Analysis of Factors Adherence to Safe Injection Practice Procedures among Nurses Healthcare Center Qatar

Injection practices was common medical procedure done by nurses according doctor’s prescription. In nursing process, injection practice is part of nursing intervention, but injection practices was risky for the health care workers. Needle stick injury was happened to the nurses, 18% due disposal of the needle, and 15% while draw the blood for laboratory study. Adherence to the work procedure influence by few behavior factors. Aim of research of the research were to finding out of the factors influence of adherence to safe injection practice among the nurses at healthcare center X Qatar. Type of the research was observational analytic quantities of the analytic description, using cross sectional approach. 9 variable latent with 56 variable indicator. Size of sample were 114 nurses. Data analytic with using PLS-SEM. T-statistic value on variable culture 2.94; environment 1.99; work procedure 3.81 and supervisory 3.10. T-statistic of Individual characteristic, work facility, attitude, and knowledge bellow 1.96. R2 variable adherence were showed 96.05% with Q2 87.07%. Culture, environment, work procedure and supervisory influenced of the adherence safe injection practice among the nurses. (96.05%) variable independent influence of the adherence safe injection practice among the nurses, within 87.07% showed good predicted.

Rapid assessment of safe injection practice in a tertiary care hospital of Eastern India

Background: Unsafe injection practice is harmful to the patients, providers and community especially in a tertiary care hospital. On this backdrop, a rapid assessment of injection practice has been conducted with aim of identifying determinants and indicators of safe injection practice. Methods: A cross sectional study was conducted among 20 providers, 20 prescribers, 100 prescriptions and 120 general population by convenient sampling as per WHO from November 2016 to April 2017 in the hospital of VSS Institute of Medical Sciences & Research, Burla using interview, observation method and analysis of prescriptions. Results: Knowledge about possibility of transmission of HCV due to unsafe injection practice was 80% among providers and 40% among general population. All providers were using sterile syringe and needle though 60% of them were seen not using gloves in case IV Injection/blood transfusion and needle recapping was done by half of them 100 per cent of injection providers reported that they have access to a sharps waste disposal facility. Needle recapping was done by half of them. OT8 indicator was 26.7(%). Average number of injections per person based on the population data was 1 injection per annum. Conclusions: Unsafe injection practice has to be tackled by CME among prescribers about rationale use of injections, antibiotics from essential drug list, regular supply of equipment and hub cutter and education of providers and people about injection safety will prevent avoidable communicable diseases.

Mycobacterium massiliense outbreak after intramuscular injection, South Korea

SUMMARYWe conducted an epidemic investigation to discover the route of transmission and the host factors of an outbreak of post-injection abscesses. Of the 2984 patients who visited a single clinic, 77 cases were identified and 208 age- and sex-matched controls were selected for analysis. Injected medications per se were not found to be responsible, and a deviation from safe injection practice suggested the likelihood of diluent contamination. Therefore the injected medications were classified according to whether there was a need for a diluent, and two medications showed a statistically significant association, i.e. injection with pheniramine [adjusted odds ratios (aOR) 5·93, 95% confidence interval (CI) 2·97–11·87] and ribostamycin (aOR 47·95, 95% CI 11·08–207·53). However, when considered concurrently, pheniramine lost statistical significance (aOR 8·71, 95% CI 0·44–171·61) suggesting that normal saline was the causative agent of this outbreak. Epidemiological evidence strongly suggested that this post-injection outbreak was caused by saline contaminated with Mycobacterium massiliense without direct microbiological evidence.