Needlestick Injury in Hospital Personnel: A Multicenter Survey from Central Italy

1992 ◽  
Vol 13 (9) ◽  
pp. 540-544 ◽  
Author(s):  
Francesco Albertoni ◽  
Giuseppe Ippolito ◽  
Nicola Petrosillo ◽  
Lorenzo Sommella ◽  
Vincenzo Di Nardo ◽  
...  
Keyword(s):  
Central Italy ◽  
Needlestick Injury ◽  
Hospital Personnel ◽  
Multicenter Survey

Needlestick Injury in Hospital Personnel: A Multicenter Survey From Central Italy

1992 ◽  
Vol 13 (9) ◽  
pp. 540-544 ◽  
Author(s):  
Francesco Albertoni ◽  
Giuseppe Ippolito ◽  
Nicola Petrosillo ◽  
Lorenzo Sommella ◽  
Vincenzo Di Nardo ◽  
...  
Keyword(s):  
Intensive Care ◽  
Hepatitis B ◽  
Healthcare Workers ◽  
Student Nurses ◽  
Injury Rate ◽  
Needlestick Injury ◽  
Public Hospitals ◽  
Hospital Personnel ◽  
Hospital Workers ◽  
Multicenter Survey

AbstractObjectives:To assess the rate of needlestick injury in hospital personnel in an Italian region. To identify risk factors potentially amenable to correction.Design:Hospital workers undergoing hepatitis B prevaccination testing in 1985 through 1986 were interviewed regarding needlestick injury in the previous year, job category, area of work, years of employment, and other pertinent information.Setting:Of the 98 public hospitals of the Latium region, 68 participated in the survey: 32 of 55 with less than 200 beds, 20 of 25 with 200 to 300 beds, 11 of 13 with 400 to 900 beds, and all of the 5 with more than 1,000 beds.Participants:All healthcare workers providing direct patient care or environmental services as well as student nurses were invited by the hospital directors to undergo hepatitis B prevaccination testing and vaccination, if eligible.Results:Of 30,226 hospital workers of the 68 participating hospitals, 20,055 were interviewed (66.3%): 47.7% of the 7,172 doctors, 71% of the 14,157 nurses, 55.9% of the 2,513 technicians, and 71.9% of the 6,384 ancillary workers. Needlestick injury was recalled by 29.3%; the rates were 54.9%, 35.3%, 33.8%, 26.5%, 18.7%, and 14.7% in surgeons, registered and unskilled nurses, physicians, ancillary workers, and technicians, respectively. The recalled injury rate was 39.7% and 34.0% in surgical and intensive care areas; in infectious diseases, it was 16.7%. Bates were lower in hospitals with 200 to 300 beds (25.6%). The needlestick injury rate declined from 32% in those with less than 5 years of employment to 28% in those with more than 20 years (p<.01). Prevalence of HBV infection was higher in student nurses and young workers recalling a needlestick exposure (14.3% and 15.8%, respectively), versus 10.1% and 12.8% in those not exposed (p<.01 and <.05, respectively).Conclusions:Parenteral exposure to bloodborne infectious agents is a relevant risk among healthcare workers in our region, particularly in defined job categories and hospital areas (surgeons, nurses, surgical, and intensive care areas). Immunization and educational efforts should be made along with better designs of devices to reduce the risk of infection.

scholarly journals A multicenter survey on endoscopic retrograde cholangiopancreatography during the COVID-19 pandemic in northern and central Italy

2021 ◽  
Vol 09 (04) ◽  
pp. E629-E634
Author(s):  
Giulio Donato ◽  
Edoardo Forti ◽  
Massimiliano Mutignani ◽  
Maria Antonella Laterra ◽  
Daniele Arese ◽  
...  
Keyword(s):  
Endoscopic Retrograde Cholangiopancreatography ◽  
Central Italy ◽  
Similar Rate ◽  
Published Data ◽  
Case Volume ◽  
Endoscopic Retrograde ◽  
Multicenter Survey ◽  
Screening Protocol ◽  
The Impact

Abstract Background and study aims COVID-19 has dramatically impacted endoscopy practice because upper endoscopy procedures can be aerosol-generating. Most elective procedures have been rescheduled. Endoscopic retrograde cholangiopancreatography (ERCP) is frequently performed in emergency or urgent settings in which rescheduling is not possible. We evaluated the impact of the COVID-19 pandemic on ERCP in Italy during the SARS-CoV-2 lockdown, in areas with high incidence of COVID-19. Patients and methods We performed a retrospective survey of centers performing ERCP in high COVID-19 prevalence areas in Italy to collect information regarding clinical data from patients undergoing ERCP, staff, case-volume and organization of endoscopy units from March 8, 2020 to April 30, 2020. Results We collected data from 31 centers and 804 patients. All centers adopted a triage and/or screening protocol for SARS-CoV-2 and performed follow-up of patients 2 weeks after the procedure. ERCP case-volume was reduced by 44.1 % compared to the respective 2019 timeframe. Of the 804 patients undergoing ERCP, 22 (2.7 %) were positive for COVID-19. Adverse events occurred at a similar rate to previously published data. Of the patients, endoscopists, and nurses, 1.6 %, 11.7 %, and 4.9 %, respectively, tested positive for SARS-CoV-2 at follow up. Only 38.7 % of centers had access to a negative-pressure room for ERCP. Conclusion The case-volume reduction for ERCP during lockdown was lower than for other gastrointestinal endoscopy procedures. No definitive conclusions can be drawn about the percentage of SARS-CoV-2-positive patients and healthcare workers observed after ERCP. Appropriate triage and screening of patients and adherence to society recommendations are paramount.

Needlestick Injury Rates According to Different Types of Safety-Engineered Devices: Results of a French Multicenter Study

2010 ◽  
Vol 31 (4) ◽  
pp. 402-407 ◽  
Author(s):  
William Tosini ◽  
Céline Ciotti ◽  
Floriane Goyer ◽  
Isabelle Lolom ◽  
François L'Hériteau ◽  
...  
Keyword(s):  
Statistical Significance ◽  
Poisson Approximation ◽  
Needlestick Injury ◽  
Injury Rates ◽  
Safety Feature ◽  
Active Devices ◽  
User Training ◽  
Healthcare Settings ◽  
Multicenter Survey ◽  
Fully Automatic

Objectives.To evaluate the incidence of needlestick injuries (NSIs) among different models of safety-engineered devices (SEDs) (automatic, semiautomatic, and manually activated safety) in healthcare settings.Design.This multicenter survey, conducted from January 2005 through December 2006, examined all prospectively documented SED-related NSIs reported by healthcare workers to their occupational medicine departments. Participating hospitals were asked retrospectively to report the types, brands, and number of SEDs purchased, in order to estimate SED-specific rates of NSI.Setting.Sixty-one hospitals in France.Results.More than 22 million SEDs were purchased during the study period, and a total of 453 SED-related NSIs were documented. The mean overall frequency of NSIs was 2.05 injuries per 100,000 SEDs purchased. Device-specific NSI rates were compared using Poisson approximation. The 95% confidence interval was used to define statistical significance. Passive (fully automatic) devices were associated with the lowest NSI incidence rate. Among active devices, those with a semiautomatic safety feature were significantly more effective than those with a manually activated toppling shield, which in turn were significantly more effective than those with a manually activated sliding shield (P < .001, x2 test). The same gradient of SED efficacy was observed when the type of healthcare procedure was taken into account.Conclusions.Passive SEDs are most effective for NSI prevention. Further studies are needed to determine whether their higher cost may be offset by savings related to fewer NSIs and to a reduced need for user training.

scholarly journals Multicenter survey on emergency nurses’ perception of Numerical Rating Scale reliability at triage time in adult Emergency Department patients

2018 ◽  
Vol 14 (3) ◽  
Author(s):  
Gianfranco Cervellin ◽  
Ivan Comelli ◽  
Andrea Bellone ◽  
Fabrizio Giostra ◽  
Nicoletta Acierno ◽  
...  
Keyword(s):  
Pain Measurement ◽  
Pain Perception ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Central Italy ◽  
Reliability And Validity ◽  
Emergency Nurses ◽  
Multicenter Survey ◽  
Numerical Rating ◽  
Triage Time

Since pain perception is highly subjective and culturally mediated, its objective evaluation remains difficult. Nevertheless, pain measurement should ideally be a part of the assessment of patients in order to plan adequate pain relief. Several scales have been proposed for pain measurement, being the numerical rating scale (NRS) the most widely used, often at triage time. NRS have demonstrated acceptable reliability and validity, in post-operative medicine and in oncologic pain, but data in the Emergency Departments (EDs) are poor. The aim of this study is to evaluate the Emergency Nurses’ (ENs) perception about the reliability of NRS in the triage process. A questionnaire based on 11 items was designed and subsequently administered to a large number of ENs in several EDs in Northern and Central Italy. 301 questionnaires were filled out and returned. The majority declares using NRS scale to measure pain (item 2, mode = 4, mean = 3.8), and attributing priority code based on NRS value (item 3, mode = 4, mean = 3.4). In general, triage nurses believe that NRS is only indicative and that their judgement matters (item 4, mode = 4, mean = 3.2). The vast majority of triage nurses do believe that the patients will indicate a fake higher NRS value with the aim to get a more urgent code (item 5, mode = 5, mean = 4), while only a small minority expects that patients would underestimate their NRS for fear of penalizing more urgent patients. Very few believe that such scale underestimates the patients’ condition, while the majority is ambivalent about whether such scale overestimates it. In conclusion, NRS confirms to be a potentially valuable tool for pain evaluation at triage time, but many nurses express some doubts on its reliability, and will attribute the triage code mainly basing on their own judgement.

Modelling herbicide treatment impact on groundwater quality in a central Italy area

Agronomie ◽  
2001 ◽  
Vol 21 (3) ◽  
pp. 267-276
Author(s):  
Daniela Businelli ◽  
Enrico Tombesi ◽  
Marco Trevisan
Keyword(s):  
Groundwater Quality ◽  
Central Italy ◽  
Herbicide Treatment

Endoscopic treatment of antral vascular ectasia – nationwide multicenter survey. APC or ligation?

2011 ◽  
Vol 49 (05) ◽  
Author(s):  
T Gyökeres ◽  
M Dobra ◽  
L Czakó ◽  
Z Kalló ◽  
N Dancs ◽  
...  
Keyword(s):  
Endoscopic Treatment ◽  
Vascular Ectasia ◽  
Multicenter Survey

The network contract in the agrifood industry: An exploratory study on collaborative drivers in central Italy

2019 ◽  
pp. 335-358
Author(s):  
Lorenzo Compagnucci ◽  
Alessio Cavicchi ◽  
Francesca Spigarelli
Keyword(s):  
Exploratory Study ◽  
Central Italy

A numerical model to verify the communication between Gari and Peccia springs (Cassino, Central Italy)

2015 ◽  
Vol 35 ◽  
pp. 268-271
Author(s):  
Michele Saroli ◽  
Michele Lancia ◽  
Marco Petitta ◽  
Gabriele Scarascia Mugnozza
Keyword(s):  
Numerical Model ◽  
Central Italy
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