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Injection Practices in Romania Progress and Challenges

  • Catherine Dentinger (a1), Lili Pasat (a2), Mircea Popa (a3), Yvan J. F. Hutin (a1) and Eric E. Mast (a1)...
Abstract
Abstract<span class='bold'>Objective:</span>

To identify breaks in infection control practices that might put Romanians at risk for transmission of hepatitis B virus (HBV) from injections.

<span class='bold'>Methods:</span>

A standardized questionnaire was administered to a systematic sample of the 1,906 nurses in Valcea District, Romania, to collect information on their knowledge, attitudes, and practices regarding injection administration and universal precautions.

<span class='bold'>Results:</span>

Of the 180 nurses interviewed, 91% (95% confidence interval [CI95], 86% to 95%) reported having attended training for universal precautions; 58% (CI95, 49% to 67%) accurately reported that HBV remains infectious for at least 1 week in the environment; and 4% (CI95, 2% to 8%) knew that HBV is transmitted more efficiently than HrV through percutaneous exposures. No nurses reported reusing syringes or needles on different patients, but 4 (2%; CI95, 1% to 6%) would reuse a syringe and 3 (2%; CI95, 0% to 5%) would reuse a needle on the same patient in an emergency. Fifty-three percent (CI95, 44% to 61%) of nurses reported having a dedicated area for the preparation of injectable medications separate from where blood-contaminated items were handled. Shortages of infection control supplies were common.

<span class='bold'>Conclusions:</span>

Although nurses in Valcea do not report reusing injection equipment without sterilization, other unsafe practices occur that may facilitate HBV transmission through injections, including preparing injectable medications in areas potentially contaminated with blood. Inadequate knowledge of blood-borne pathogen transmission and shortages of infection control supplies may contribute to these unsafe practices. Addressing these deficits could improve injection safety in Romania.

Copyright
Corresponding author
Division of Viral Hepatitis, MS G37, Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA 30333
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1. BS Hersh , F Popovici , Z Jezek , et al.Risk factors for HIV infection among abandoned Romanian children. AIDS 1993;7:16171624.

8. K Kidd-Lunggren , E Broman , H Ekvall , O Gustavson . Nosocomial transmission of hepatitis B virus infection through multiple-dose vials. J Hosp Infect 1999;43:5761.

9. G Webster , R Hallet , SA Whalley , et al.Molecular epidemiology of a large outbreak of hepatitis B linked to autohaemotherapy. Lancet 2000;356:379384.

11. RS Ross , S Viazov , T Gross , F Hofmann , HM Seipp , M Roggendorf . Transmission of hepatitis C virus from a patient to an anesthesiology assistant to five patients. N Engl J Med 2000;343:18511854.

14. BA Woodruff , F Popovici , N Beldescu , CN Shapiro , BS Hersh . Hepatitis B virus infection among pregnant women in northeastern Romania. Int J Epidemiol 1993;22:923926.

15. H Hagan , JP McGough , H Thiede , NS Weiss , S Hopkins , ER Alexander . Syringe exchange and risk of infection with hepatitis B and C viruses. Am J Epidemiol 1999;149:203213.

18. JL Gerberding . Incidence and prevalence of human immunodeficiency virus, hepatitis B virus, hepatitis C virus and cytomegalovirus among health care personnel at risk for blood exposure: final report from a longitudinal study. J Infect Dis 1994;170:14101417.

19. DE Kozoil , DK Henderson . Risk analysis and occupational exposure to HIV and HBV. Curr Opin Infect Dis 1993;6:506510.

20. A Michalsen , GL Delclos , SA Felknor , et al.Compliance with universal precautions among physicians. J Occup Environ Med 1997;39:130137.

23. FJ Mahoney , K Stewart , H Hu , P Coleman , MJ Alter . Progress toward the elimination of hepatitis B virus transmission among health care workers in the United States. Arch Intern Med 1997;157:26012605.

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Infection Control & Hospital Epidemiology
  • ISSN: 0899-823X
  • EISSN: 1559-6834
  • URL: /core/journals/infection-control-and-hospital-epidemiology
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