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Burden of insulin injection-related needlestick injuries in mainland China-prevalence, incidence, and healthcare costs.

Abstract

OBJECTIVE

To estimate the prevalence and incidence of needlestick injuries associated with insulin injection among nurses working in hospitals in China and to quantify the direct healthcare costs associated with insulin injection-related needlestick injuries.

METHODS

We conducted a large online survey among hospital nurses from 31 provinces, municipal cities, and autonomous regions in China from October 2016 to February 2017. The survey covered a wide range of questions, including geographical location, years of experience, insulin injection practice, number of insulin injection-related needlestick injuries in the past 12 months, interventions for needlestick injuries, and treatment costs. We developed a cost estimate model and categorized costs into two major components: infection prevention and treatment of infections.

RESULTS

We received a total of 10,447 questionnaires, of which 9873 were complete and validated. 39.1% of the nurses reported at least one needlestick injury while administering diabetic injections at some point in the past. The incidence of needlestick injuries involving injection pens was 139.5 per 1000 nurses per year and, with adjustment for exposure, 10.2 needlestick injuries per 100,000 injections. Among the respondents, 3.2% reported of having hepatitis B virus infection and 0.9% having hepatitis C virus infection as a result of needlestick injuries. The total costs of one insulin injection-related needlestick injury was estimated to range from ¥1,884 - ¥2,389.

CONCLUSIONS

Insulin injection-related needlestick injuries were common in nurses working in hospitals in China and imposed a significant economic burden. More resources should be allocated for preventive efforts for needlestick injuries, including adoption of injection devices with advanced safety features.

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  • Authors+Show Affiliations

    ,

    China-Japan Friendship Hospital, China.

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    Peking University People's Hospital, China.

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    Sun Yat-sen University, China.

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    Jiangsu Province Official Hospital, China.

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    The Second Xiangya Hospital of Central South University, China.

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    The First Affilated Hospital of Chongqing Medical University, China.

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    Guangdong Second Provincial General Hospital, China.

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    Sir Run Run Shaw Hospital Zhejiang University school of Medicine, China.

    Peking University First Hospital, China. Electronic address: 02839@pkufh.com.

    Source

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    31200220

    Citation

    Zhao, Fang, et al. "Burden of Insulin Injection-related Needlestick Injuries in Mainland China-prevalence, Incidence, and Healthcare Costs." International Journal of Nursing Studies, vol. 97, 2019, pp. 78-83.
    Zhao F, Zhang M, Xuan J, et al. Burden of insulin injection-related needlestick injuries in mainland China-prevalence, incidence, and healthcare costs. Int J Nurs Stud. 2019;97:78-83.
    Zhao, F., Zhang, M., Xuan, J., Mo, Y., Huang, J., Liu, Z., ... Guo, X. (2019). Burden of insulin injection-related needlestick injuries in mainland China-prevalence, incidence, and healthcare costs. International Journal of Nursing Studies, 97, pp. 78-83. doi:10.1016/j.ijnurstu.2019.05.006.
    Zhao F, et al. Burden of Insulin Injection-related Needlestick Injuries in Mainland China-prevalence, Incidence, and Healthcare Costs. Int J Nurs Stud. 2019 May 28;97:78-83. PubMed PMID: 31200220.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Burden of insulin injection-related needlestick injuries in mainland China-prevalence, incidence, and healthcare costs. AU - Zhao,Fang, AU - Zhang,Mingxia, AU - Xuan,Jianwei, AU - Mo,Yongzhen, AU - Huang,Jin, AU - Liu,Zhiping, AU - Zhou,Lihua, AU - Xu,Yulan, AU - Guo,Xiaohui, Y1 - 2019/05/28/ PY - 2018/12/03/received PY - 2019/04/26/revised PY - 2019/05/06/accepted PY - 2019/6/15/pubmed PY - 2019/6/15/medline PY - 2019/6/15/entrez KW - Burden KW - Cost KW - Diabetes mellitus KW - Incidence KW - Insulin KW - Needlestick injury SP - 78 EP - 83 JF - International journal of nursing studies JO - Int J Nurs Stud VL - 97 N2 - OBJECTIVE: To estimate the prevalence and incidence of needlestick injuries associated with insulin injection among nurses working in hospitals in China and to quantify the direct healthcare costs associated with insulin injection-related needlestick injuries. METHODS: We conducted a large online survey among hospital nurses from 31 provinces, municipal cities, and autonomous regions in China from October 2016 to February 2017. The survey covered a wide range of questions, including geographical location, years of experience, insulin injection practice, number of insulin injection-related needlestick injuries in the past 12 months, interventions for needlestick injuries, and treatment costs. We developed a cost estimate model and categorized costs into two major components: infection prevention and treatment of infections. RESULTS: We received a total of 10,447 questionnaires, of which 9873 were complete and validated. 39.1% of the nurses reported at least one needlestick injury while administering diabetic injections at some point in the past. The incidence of needlestick injuries involving injection pens was 139.5 per 1000 nurses per year and, with adjustment for exposure, 10.2 needlestick injuries per 100,000 injections. Among the respondents, 3.2% reported of having hepatitis B virus infection and 0.9% having hepatitis C virus infection as a result of needlestick injuries. The total costs of one insulin injection-related needlestick injury was estimated to range from ¥1,884 - ¥2,389. CONCLUSIONS: Insulin injection-related needlestick injuries were common in nurses working in hospitals in China and imposed a significant economic burden. More resources should be allocated for preventive efforts for needlestick injuries, including adoption of injection devices with advanced safety features. SN - 1873-491X UR - https://www.unboundmedicine.com/medline/citation/31200220/Burden_of_insulin_injection-related_needlestick_injuries_in_mainland_China-prevalence,_incidence,_and_healthcare_costs L2 - https://linkinghub.elsevier.com/retrieve/pii/S0020-7489(19)30129-4 DB - PRIME DP - Unbound Medicine ER -