A Long-term Study of Sharps Injuries among Health Care Workers in Japan

Nagao, Yoshimasa, Baba, Hisashi, Torii, Keizo, Nagao, Miki, Hatakeyama, Kazuhito, Iinuma, Yoshitsugu, Ichiyama, Satoshi, Shimokata, Kaoru and Ohta, Michio (2007) A Long-term Study of Sharps Injuries among Health Care Workers in Japan. American Journal of Infection Control, 35 6: 407-411. doi:10.1016/j.ajic.2006.03.015

Author Nagao, Yoshimasa
Baba, Hisashi
Torii, Keizo
Nagao, Miki
Hatakeyama, Kazuhito
Iinuma, Yoshitsugu
Ichiyama, Satoshi
Shimokata, Kaoru
Ohta, Michio
Title A Long-term Study of Sharps Injuries among Health Care Workers in Japan
Journal name American Journal of Infection Control   Check publisher's open access policy
ISSN 0196-6553
Publication date 2007-08-01
Sub-type Article (original research)
DOI 10.1016/j.ajic.2006.03.015
Open Access Status
Volume 35
Issue 6
Start page 407
End page 411
Total pages 5
Editor Elaine L. Larson
Place of publication St. Louis, Mo.
Publisher Mosby
Language eng
Subject 110309 Infectious Diseases
110303 Clinical Microbiology
110399 Clinical Sciences not elsewhere classified
Abstract Background The risk of transmission of occupational blood-borne infection is a serious problem for health care workers (HCWs) in Japan. Although the Japanese version of Exposure Prevention Information Network (EPINet) was introduced in 1997, no published data in the clinical setting have been available yet. Objective To examine the epidemiology of occupational sharps injuries of HCWs in a university hospital using EPINet and to analyze the trends and changes in epidemiologic characteristics of needlestick injuries in a detailed situation. Methods The HCWs were requested to report sharps injury incidents to the Infection Control Nurse when the incidents occurred. Those who were involved in the incidents were required to personally complete an EPINET form. Results A total of 259 cases of sharps injuries occurred during the 7-year period. Registered nurses accounted for 72.2% of the cases, constituting the largest group of the HCWs. The incidents occurred most frequently in the hospital wards. Thirty-three cases (55.9%) of the injuries with syringe-needle units occurred “after use before disposal,” whereas 34 cases (73.9%) of the injuries with suture needles occurred “during use of device.” More than half of the injuries with a winged steel needle occurred despite the protective mechanism. Discussion There was no apparent difference in the characteristics of the subjects compared with other reports. The circumstances of the injuries varied with the kinds of instruments. This fact may provide useful information for planning measures to sharps injuries. Conclusions With the problem of underreporting aside, a detailed study, such as ours, comprising by job category and by kind of instrument or the like would provide more useful and effective information in terms of sharps injury prevention.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
School of Medicine Publications
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Citation counts: TR Web of Science Citation Count  Cited 33 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 38 times in Scopus Article | Citations
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Created: Wed, 08 Apr 2009, 03:05:44 EST by Juliette Grosvenor on behalf of Anaesthesiology and Critical Care - RBWH