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Zachary N London
Discomfort is an unavoidable part of electrodiagnostic (EDX) studies. The most readily modifiable mediator of electromyography (EMG)-associated pain is muscle selection. Interventions that may reduce pain include vapocoolant spray, ibuprofen, and techniques such as slapping or stretching the skin. Needlestick injuries to health care workers carry the risk of transmitting bloodborne illnesses, but other Infectious complications of EDX studies are very rare. EMG probably contributes to asymptomatic hemorrhage in about 1% of patients, but clinically significant bleeding has only been reported a few times...
September 28, 2016: Muscle & Nerve
Mehdi Fathi, Azra Izanloo, Saeed Jahanbakhsh, Mehryar Taghavi Gilani, Ali Majidzadeh, Azam Sabri Benhangi, Naser Paravi
BACKGROUND: Central venous cannulation is a current and important procedure used in the operating room and intensive care unit. Some studies have shown that the application of ultrasound-guided cannulation can improve the success rate of surgery, save time, reduce the number of required needlesticks, and mitigate many complications compared to anatomical landmark-guided cannulation. OBJECTIVES: The aim of the present study was to draw a comparison between central venous cannulation of the internal jugular vein using ultrasound-guided and anatomical landmark-guided techniques...
June 2016: Anesthesiology and Pain Medicine
S Wicker, H F Rabenau, A Schachtrupp, R Schalk
Background and Aim: Healthcare workers (HCW) are at risk of occupational infections and can also transmit diseases to patients. The acceptance of measures to improve safety is linked to knowledge and risk awareness of HCW.The purpose of our study was to ascertain the knowledge and risk awareness of nursing staff regarding occupational infections and vaccinations as well as the frequency of needlestick injuries (NSI) in relation to the level of education. Methods: In the context of a conference on nursing, an anonymous questionnaire was distributed to the participants...
September 12, 2016: Das Gesundheitswesen
Anders H Frid, Laurence J Hirsch, Astrid R Menchior, Didier R Morel, Kenneth W Strauss
From February 1, 2014, through June 30, 2015, 13,289 insulin-injecting patients from 423 centers in 42 countries took part in one of the largest surveys ever performed in diabetes. The goal was to assess patient characteristics, as well as historical and practical aspects of their injection technique. Results show that 4- and 8-mm needle lengths are each used by nearly 30% of patients and 5- and 6-mm needles each by approximately 20%. Higher consumption of insulin (as measured by total daily dose) is associated with having lipohypertrophy (LH), injecting into LH, leakage from the injection site, and failing to reconstitute cloudy insulin...
September 2016: Mayo Clinic Proceedings
D Sossai, M Di Guardo, R Foscoli, R Pezzi, A Polimeni, L Ruzza, M Miele, L Ottaggio, V Fontana, F Copello, P Dellacà, M Doria, A Onesti, G Montecucco, F Risso, M Nelli, I Benvenuti, M Santacroce, L Giribaldi, G Picelli, S Simonini, P Venturini
Healthcare workers who use or may be exposed to needles are at risk of needlestick injuries, which can lead to serious infections by bloodborne pathogens. These injuries can be avoided by eliminating the unnecessary use of needles and using safety devices. The present study was aimed at evaluating the impact of a safety-engineered device, with passive fully automatic needlestick protection, on the rate of needlestick injuries among healthcare workers. The setting of the study was a network of five public healthcare institutions situated in a Northern Italian Region...
2016: Journal of Preventive Medicine and Hygiene
W Wy Sin, A Wc Lin, K Cw Chan, K H Wong
INTRODUCTION: Needlestick injury or mucosal contact with blood or body fluids is well recognised in the health care setting. This study aimed to describe the post-exposure management and outcome in health care workers following exposure to hepatitis B, hepatitis C, or human immunodeficiency virus (HIV) during needlestick injury or mucosal contact. METHODS: This case series study was conducted in a public clinic in Hong Kong. All health care workers with a needlestick injury or mucosal contact with blood or body fluids who were referred to the Therapeutic Prevention Clinic of Department of Health from 1999 to 2013 were included...
October 2016: Hong Kong Medical Journal, Xianggang Yi Xue za Zhi
Linda M Cook, Jacinth Nichols-Dada, Samina Damani, Vickie Lawrence, Sandra Layson, Diane Mitchell, Shaqunna Muhammad, Lourdes Samaniego-Yamin, Jacquelyn Walters Talley, Barbara VanNatta, Melinda Higgins, Kim Cooley
PURPOSE: To determine whether 24% sucrose solution given orally before insertion of a peripheral intravenous (PIV) catheter decreases neonatal pain. BACKGROUND: Prior studies of pain caused by heel and arterial needlesticks found oral administration of 24% sucrose to significantly blunt pain during these painful procedures. No studies have evaluated this treatment with needlestick pain associated with PIV catheter insertion. METHODS: Oral 24% sucrose or placebo solution was administered 2 minutes prior to PIV catheter insertion...
August 16, 2016: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
Anne Whitcombe, Kay Cooper, Emma Palmer
The objective of this mixed methods systematic review is to examine the relationship between organizational culture and the health and wellbeing of hospital nurses, and to develop an aggregated synthesis of quantitative and qualitative systematic reviews to derive recommendations for policy and practice.Organizational culture comprises factors such as leadership, management and support, a health and safety oriented workplace climate and job characteristics.The quantitative component of this review will explore the relationship between organizational culture and the following outcomes in hospital nurses which may be indicators of health and wellbeing: work-related injury such as needlestick or sharp injuries, musculoskeletal injuries and conditions such as low back pain, burnout and general wellbeing...
June 2016: JBI Database of Systematic Reviews and Implementation Reports
Atakan Yilmaz, Mustafa Serinken, Onur Dal, Serpil Yaylacı, Ozgur Karcioglu
OBJECTIVES: Emergency medical technicians (EMTs) and paramedics are at serious risk for work-related injuries (WRIs) during work hours. Both EMTs and paramedics have higher WRI rates, according to the literature data. This study was designed to investigate causes and characteristics of WRIs involving EMTs and paramedics staffed in Western Turkey. METHODS: All health care personnel staffed in Emergency Medical Services (EMS) in the city were interviewed face-to-face in their off-duty hours to inform them about the study...
October 2016: Prehospital and Disaster Medicine
Heleen Kraan, Rimko Ten Have, Larissa van der Maas, Gideon Kersten, Jean-Pierre Amorij
A hexavalent vaccine containing diphtheria toxoid, tetanus toxoid, whole cell pertussis, Haemophilius influenza type B, hepatitis B and inactivated polio vaccine (IPV) may: (i) increase the efficiency of vaccination campaigns, (ii) reduce the number of injections thereby reducing needlestick injuries, and (iii) ensure better protection against pertussis as compared to vaccines containing acellular pertussis antigens. An approach to obtain a hexavalent vaccine might be reconstituting lyophilized polio vaccine (IPV-LYO) with liquid pentavalent vaccine just before intramuscular delivery...
August 31, 2016: Vaccine
Franca Grischott, Milo Puhan, Christoph Hatz, Patricia Schlagenhauf
BACKGROUND: Increasing numbers of confirmed cases of Zika virus (ZIKV) infection resulting from non-mosquito-borne transmission have been reported. METHODS: We performed a systematic literature review (PRISMA guidelines) on intrauterine, intrapartum, sexual and animal bite ZIKV transmission. The presence of the virus in breast milk, urine, saliva and blood transfusions was also reviewed. RESULTS: The search resulted in 285 papers of possible relevance, of which we included 53 in the systematic review...
July 2016: Travel Medicine and Infectious Disease
Chun-Yip Hon, Dina Abusitta
BACKGROUND: The exposure of health care workers to antineoplastic drugs is associated with several adverse health effects, including reproductive toxicities and mutagenic effects. Recent studies have confirmed that Canadian health care workers are at risk of exposure to these agents. However, the causes leading to occupational exposure to antineoplastic drugs are unknown. OBJECTIVE: To perform an exploratory study to ascertain the immediate and contributing causes of health care workers' exposure to antineoplastic drugs...
May 2016: Canadian Journal of Hospital Pharmacy
Lynn Y Choi, Rosalicia Torres, Sohail Syed, Sean Boyle, Ashar Ata, Todd D Beyer, Carl Rosati
BACKGROUND: The hospital is a place of high risk for sharps and needlestick injuries (SNI) and such injuries are historically underreported. METHODS: This institutional review board approved study compares the incidence of SNI among all surgical personnel at a single academic institution via an anonymous electronic survey distributed to medical students, surgical residents, general surgery attendings, surgical technicians, and operating room nurses. RESULTS: The overall survey response rate was 37% (195/528)...
July 5, 2016: Journal of Surgical Education
S Wicker, S Wutzler, I Marzi, H F Rabenau
No abstract text is available yet for this article.
July 7, 2016: Zentralblatt Für Chirurgie
Sara Sollai, Jessica Iacopelli, Mattia Giovannini, Manuela Prato, Luisa Galli, Maurizio de Martino, Elena Chiappini
INTRODUCTION: Accidental needle injury is a common but still discussed problem. OBJECTIVE: We discuss possible options to optimize the management of injured children in light of the available literature findings. RESULTS: The risk of viral infection is low. However, blood investigations are mandatory, as well as appropriate counselling. Anti-HBV immunoglobulins are recommended in all unvaccinated subjects exposed to a HBsAg-positive source; however, there is no agreement regarding their administration in unvaccinated children...
October 2016: Journal of Chemotherapy
Caroline Salas-Humara, Sarah M Wood, Lawrence J D'Angelo, Nadia Dowshen
Many adolescents are at high risk for HIV infection, and those who are infected or at-risk commonly present to the ED, often as their only or frequent source of care. It is important to consider routine screening and to have a high index of suspicion for AHI in this setting. If a diagnosis of HIV infection is made, immediate linkage to care with a specialist in adolescent and young adult HIV infection should be prioritized. For the known HIV-infected patient, management must consider unique possibilities of OIs, IRIS, and medication side effects...
December 2015: Adolescent Medicine: State of the Art Reviews
Paolo Frassanito, Luca Massimi, Gianpiero Tamburrini, Mauro Pittiruti, Francesco Doglietto, Carlotta Ginevra Nucci, Massimo Caldarelli
BACKGROUND: Accidental dislocation or removal is a well-known complication of external cerebrospinal fluid (CSF) drainage in daily clinical practice. At present, no data about the incidence of such complications are available in the scientific literature. SecurAcath (Interrad Medical, Plymouth, Minnesota, USA) is a subcutaneously anchored device recently adopted for securement of central venous catheters, known to be highly effective (and cost-effective) in reducing the risk of catheter dislodgement and/or accidental removal...
September 2016: World Neurosurgery
Haruhisa Fukuda, Kensuke Moriwaki
OBJECTIVE To estimate the cost-effectiveness of safety-engineered devices (SEDs) relative to non-SEDs for winged steel needles, intravenous catheter stylets, suture needles, and insulin pen needles. DESIGN Decision analysis modeling. PARTICIPANTS Hypothetical cohort of healthcare workers who utilized needle devices. METHODS We developed a decision-analytic model to estimate and compare the life-cycle costs and benefits for SED and non-SED needle devices. For this cost-effectiveness analysis, we quantified the total direct medical cost per needlestick injury, number of needlestick injuries avoided, and incremental cost-effectiveness ratio...
September 2016: Infection Control and Hospital Epidemiology
Marcos Pg Mol, Jéssica P Gonçalves, Edvania A Silva, Cristiane FdO Scarponi, Dirceu B Greco, Sandy Cairncross, Leo Heller
Infection with the hepatitis B and C viruses may occur through contact with infected body fluids, including injury with infected sharps. Collectors of domestic or healthcare wastes are potentially exposed to these infections. The aim of this article is to investigate the risk factors associated with the prevalence of hepatitis B and C viruses (HBV and HCV) infection among domestic and healthcare waste workers in Belo Horizonte, Brazil. A cross-sectional study of hepatitis B and C infection was conducted from November 2014 to January 2015, through blood sample collection and interviews about socio-demographic factors with 61 workers exposed to healthcare waste ('exposed') and 461 exposed only to domestic wastes ('unexposed')...
September 2016: Waste Management & Research
Doniel Drazin, Lutfi Al-Khouja, Chaim Colen
BACKGROUND : The most recent work-hour restrictions were implemented in July 2011 for training physicians. The impact of these regulations on workplace injuries is not yet fully understood. Our goal is to determine the effect of the work-hour limitation on the rates of needlestick and eyesplash injuries. METHODS : Approximately 1200 neurosurgery residents and fellows in the United States were emailed a survey, several times, Sept 2013-February 2014. There were 212 responses across postgraduate years 1-7 and fellowship regarding the rate of needlestick and eyesplash injuries experienced or witnessed before and after July 2011...
2016: Curēus
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