Historical| Volume 21, ISSUE 4, P295-299, December 2014

The serious and ongoing issue of needlestick in Australian healthcare settings

  • Cathryn L. Murphy
    Correspondence address: Infection Control Plus, PO Box 106, West Burleigh 4219, Queensland, Australia. Tel.: +61 428 154 154.
    Infection Control Plus Pty Ltd., Gold Coast, QLD, Australia

    Griffith University, Gold Coast, QLD, Australia

    Bond University, Gold Coast, QLD, Australia
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      Australian healthcare workers and especially nurses repeatedly have their safety and health jeopardized through occupational exposures to blood and body fluids. Percutaneous or needlestick injuries are especially concerning and consistent. The purpose of this article is to again draw attention to the serious and costly issue of needlestick injuries in Australian healthcare settings. Specifically it considers the context of needlestick injuries and safety engineered devices within Standard 3 of the Australian Commission on Safety and Quality in Health Care's National Standards reform agenda. Given that Standard 3 alone will likely be insufficient to reduce needlestick injuries, this article also discusses improvements and current challenges in international needlestick injury reduction in an attempt to stimulate key opinion leader consideration of Australia adopting similar strategies.


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        • Adams D.
        • Elliott T.S.
        Impact of safety needle devices on occupationally acquired needlestick injuries: a four-year prospective study.
        Journal of Hospital Infection. 2006; 64: 50-55
        • Alliance for Sharps Safety and Needlestick Prevention in Healthcare
        Preventing needlestick injuries in the healthcare workplace (Vol. 2012).
        Alliance for Sharps Safety and Needlestick Prevention in Healthcare, Sydney2009
        • Australian Commission on Safety and Quality in Health Care
        Safety and Quality Improvement Guide Standard 3: Preventing and Controlling Healthcare Assocaited INfections (October 2012).
        ACSQHC, Sydney2012
        • Australian Safety and Compensation Council
        Occupational Exposures in Australian Nurses.
        Australian Government, Canberra2008
        • Bi P.
        • Tully P.J.
        • Pearce S.
        • Hiller J.E.
        Occupational blood and body fluid exposure in an Australian teaching hospital.
        Epidemiology and Infection. 2006; 134: 465-471
        • Black L.
        Chinks in the armor: Percutaneous injuries from hollow bore safety-engineered sharps devices.
        American Journal of Infection Control. 2012;
        • Black L.
        • Parker G.
        • Jagger J.
        Chinks in the armor: activation patterns of hollow-bore safety-engineered sharp devices.
        Infection Control and Hospital Epidemiology. 2012; 33: 842-844
        • Borba Brum M.C.
        • Dantas Filho F.F.
        • Yates Z.B.
        • Verçoza Viana M.C.
        • Martin Chaves E.B.
        • Trindade D.M.
        HIV seroconversion in a health care worker who underwent postexposure prophylaxis following needlestick injury.
        American Journal of Infection Control. 2013; 41: 471-472
        • Brand C.A.
        • Ibrahim J.E.
        • Cameron P.A.
        • Scott I.A.
        Standards for health care: A necessary but unknown quantity.
        Medical Journal of Australia. 2008; 189: 257-260
        • Chenoweth C.
        Needle Tip Protrusion: Needlestick Injuries Unique To Haemodialysis.
        Australian College of Infection Prevention and Control, Sydney2012
        • Communicable Disease Control Directorate Department of Health
        Health C.D.C.D.D.o. HISWA Healthcare Infection Surveillance Western Australia: Annual Report 2010–2011. Department of Health Western Australia, Perth2011
      1. Cruikshank, M., & Ferguson, J. (2008). Reducing Harm To Patients From Health Care Associated Infections,. In. Sydney: Australian Commission on Safety and Quality in Healthcare.

        • Elder A.
        • Paterson C.
        Sharps injuries in UK health care: A review of injury rates, viral transmission and potential efficacy of safety devices.
        Occupational Medicine (Lond). 2006; 56: 566-574
        • Grayson M.L.
        • Russo P.L.
        The national hand hygiene initiative.
        Medical Journal of Australia. 2009; 191: 420-421
        • Grayson M.L.
        • Russo P.L.
        Problematic linkage of publicly disclosed hand hygiene compliance and health care-associated Staphylococcus aureus bacteraemia rates: Comment.
        Medical Journal of Australia. 2012; 197 (author reply 214): 212-214
        • Grayson M.L.
        • Russo P.L.
        • Cruickshank M.
        • Bear J.L.
        • Gee C.A.
        • Hughes C.F.
        • et al.
        Outcomes from the first 2 years of the Australian National Hand Hygiene Initiative.
        Medical Journal of Australia. 2011; 195: 615-619
        • Guest M.
        • Kable A.
        • McLeod M.
        A survey of sharps including needlestick injuries in nurses in New South Wales, Australia.
        Healthcare Infection. 2010; 15: 77-83
        • Holley A.D.
        • Weber D.J.
        • Reade M.C.
        A battlefield occupational risk not to be ignored.
        Medical Journal of Australia. 2012; 197: 331
        • Hunt J.
        • Murphy C.
        Measurement of nursing staff occupational exposures in the operating suite following introduction of a prevention programme.
        Healthcare Infection. 2004; 9: 57-63
        • Jagger J.
        • Perry J.
        • Gomaa A.
        • Phillips E.K.
        The impact of U.S. policies to protect healthcare workers from bloodborne pathogens: the critical role of safety-engineered devices.
        Journal of Infection and Public Health. 2008; 1: 62-71
        • Jagger J.C.
        Are Australia's healthcare workers stuck with inadequate needle protection? The most direct way to reduce percutaneous injuries is to make devices safer.
        Medical Journal of Australia. 2002; 177: 405-406
        • Macbeth D.
        • Murphy C.
        Auditing hand hygiene rates for quality and improvement.
        Healthcare Infection. 2012; 17: 13-17
        • Murphy C.
        Improved surveillance and mandated use of sharps with engineered sharp injury protections: A national call to action.
        Healthcare Infection. 2008; 13: 33-37
        • Peng B.
        • Tully P.J.
        • Boss K.
        • Hiller J.E.
        Sharps injury and body fluid exposure among health care workers in an Australian tertiary hospital.
        Asia – Pacific Journal of Public Health. 2008; 20: 139-147
        • Phillips E.K.
        • Conaway M.R.
        • Jagger J.C.
        Percutaneous injuries before and after the Needlestick Safety and Prevention Act.
        New England Journal of Medicine. 2012; 366: 670-671
        • Queensland Health
        Prevention C.F.H.r.I.S.a. Healthcare Associated Infection in Queensland: Annual Surveillance Report. Queensland Health, Brisbane2012
        • Russo P.L.
        Caution advised when interpreting MyHospitals data.
        Healthcare Infection. 2012;
        • Slater K.
        • Whitby M.
        • McLaws M.L.
        Prevention of needlestick injuries: the need for strategic marketing to address health care worker misperceptions.
        American Journal of Infection Control. 2007; 35: 560-562
        • Smith D.R.
        • Smyth W.
        • Leggat P.A.
        • Wang R.S.
        Needlestick and sharps injuries among nurses in a tropical Australian hospital.
        International Journal of Nursing Practice. 2006; 12: 71-77
        • Smith M.
        Towards national clinical care standards.
        Medical Journal of Australia. 2012; 10: 540
        • Stackelroth J.
        • Shaban R.Z.
        The challenges of implementing a national hand hygiene initiative in rural and remote areas: Is it time for a new approach to auditing?.
        Healthcare Infection. 2011; 16: 63-70
      2. The Australian Council on Healthcare Standards. (2012). Infection Control version 3.1. Retrospcetive data in full. Australasian Clinical Indicator Report: 2004–2011. In (13th ed.). Sydney NSW; ACHS.

        • The International Healthcare Worker Safety Center
        Moving The Sharps Safety Agenda Forward In The United States: Consensus Statement and Call To Action (Vol. 2012).
        The International Healthcare Worker Safety Center, Virginia2012
        • Tomlinson J.
        • Metz T.
        Sharps Injuries and Sharps Safety Device Survey in Paediatric Hospital Staff.
        Australian College of Infection Prevention and Control, Sydney2012
        • Tseng D.
        • Sinnott M.
        • Collier J.
        • Wall D.
        • Whitby M.
        Prevention of scalpel blade injuries: Staff ignorance of the Australian/New Zealand Standard.
        Healthcare Infection. 2005; 10: 89-94
        • Valls V.
        • Lozano M.S.
        • Yanez R.
        • Martinez M.J.
        • Pascual F.
        • Lloret J.
        • et al.
        Use of safety devices and the prevention of percutaneous injuries among healthcare workers.
        Infection Control and Hospital Epidemiology. 2007; 28: 1352-1360
        • Whitby M.
        Guest editorial: Needlestick injuries (NSIs): an ongoing problem.
        Healthcare Infection. 2004; 9: 44-45
        • Whitby R.M.
        • McLaws M.L.
        Hollow-bore needlestick injuries in a tertiary teaching hospital: epidemiology, education and engineering.
        Medical Journal of Australia. 2002; 177: 418-422
        • Whitby M.
        • McLaws M.L.
        • Slater K.
        Needlestick injuries in a major teaching hospital: the worthwhile effect of hospital-wide replacement of conventional hollow-bore needles.
        American Journal of Infection Control. 2008; 36: 180-186
        • Worth L.J.
        • Thursky K.A.
        • Slavin M.A.
        Public disclosure of health care-associated infections in Australia: quality improvement or parody?.
        Medical Journal of Australia. 2012; 197: 29