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Needle stick injury. Reducing the risk

J J Rice1, J P McCabe, F McManus

  • 1Orthopaedic Department, Cappagh Orthopaedic Hospital, Finglas, Dublin, Eire.

International Orthopaedics
|January 1, 1996
PubMed
Summary

Orthopaedic surgeons face significant risks from needle-stick injuries and glove perforations during operations. Using needles with protective points completely eliminated glove perforations, reducing the risk of blood-borne disease transmission.

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Area of Science:

  • Orthopaedic Surgery
  • Occupational Health
  • Infectious Disease Prevention

Background:

  • Penetrating injuries and glove perforations pose risks to surgeons.
  • Needle-stick injuries can lead to blood-borne pathogen transmission.

Purpose of the Study:

  • To investigate the incidence of hand wounds and glove perforations in orthopaedic surgeons.
  • To evaluate the effectiveness of protective-point needles in preventing glove penetration.

Main Methods:

  • Studied orthopaedic surgeons for hand wounds before operations.
  • Assessed glove penetration rates using standard and protective-point needles during deep tissue closure.
  • Monitored needle-stick injuries.

Main Results:

  • 11% of surgeons had hand wounds pre-operation.
  • Standard needles caused 16% outer and 6% inner glove perforations, with a 6% needle-stick injury rate.
  • Protective-point needles resulted in zero glove perforations.

Conclusions:

  • Protective-point needles are highly effective in preventing glove perforations during surgery.
  • Implementing this simple precaution significantly reduces the risk of blood-borne disease transmission to surgeons.

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