Injection use in two districts of Pakistan: Implications for disease prevention

International Journal for Quality in Health Care

Volumn 17, Issue 5, 2005, Pages 401-408

  Janjua, Naveed Zafar ^a   Akhtar, Saeed ^a,b   Hutin, Yvan J F ^c  

^a AGA KHAN UNIVERSITY   (Pakistan)

^b KUWAIT UNIVERSITY   (Kuwait)

^c WORLD HEALTH ORGANIZATION   (Switzerland)

Author keywords

Blood borne pathogens; Cluster analysis; Equipment reuse; Health care providers; Health care surveys; Injection practices; Pakistan

Indexed keywords

ADOLESCENT; ADULT; AGE; ARTICLE; CHILD; CITY; CLUSTER ANALYSIS; CONTROLLED STUDY; FEMALE; GENDER; GENERAL PRACTITIONER; HEALTH CARE COST; HEALTH CARE PERSONNEL; HEALTH CARE UTILIZATION; HOUSEHOLD; HUMAN; INFANT; INJECTION; INTERVIEW; MAJOR CLINICAL STUDY; MALE; MEDICAL FEE; OUTPATIENT DEPARTMENT; PAKISTAN; POPULATION RESEARCH; PRESCRIPTION; PRIORITY JOURNAL; PRIVATE PRACTICE; PROPHYLAXIS; RISK ASSESSMENT; RURAL AREA; SAMPLING; SYRINGE; URBAN AREA;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; BLOOD-BORNE PATHOGENS; CHILD; CHILD, PRESCHOOL; CLUSTER ANALYSIS; CROSS-SECTIONAL STUDIES; EQUIPMENT REUSE; FEMALE; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HUMANS; INFANT; INJECTIONS; MALE; MIDDLE AGED; PAKISTAN; QUESTIONNAIRES;

EID: 22144467122     PISSN: 13534505     EISSN: 14643677     Source Type: Journal    
DOI: 10.1093/intqhc/mzi048     Document Type: Article

References (30)

1. Hutin YJ, Hauri AM, Armstrong GL. Use of injections in healthcare settings worldwide, 2000: Literature review and regional estimates. BMJ 2003; 327: 1075.
2. Logez S, Soyolgerel G, Fields R, Luby S, Hutin Y. Rapid assessment of injection practices in Mongolia. Am J Infect Control 2004; 32: 31-37.
3. Hutin YJ, Harpaz R, Drobeniuc J et al. Injections given in healthcare settings as a major source of acute hepatitis B in Moldova. Int J Epidemiol 1999; 28: 782-786.
4. Usman HR, Akhtar S, Rahbar MH, Hamid S, Moattar T, Luby SP. Injections in health care settings: A risk factor for acute hepatitis B virus infection in Karachi, Pakistan. Epidemiol Infect 2003; 130: 293-300.
5. Bari A, Akhtar S, Rahbar MH, Luby SP. Risk factors for hepatitis C virus infection in male adults in Rawalpindi-Islamabad, Pakistan. Trop Med Int Health 2001; 6: 732-738.
6. Quigley MA, Morgan D, Malamba SS et al. Case-control study of risk factors for incident HIV infection in rural Uganda. J Acquir Immune Defic Syndr 2000; 23: 418-425.
7. Baron RC, McCormick JB, Zubeir OA. Ebola virus disease in southern Sudan: Hospital dissemination and intrafamilial spread. Bull World Health Organ 1983; 61: 997-1003.
8. Fisher-Hoch SP, Tomori O, Nasidi A et al. Review of cases of nosocomial Lassa fever in Nigeria: The high price of poor medical practice. BMJ 1995; 311: 857-859.
9. Hauri AM, Armstrong GL, Hutin YJ. The global burden of disease attributable to contaminated injections given in health care settings. Int J STD AIDS 2004; 15: 7-16.
10. Raglow GJ, Luby SP, Nabi N. Therapeutic injections in Pakistan: From the patients' perspective. Trop Med Int Health 2001; 6: 69-75.
11. Khan AJ, Luby SP, Fikree F et al. Unsafe injections and the transmission of hepatitis B and C in a periurban community in Pakistan. Bull World Health Organ 2000; 78: 956-963.
12. Luby SP, Qamruddin K, Shah AA et al. The relationship between therapeutic injections and high prevalence of hepatitis C infection in Hafizabad, Pakistan. Epidemiol Infect 1997; 119: 349-356.
13. World Health Organization, Safe Injection Global Network. Tool 'B' to estimate the frequency of injections and identify providers. Geneva, Switzerland: SIGN, WHO, 2000.
14. Government of Pakistan, Statistics Division. District Census Reports 1998. Islamabad, Pakistan: Population Census Organization, 2000.
15. Bennet S, Woods T, Liyanage W, Smith D. A simplified general method for cluster-sample surveys of health in developing countries. World Health Statistics Q 1991; 44: 98-106.
16. Hutin Y, Hauri A, Chiarello L et al. Best infection control practices for intradermal, subcutaneous, and intramuscular needle injections. Bull World Health Organ 2003; 81: 491-500.
17. Ukoumunne OC, Gulliford MC, Chinn S, Sterne JA, Burney PG. Methods for evaluating area-wide and organisation-based interventions in health and health care: A systematic review. Health TechnIl Assess 1999; 3: iii-92.
18. World Health Organization. High frequency of therapeutic injections, Republic of Moldova. Wkly Epidemiol Rec 1999; 74: 84-86.
19. Ahmad K. Pakistan: A cirrhotic state? Lancet 2004; 364: 1843-1844.
20. Centers for Disease Control. Frequency of vaccine-related and therapeutic injections - Romania, 1998. Morbidity and Mortality Weekly Records 1999; 48: 271-274.
21. Priotto G RA, Kyobutungi C. Injection use in the population of Mabara district, Uganda: Cross sectional survey. In Pilot Testing the WHO Tools to Assess and Evaluate Injection Practices. Geneva: World Health Organization, 2003: 54-61.
22. Vos J, Gumodoka B, van Asten HA, Berege ZA, Dolmans WM, Borgdorff MW. Improved injection practices after the introduction of treatment and sterility guidelines in Tanzania. Trop Med Int Health 1998; 3: 291-296.
23. Rajasekaran M, Sivagnanam G, Thirumalaikolundusubramainan P, Namasivayam K, Ravindranath C. Injection practices in southern part of India. Public Health 2003; 117: 208-213.
24. Lakshman M, Nichter M. Contamination of medicine injection paraphernalia used by registered medical practitioners in south India: An ethnographic study. Soc Sci Med 2000; 51: 11-28.
25. Dentinger C, Pasat L, Popa M, Hutin YJ, Mast EE. Injection practices in Romania: Progress and challenges. Infect Control Hosp Epidemiol 2004; 25: 30-35.
26. Janjua NZ, Nizamy MA. Knowledge and practices of barbers about hepatitis B and C transmission in Rawalpindi and Islamabad. J Pak Med Assoc 2004; 54: 116-119.
27. Thaver IH, Harpham T, McPake B, Garner P. Private practitioners in the slums of Karachi: What quality of care do they offer? Soc Sci Med 1998; 46: 1441-1449.
28. Van Staa A, Hardon A. Injection Practices in Developing World: A Comparative Review of Field Studies in Uganda and Indonesia: Action Programme on Essential Drugs. World Health Organization, 1996.
29. Talaat M, el-Oun S, Kandeel A et al. Overview of injection practices in two governorates in Egypt. Trop Med Int Health 2003; 8: 234-241.
30. Bhattarai M, Wittet S. Perceptions about Injections and Private Sector Injection Practices in Central Nepal: General Welfare Pratisthan and Gates Children's Vaccine Program at PATH, 2000.