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Injection practices in Romania: progress and challenges.

Catherine Dentinger1, Lili Pasat, Mircea Popa

  • 1Division of Viral Hepatitis, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA.

Infection Control and Hospital Epidemiology
|February 6, 2004
PubMed
Summary

Unsafe injection practices in Romania, including preparing medications in contaminated areas, may risk hepatitis B virus (HBV) transmission. Addressing knowledge gaps and supply shortages is crucial for improving injection safety.

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Area of Science:

  • Infectious Diseases
  • Public Health
  • Healthcare Practices

Background:

  • Hepatitis B virus (HBV) poses a significant risk through unsafe injection practices.
  • Identifying breaks in infection control is vital for preventing disease transmission in healthcare settings.

Purpose of the Study:

  • To identify potential risks for hepatitis B virus (HBV) transmission from injections among Romanian healthcare workers.
  • To assess knowledge, attitudes, and practices related to injection safety and universal precautions.

Main Methods:

  • A systematic sample of 1,906 nurses in Vâlcea District, Romania, was surveyed.
  • A standardized questionnaire collected data on infection control practices, knowledge of HBV transmission, and universal precautions.

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Main Results:

  • While most nurses reported universal precaution training, knowledge of HBV infectiousness and transmission efficiency was suboptimal.
  • No nurses reported reusing injection equipment between patients, but some would reuse on the same patient in emergencies.
  • Inconsistent practices, such as preparing medications in potentially contaminated areas and supply shortages, were identified.

Conclusions:

  • Unsafe injection practices persist in Romania, potentially facilitating HBV transmission.
  • Inadequate knowledge of blood-borne pathogens and insufficient infection control supplies contribute to these risks.
  • Improving injection safety requires addressing knowledge deficits and ensuring adequate supplies.