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Are we getting the point? Needlestick injuries-an ongoing problem.

T K McAdam1, R E McLaughlin, B McNicholl

  • 1Emergency Department, Royal Victoria Hospital, Grosvenor Rd, Belfast BT12 6BA, UK. mekittrick@hotmail.com

International Journal of STD & AIDS
|August 13, 2002
PubMed
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Glove perforation from hollow needles is common in emergency departments, with 9.7% of gloves perforated. Most injuries occurred on the thumb and index finger, suggesting dominant hand needle use.

Area of Science:

  • Emergency Medicine
  • Infection Control
  • Medical Device Safety

Background:

  • Glove perforation during medical procedures is a significant concern.
  • The incidence and pattern of glove perforation from hollow needles remain largely undescribed.
  • Sensitive electronic testing methods offer a reliable way to assess glove integrity.

Purpose of the Study:

  • To determine the rate of glove perforation associated with hollow needle use in an Emergency Department setting.
  • To identify specific locations of glove perforation.
  • To correlate perforation patterns with needle handling practices.

Main Methods:

  • Collection and electronic testing of 289 gloves used over three months.
  • Comparison of perforated gloves with 100 unused control gloves.

Related Experiment Videos

  • Statistical analysis using Fisher's exact probability test.

    • Main Results:

    • A perforation rate of 9.7% (28/298) was observed in used gloves, significantly higher than the 1% rate in the control group (P<0.01).
    • Perforations were most frequently located on the thumb and index fingers.
    • No needlestick injuries were reported during the study period.

    Conclusions:

    • The rate of glove perforation from hollow needles in this Emergency Department is higher than previously reported.
    • The perforation pattern suggests needles held in the dominant hand are a primary cause of glove compromise.
    • Findings highlight the need for improved protocols to prevent glove perforation and potential sharps injuries.