Universität zu Köln

Busche, Marc Nicolai, Klein, Jennifer Maren, Kroeger, Bernd, Siewe, Jan, Faber, Herbert, Muessler, Jutta, Reuter, Stefan, Bastian, Leonard and Vogt, Peter Maria (2020). Reduction of needlestick injuries by 48 & x202f;% in 1 year Effects of improvement of the safety concept according to the European Union Council directive 2010/32/EU at a large regional hospital. Unfallchirurg, 123 (3). S. 216 - 225. NEW YORK: SPRINGER. ISSN 1433-044X

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Abstract

Background Needlestick injuries (NSI) are potentially infectious injuries from sharp or pointed medical instruments and through contact with blood on mucous membranes or nonintact skin. Although the European Union (EU) Council directive 2010/32/EU on the prevention of NSI was implemented in EU countries in 2013, information on the effectiveness of the measures is limited. Objective The aim of this study was to evaluate the effectiveness of a safety concept according to the EU Council Directive 2010/32/EU on prevention of NSI. Material and methods In 2016 the NSI safety concept at a large regional hospital was improved according to 2010/32/EU, specifically by an update of blood screening profiles and standard operating procedures (SOP), better dissemination of information to employees and complete conversion to safety cannulas and scalpels. The medical records of all NSIs from 2015-2017 were retrospectively anonymized and evaluated and a cost analysis was performed. Results The number of NSIs in 2017 was significantly reduced by 48.4% as compared to 2016 and NSIs with scalpels were completely prevented. The proportion of employees with NSIs who were adequately immunized against hepatitis B was significantly increased to 84.1% in 2017. Furthermore, identification of the index patient was significantly increased to 82.5% in 2017. The cost of avoiding NSIs increased by a total of 24.1% in 2017 as compared to 2015 before introduction of the safety concept. Conclusion Implementation of the EU Council directive 2010/32/EU, resulted in an almost 50% reduction in NSIs over 1 year, including the complete prevention of NSIs due to scalpels. In addition, the anamnestic presence of immunization against hepatitis B and index patient identification were significantly increased.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Busche, Marc Nicolai UNSPECIFIED UNSPECIFIED UNSPECIFIED Klein, Jennifer Maren UNSPECIFIED UNSPECIFIED UNSPECIFIED Kroeger, Bernd UNSPECIFIED UNSPECIFIED UNSPECIFIED Siewe, Jan UNSPECIFIED UNSPECIFIED UNSPECIFIED Faber, Herbert UNSPECIFIED UNSPECIFIED UNSPECIFIED Muessler, Jutta UNSPECIFIED UNSPECIFIED UNSPECIFIED Reuter, Stefan UNSPECIFIED UNSPECIFIED UNSPECIFIED Bastian, Leonard UNSPECIFIED UNSPECIFIED UNSPECIFIED Vogt, Peter Maria UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-343102
DOI:	10.1007/s00113-019-00710-8
Journal or Publication Title:	Unfallchirurg
Volume:	123
Number:	3
Page Range:	S. 216 - 225
Date:	2020
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1433-044X
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language HEALTH-CARE WORKERS; HUMAN-IMMUNODEFICIENCY-VIRUS; HEPATITIS-C VIRUS; SEROCONVERSION; PREVALENCE; MANAGEMENT; HIV Multiple languages Emergency Medicine; Surgery Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/34310