Backinger CL, Koustenis GH, et al.
American journal of infection control. Date of publication 1994 Oct 1;volume 22(5):300-6.
1. Am J Infect Control. 1994 Oct;22(5):300-6. doi: 10.1016/0196-6553(94)90017-5.
Analysis of needlestick injuries to health care workers providing home care.
Backinger CL(1), Koustenis GH.
Author information:
(1)Division of Professional Practices, Food and Drug Administration, Rockville,
MD 20857.
BACKGROUND: This research analyzed needlestick injuries sustained by employees
working in the home health environment to determine to what extent existing
infection control policies and procedures in home health care are effective in
reducing the risk of transmission of blood-borne infections.
METHODS: In June and July 1992, a random sample of 600 directors of home health
care agencies in the United States were sent questionnaires concerning written
blood-borne infection control policies and procedures of home health care
agencies. Agency characteristics were also identified.
RESULTS: A 46% response rate (n = 278) was obtained. Of the 226 agencies that
reported needlestick injury rates, 102 agencies reported no needlestick injuries
to home health care agency employees in the "last year" and 124 agencies
reported from one to 134 needlestick injuries, for a cumulative total of 475.
Statistical analyses revealed that agencies with "safer" sharps containers,
"safer" hypodermics, or "safer" access to intravenous administration lines did
not have statistically significantly rates of lower needlestick injury than
agencies without these "safer" products.
CONCLUSIONS: This study should be considered exploratory; causal relationships
cannot be established. Although written blood-borne infection control policies
and procedures do not appear to provide protection to home health care workers
from the risk of needlestick injury, limitations in the data exist.
Consequently, results should be viewed with caution and additional research is
needed.
DOI: 10.1016/0196-6553(94)90017-5
PMID: 7847637 [Indexed for MEDLINE]
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