Examining unsafe injection practices associated with auto-disable (AD) syringes: a systematic review

Auto-disable (AD) syringes are specifically designed to prevent syringe reuse. However, the notion that specific AD syringe designs may be unsafe due to reuse concerns related to the syringe's activation point has surfaced. We conducted a systematic review for evidence on the association between AD syringe design and syringe reuse, adverse events following immunization (AEFI), or blood borne virus (BBV) transmission. We found no evidence of an association between AD syringe design and unsafe injection practices including syringe reuse, AEFIs, or BBVs. Authors of three records speculated about the possibility of AD syringe reuse through intentionally defeating the disabling mechanism, and one hinted at the possibility of reuse of larger-than-required syringes, but none reported any actual reuse instance. In contrast to AD syringes, standard disposable syringes continue to be reused; therefore, the global health community should expand the use of AD syringes in both immunization and therapeutic context as an essential strategy for curbing BBV transmission.

The Factors of Needlestick Injury on Healthcare Workers at the Hospital of Bojonegoro

Introduction: Needlestick injury is the most frequent accidents encountered by healthcare workers in the hospital. Needlestick injury can expose healthcare workers to the risk of communicable diseases infection. This study was conducted in one of the hospitals in Bojonegoro. Healthcare workers in the inpatient installation and laboratory room have a potential for needlestick injury since they often use needles in their work activities. The aim of this study was to analyze the needlestick injury-related factors on healthcare workers in one of the hospitals in Bojonegoro. Methods: This study belongs to a cross-sectional study with a quantitative approach. The study population comprised all laboratory staffs and nurses in the inpatient installation. Sampling was done using stratified random method, obtaining 91 people as the samples. The variables involved in this study included educational level, knowledge, training, unsafe action, and needlestick injury. Data were acquired by means of observation, questionnaire, hospital data, and other supporting data. The data obtained were analyzed using the chi square test with a significance of 0.05 (α = 0.05). Result: This study indicates that educational level (sig = 0.024) and unsafe action (sig = 0.002) are related to needlestick injury. Meanwhile, knowledge (sig = 0.722) and training (sig = 0.350) are not related to needle stick injury. Conclusion: Educational level and unsafe actions are related to needlestick injury on healthcare workers at one of the hospitals in Bojonegoro.Keywords: accident, hospital, needlestick