Vol. 4 Núm. 3 (2025): learning self-care
Articles

Burden and Risk Factors for Sharp Injuries among Healthcare Workers in a Ugandan Tertiary Hospital: a Cross-Sectional Study

Pauline Irumba
Department of Nursing, Mountains of the Moon University, Fort Portal City, Uganda
Enos Mirembe Masereka
Department of Nursing, Mountains of the Moon University, Fort Portal City, Uganda
Nathan Kakongi
Department of Nursing, Mountains of the Moon University, Fort Portal City, Uganda; epartment of Biochemistry, Mbarara University of Science and Technology, Mbarara City, Uganda
Herbert Mugerwa
Department of Surgery, Fort Portal Regional Referral Hospital, Fort Portal City, Uganda
Emmanuel Kimera
Department of Nursing, Mountains of the Moon University, Fort Portal City, Uganda
Charles Rugumayo
Department of Nursing, Mountains of the Moon University, Fort Portal City, Uganda
Robert Kamukama
Department of Nursing, Mountains of the Moon University, Fort Portal City, Uganda
Apuulison David Friday
Department of Nursing, Mountains of the Moon University, Fort Portal City, Uganda
Brenda Nabawanuka
Department of Nursing, Mountains of the Moon University, Fort Portal City, Uganda

Publicado 2025-09-30

Palabras clave

  • Sharps,
  • Injuries,
  • Needlestick Injuries,
  • Biomedical Waste,
  • Hospitals,
  • Health Personnel
  • ...Más
    Menos

Resumen

Introduction. Uganda’s efforts for sharps handling, and their waste management are restrained due to shortage of equipment and supplies resorting to alternatives that may not meet standards. The aim of this study was to provide a current detailed account of the prevalence of sharp injuries, and independent risk factors for these injuries among healthcare workers in a resource limited setting.

Methods. A hospital based cross sectional study was conducted among healthcare professionals offering care in a 333-bed capacity tertiary care facility. A self-administered questionnaire was used. Prevalence, and sociodemographic characteristics were determined using descriptive analysis. Univariate and multivariate binary logistic regression analyses were conducted to explore the independent factors associated with risk of sharp injuries.

Results. 147 health professionals participated in this study, and majority (57.14%) were females. The median age in years was 38.48 with an interquartile range of (30.87-47.35). The period prevalence of sharps injuries was 40.14% (1 in 3), and health professionals with at least one training in sharp handling, and disposal a year were less likely to have sharps injuries that year (aOR=0.1, 95% CI=0.01-0.48, p=0.006). Work related stress increased the odds of sharps injuries (aOR=4.3, 95% CI=1.2-9.8, p=0.005).

Discussion. The overall prevalence of sharp injuries is high. Multidimensional factors including psychological stress, limited flexibility in hospital policies, and less training on sharps handling and disposal every year were associated with sharps injuries. Feasible hospital interventions including simulation-based training, digital education on sharps handling, and disposal should be implemented by hospital administration. While this training on sharps handling, and disposal may be important, its efficacy should be ascertained through repeated studies. Support through allocation of resources, and capacity building from ministry of health, and partners could be of help.

Citas

  1. Alwali A, Shaheen A, Ahmed M, Mansour Z, Kanou L, AlQanoa B, et al. Awareness and prevalence of needle stick injuries among cleaners and health-care providers in Gaza Strip hospitals: a cross-sectional study. The Lancet. 2021;398:S12. https://doi.org/10.1016/S0140-6736(21)01498-7
  2. WHO. Safe management of wastes from health-care activities. 2nd Edition ed. Yves Chartier JE, Ute Pieper, Annette Prüss, Philip Rushbrook, Ruth Stringer, William Townend, Susan Wilburn and Raki Zghond, editor. Malta2014. Accessed via: Safe management of wastes from health-care activities, 2nd ed.
  3. Auta A, Adewuyi EO, Tor-Anyiin A, Edor JP, Kureh GT, Khanal V, et al. Global prevalence of percutaneous injuries among healthcare workers: a systematic review and meta-analysis. Int J Epidemiol. 2018;47(6):1972-80. https://doi.org/10.1093/ije/dyy208
  4. Fadil RA, Abdelmutalab NA, Abdelhafeez SA, Mazi W, Algamdi S, Shelwy MM, et al. Pattern and risk factors of sharp object injuries among health care workers in two tertiary hospitals, Al Taif-Kingdom of Saudi Arabia 2016–2018. Saudi Journal of Biological Sciences. 2021;28(11):6582-5. https://doi.org/10.1016/j.sjbs.2021.07.031
  5. Mengistu DA, Tolera ST. Prevalence of occupational exposure to needle-stick injury and associated factors among healthcare workers of developing countries: Systematic review. Journal of occupational health. 2020;62(1):e12179. https://doi.org/10.1002/1348-9585.12179
  6. Bouya S, Balouchi A, Rafiemanesh H, Amirshahi M, Dastres M, Moghadam MP, et al. Global Prevalence and Device Related Causes of Needle Stick Injuries among Health Care Workers: A Systematic Review and Meta-Analysis. Ann Glob Health. 2020;86(1):35. https://doi.org/10.5334/aogh.2698
  7. Musa S, Peek-Asa C, Young T, Jovanovic N. Needle stick injuries, sharp injuries and other occupational exposures to blood and body fluids among health care workers in a general hospital in Sarajevo, Bosnia and Herzegovina. International journal of occupational safety and health. 2014;4(1):31. https://doi.org/10.3126/ijosh.v4i1.9847
  8. Hosseinipalangi Z, Golmohammadi Z, Ghashghaee A, Ahmadi N, Hosseinifard H, Mejareh ZN, et al. Global, regional and national incidence and causes of needlestick injuries: a systematic review and meta-analysi. Eastern Mediterranean Health Journal. 2022;28(3):233-41.
  9. Oluwatosin OA, Oladapo MM, Asuzu MC. Needlestick injuries among health care workers in Ondo State, Nigeria. International Journal of Medicine & Public Health. 2016;6(1). doi. 10.4103/2230-8598.179757
  10. Reagan M. Evaluating Medical Waste Sorting Methods and Ultimate Disposal Across Various Health Units at Kampala International University Teaching Hospital. https://doi.org/10.59298/INOSRES/2023/2.13.1000
  11. Alitubeera PH, Mutanda JN, Aggrey M, Kobusingye OC, Biribawa C, Tusubira A, et al. Prevalence, correlates of occupational percutaneous injuries and use of post exposure prophylaxis against HIV, hepatitis B among health workers in Kampala, Uganda-May 2016. Journal of Interventional Epidemiology and Public Health. 2021;4(13). https://doi.org/10.37432/jieph.2021.4.3.42
  12. Odongkara B, Mulongo G, Mwetwale C, Akasiima A, Muchunguzi H, Mukasa S, et al. Prevalence of occupational exposure to HIV among health workers in Northern Uganda. International Journal of Risk & Safety in Medicine. 2012;24(2):103-13. https://doi.org/10.3233/JRS-2012-0563
  13. Health Management Information System H. Unpublished work, Post Exposure Prophylylaxis Register. 2022.
  14. Kish L. Survey sampling. Oxford, England: Wiley; 1965.
  15. Chaudhuri A, Dutta T. Determining the size of a sample to take from a finite population. Statistics and Applications. 2018;16(1):37-44. Accessed via: 3_Arijit_Chaudhuri2018_1_EdujfYV.pdf
  16. Bevan V, Blake P, Radwan RN, Azzopardi E. Sharps and needlestick injuries within the operating room: Risk prone procedures and prevalence meta-analysis. Journal of Perioperative Practice. 2023;33(7-8):200-10. https://doi.org/10.1177/17504589221103810
  17. Cox NJ. Speaking Stata: The largest five—A tale of tail values. The Stata Journal. 2022;22(2):446-59. https://doi.org/10.1177/1536867X221106436
  18. Ghanei Gheshlagh R, Aslani M, Shabani F, Dalvand S, Parizad N. Prevalence of needlestick and sharps injuries in the healthcare workers of Iranian hospitals: an updated meta-analysis. Environ Health Prev Med. 2018;23(1):44. https://doi.org/10.1186/s12199-018-0734-z
  19. Saadeh R, Khairallah K, Abozeid H, Al Rashdan L, Alfaqih M, Alkhatatbeh O. Needle Stick and Sharp Injuries Among Healthcare Workers: A retrospective six-year study. Sultan Qaboos Univ Med J. 2020;20(1):e54-e62. https://doi.org/10.18295/squmj.2020.20.01.008
  20. Bilek Ö, Kiran S, Duygulu S, Yıldız AN. The Awareness and Empowerment Aspects of the Needlesticks and Other Sharps Injuries and Reporting in Nursing Education: A Cross-Sectional Survey. Workplace Health & Safety. 2022;70(9):421-30. https://doi.org/10.1177/21650799211049810
  21. Liyew B, Sultan M, Michael M, Tilahun AD, Kassew T. Magnitude and determinants of needlestick and sharp injuries among nurses working in Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia. BioMed research international. 2020;2020(1):6295841. https://doi.org/10.1155/2020/6295841
  22. Abalkhail A, Kabir R, Elmosaad YM, Alwashmi AS, Alhumaydhi FA, Alslamah T, et al. Needle-stick and sharp injuries among hospital healthcare workers in Saudi Arabia: a cross-sectional survey. International journal of environmental research and public health. 2022;19(10):6342. https://doi.org/10.3390/ijerph19106342
  23. Sharew NT, Mulu GB, Habtewold TD, Gizachew KD. Occupational exposure to sharps injury among healthcare providers in Ethiopia regional hospitals. Annals of occupational and environmental medicine. 2017;29:1-7. https://doi.org/10.1186/s40557-017-0163-2
  24. Kaur M, Mohr S, Andersen G, Kuhnigk O. Needlestick and sharps injuries at a German university hospital: epidemiology, causes and preventive potential - a descriptive analysis. Int J Occup Med Environ Health. 2022;35(4):497-507. https://doi.org/10.13075/ijomeh.1896.01854
  25. Korkmaz N, Şentürk GÇ, Tekin A, Gürbüz Y, Sevinç G, Tütüncü EE, et al. Rates of underreported needlestick and sharps injuries among healthcare workers in Turkey: in the light of Infection Control Committee data. International Journal for Quality in Health Care. 2022;34(2). https://doi.org/10.1093/intqhc/mzac012
  26. Rai R, El-Zaemey S, Dorji N, Rai BD, Fritschi L. Exposure to occupational hazards among health care workers in low-and middle-income countries: a scoping review. International journal of environmental research and public health. 2021;18(5):2603. https://doi.org/10.3390/ijerph18052603
  27. Henley P, Lowthers M, Koren G, Fedha PT, Russell E, VanUum S, et al. Cultural and socio-economic conditions as factors contributing to chronic stress in sub-Saharan African communities. Canadian Journal of Physiology and Pharmacology. 2014;92(9):725-32. https://doi.org/10.1139/cjpp-2014-0035
  28. Chen Y-H, Tsai C-F, Yeh C-J, Jong G-P. Is burnout a mediating factor between sharps injury and work-related factors or musculoskeletal pain? World Journal of Clinical Cases. 2021;9(25):7391. http://dx.doi.org/10.12998/wjcc.v9.i25.7391
  29. Pousa PCP, Lucca SRd. Psychosocial factors in nursing work and occupational risks: a systematic review. Revista brasileira de enfermagem. 2021;74(suppl 3):e20200198. https://doi.org/10.1590/0034-7167-2020-0198
  30. Cheetham S, Ngo HT, Liira J, Liira H. Education and training for preventing sharps injuries and splash exposures in healthcare workers. Cochrane Database of Systematic Reviews. 2021(4). https://doi.org/10.1002/14651858.CD012060.pub2
  31. Goniewicz K, Goniewicz M, Włoszczak-Szubzda A, Burkle FM, Hertelendy AJ, Al-Wathinani A, et al. The importance of pre-training gap analyses and the identification of competencies and skill requirements of medical personnel for mass casualty incidents and disaster training. BMC public health. 2021;21:1-11. https://doi.org/10.1186/s12889-021-10165-5
  32. Shanafelt T, Trockel M, Ripp J, Murphy ML, Sandborg C, Bohman B. Building a program on well-being: key design considerations to meet the unique needs of each organization. Academic Medicine. 2019;94(2):156-61. https://dx.doi.org/10.1097/ACM.0000000000002415
  33. Shanafelt T, Stolz S, Springer J, Murphy D, Bohman B, Trockel M. A blueprint for organizational strategies to promote the well-being of health care professionals. NEJM Catalyst Innovations in Care Delivery. 2020;1(6). DOI: 10.1056/CAT.20.0266
  34. Rieckert A, Schuit E, Bleijenberg N, ten Cate D, de Lange W, de Man-van Ginkel JM, et al. How can we build and maintain the resilience of our health care professionals during COVID-19? Recommendations based on a scoping review. BMJ Open. 2021;11(1):e043718. https://doi.org/10.1136/bmjopen-2020-043718