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Prevention of Needle-Stick Injuries in Healthcare Facilities: A Meta-Analysis

  • Lukman H. Tarigan (a1) (a2), Manuel Cifuentes (a2), Margaret Quinn (a2) and David Kriebel (a2)
Abstract
OBJECTIVE

To estimate the summary effectiveness of different needle-stick injury (NSI)-prevention interventions.

DESIGN

We conducted a meta-analysis of English-language articles evaluating methods for reducing needle stick, sharp, or percutaneous injuries published from 2002 to 2012 identified using PubMed and Medline EBSCO databases. Data were extracted using a standardized instrument. Random effects models were used to estimate the summary effectiveness of 3 interventions: training alone, safety-engineered devices (SEDs) alone, and the combination of training and SEDs.

SETTING

Healthcare facilities, mainly hospitals

PARTICIPANTS

Healthcare workers including physicians, midwives, and nurses

RESULTS

From an initial pool of 250 potentially relevant studies, 17 studies met our inclusion criteria. Six eligible studies evaluated the effectiveness of training interventions, and the summary effect of the training intervention was 0.66 (95% CI, 0.50–0.89). The summary effect across the 5 studies that assessed the efficacy of SEDs was 0.51 (95% CI, 0.40–0.64). A total of 8 studies evaluated the effectiveness of training plus SEDs, with a summary effect of 0.38 (95% CI, 0.28–0.50).

CONCLUSION

Training combined with SEDs can substantially reduce the risk of NSIs.

Infect Control Hosp Epidemiol 2015;36(7):823–829

Copyright
Corresponding author
Address all correspondence to David Kriebel, 1 University Ave, RM K202D, Lowell, MA 01854 (David_Kriebel@uml.edu).
Footnotes
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NOTE. Dr. Tarigan passed away suddenly on December 5, 2014, after completing this work and submitting the paper for publication. Dr. Tarigan was deeply committed to improving public health in Indonesia and his untimely passing is a great loss to his country. The coauthors dedicate this paper to his memory and to his family.

Footnotes
References
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Infection Control & Hospital Epidemiology
  • ISSN: 0899-823X
  • EISSN: 1559-6834
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