Exposure and Knowledge of Sharps Injuries among Medical Students in Seven States of Mexico
Background: Medical students are vulnerable to accidental exposure to blood-borne pathogens when performing clinical activities. Knowledge of both the prevalence of exposure and necessary reporting procedures is important to minimize the risk of harm to medical students. Methods: A cross-sectional online survey of medical students from 19 universities from seven states in Mexico was utilized to determinethe prevalence of needle stick injuries amongst medical students and the associated reporting procedures. Results: We included 312 respondents; of these, 52.24% were men and 47.76% were women, and the mean age was 23.19 years (SD ± 2.11 years). Nearly all of them (94.23%) were medical students doing clerkships in public hospitals. Mean knowledge score of blood-borne pathogens was 3.6 (SD ± 1.16) on a scale of 0-10 designed specifically for this study. Thirty-five per cent of the respondents had sustained a needle stick injury at some point during their medical school training, and 33.97% reported some type of mucocutaneous exposure. Overall, the non-reporting rate of needle stick injury was 48.34%. Approximately 25% of the respondents were not familiar with reporting procedures in the event of a needle stick injury or mucocutaneous exposure; 61.50% had received information from their hospital about the standard protocol to follow after a blood or body fluid exposure. Conclusion: In this Mexican population of medical students, there is a high risk of suffering needle stick injuries during medical training. Furthermore, knowledge regarding prevention, evaluation, and reporting of needle stick injuries is suboptimal.
2. Salzer HJ, Hoenigl M, Kessler HH, Stigler FL, Raggam RB, Rippel KE, et al. Lack of risk-awareness and reporting behavior towards HIV infection through needle stick injury among European medical students. Int J Hyg Environ Health. 2011 Sep;214(5):407-10.
3. Kessler CS, McGuinn M, Spec A, Christensen J, Baragi R, Hershow RC. Underreporting of blood and body fluid exposures among health care students and trainees in the acute care setting: a 2007 survey. Am J Infect Control. 2011 Mar;39(2):129-34.
4. Bernard JA, Dattilo JR, Laporte DM. The incidence and reporting of sharps exposure among medical students, orthopedic residents, and faculty at one institution. J Surg Educ. 2013 Sep-Oct;70(5): 660-8.
5. Centers for Disease Control and Prevention. Updated U.S. Public Health Service guidelines for the management of occupational exposures to HIV and recommendations for Postexposure Prophylaxis. MMWR 2005;54(No. RR- 9):1-17.
6. Sohn JW, Kim BG, Kim SH, Han C. Mental health of healthcare workers who experience needle stick and sharps injuries. J Occup Health. 2006 Nov;48(6):474-9.
7. Sharma GK, Gilson MM, Nathan H, Makary MA. Needle stick injuries among medical students: incidence and implications. Acad Med. 2009 Dec;84(12):1815-21.
8. Camacho-Ortiz A, Díaz-Rodríguez X, Rodríguez-López JM, Martínez-Palomares M, Palomares-De la Rosa A, Garza-González E. A 5-year surveillance of occupational exposure to bloodborne pathogens in a university teaching hospital in Monterrey, Mexico. Am J Infect Control. 2013 Sep; 41(9):e85-8.
9. Lamontagne F, Abiteboul D, Lolom I, Pellissier G, Tarantola A, Descamps JM, et al. Role of safety-engineered devices in preventing needle stick injuries in 32 French hospitals. Infect Control Hosp Epidemiol. 2007 Jan; 28(1):18-23.
10. Zafar A, Habib F, Hadwani R, Ejaz M, Khowaja K, Khowaja R, et al. Impact of infection control activities on the rate of needle stick injuries at a tertiary care hospital of Pakistan over a period of six years: an observational study. BMC Infect Di. 2009 May;9:78.
11. Centers for Disease Control and Prevention. Updated U.S. Public Health Service guidelines for the management of occupational exposures to HBV, HCV, and HIV and Recommendations for Postexposure Prophylaxis. MMWR 2001;50(No. RR-11):1-42.
12. Fica CA, Jemenao MI, Ruiz RG, Larrondo LM, Hurtado HC, Muñoz GG, et al. [Biological risk accidents among undergraduate healthcare students: five years experience]. Rev Chilena Infectol. 2010 Feb;27(1):34-9. Spanish.
13. Naghavi SH, Shabestari O, Alcolado J. Post-traumatic stress disorder in trainee doctors with previous needle stick injuries. Occup Med (Lond). 2013 Jun;63(4):260-5.
14. Farooqi H, Patel H, Aslam HM, Ansari IQ, Khan M, Iqbal N, et al. Effect of Facebook on the life of Medical University students. Int Arch Med. 2013 Oct;6(1):40.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution 4.0 International License that allows others to share the work with an acknowledgement of the work’s authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal’s published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
Enforcement of copyright
The IJMS takes the protection of copyright very seriously.
If the IJMS discovers that you have used its copyright materials in contravention of the license above, the IJMS may bring legal proceedings against you seeking reparation and an injunction to stop you using those materials. You could also be ordered to pay legal costs.
If you become aware of any use of the IJMS' copyright materials that contravenes or may contravene the license above, please report this by email to email@example.com
If you become aware of any material on the website that you believe infringes your or any other person's copyright, please report this by email to firstname.lastname@example.org