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Updated: Jun 13, 2026

A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
Published on: July 13, 2019
Using an intravenous catheter system to prevent needlestick injury
Dimitri Sossai1, Vincenzo Puro, Luca Chiappatoli
1Health Safety and Prevention Department, Azienda Ospedaliera Universitaria San Martino, Genoa, Italy. dimitri.sossai@hsanmartino.it
A sharps awareness campaign and safety catheters significantly reduced needlestick injuries. Reported incidents involving catheters dropped dramatically, demonstrating the effectiveness of these safety interventions in preventing percutaneous injuries.
Area of Science:
- Healthcare-associated infections
- Occupational health and safety
Background:
- Needlestick injuries pose a significant risk to healthcare workers.
- Previous incidence rates of percutaneous injuries caused by catheters were notable.
Purpose of the Study:
- To evaluate the impact of a sharps awareness campaign and safety catheter introduction on needlestick injury rates.
- To analyze trends in occupational accidents from 2003 to 2007.
Main Methods:
- Implementation of a sharps awareness campaign in 2003.
- Introduction of safety catheter devices and staff training in 2005.
- Collection and analysis of occupational accident data from 2003–2007.
Main Results:
- Reported sharps injuries involving catheters decreased from 19 in 2004 to two in 2007.
- The rate of needlestick injuries fell from 24.1 per 100,000 cases with conventional catheters to 0.4 per 100,000 cases with safety catheters.
- The peak incidence of 19 injuries in 2004 may reflect improved reporting due to the campaign.
Conclusions:
- The sharps awareness campaign and safety catheters likely contributed to preventing percutaneous injuries.
- The interventions demonstrate a significant reduction in needlestick injuries.
- Improved reporting mechanisms may have initially increased recorded incidents.
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