whitaker,et al.  Needle-stick injuries in the National Health Service: a culture of silence. , 2004, Journal of the Royal Society of Medicine.

[6]  B. Hamory,et al.  Underreporting of needlestick injuries in a university hospital. , 1983, American journal of infection control.

[7]  P. Venkatesan,et al.  Needlestick injuries amongst medical students in Birmingham, UK. , 2000, The Journal of hospital infection.

[8]  N. Kralj,et al.  Kanülenstichverletzungen im Gesundheitsdienst - Häufigkeit, Ursachen und Präventionsstrategien , 2002 .

[9]  I. N. Hassim,et al.  Study on Incidence of Needle Stick Injury and Factors Associated with this Problem among Medical Students , 2003, Journal of occupational health.

[10]  F. Antunes,et al.  Post-Exposure Prophylaxis of HIV Infection in Healthcare Workers: Recommendations for the European Setting , 2003, European Journal of Epidemiology.

[11]  J. Chu,et al.  Medical student exposure to blood and infectious body fluids. , 1995, American journal of infection control.

[12]  S. Elliott,et al.  Medical students' knowledge of sharps injuries. , 2005, The Journal of hospital infection.

[13]  D. Nowak,et al.  Needlestick injuries during medical training. , 2006, The Journal of hospital infection.

[14]  A. Panlilio,et al.  Updated U.S. Public Health Service guidelines for the management of occupational exposures to HIV and recommendations for postexposure prophylaxis. , 2005, MMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports.