Safety engineered injection devices for intramuscular, subcutaneous and intradermal injections in healthcare delivery settings: A systematic review and meta-analysis

BMC Nursing

Volumn 14, Issue 1, 2015, Pages

  Harb, Alain C ^a   Tarabay, Rami ^b   Diab, Batoul ^b   Ballout, Rami A ^a   Khamassi, Selma ^c   Akl, Elie A ^a  

^a AMERICAN UNIVERSITY OF BEIRUT   (Lebanon)

^b LEBANESE UNIVERSITY   (Lebanon)

^c WORLD HEALTH ORGANIZATION   (Switzerland)

Author keywords

HBV; HCV; Health care worker; HIV; Meta analysis; Needlestick injuries; Reuse prevention syringes; Sharps injury prevention syringes; Systematic review

Indexed keywords

EID: 84952775874     PISSN: None     EISSN: 14726955     Source Type: Journal    
DOI: 10.1186/s12912-015-0119-1     Document Type: Article

References (63)

1. World Health Organization. Needlestick injuries: implementation of pilot projects to reduce sharps injuries in health care workers. 2007. http://www.ncbi.nlm.nih.gov/pubmed/16299710. (Accessed 5 September 2007).
2. Panlilio AL, Orelien JG, Srivastava PU, Jagger J, Cohn RD, Carco DM, et al. Estimate of the annual number of per- cutaneous injuries among hospital-based healthcare workers in the United States, 1997-1998. Infect Control Hosp Epidemiol. 2004;25(7):556-62.
3. National Audit Office. Office NA: 2003.
4. Collins CH, Kennedy DA. Microbiological hazards of occupational needlestick and other sharps' injuries. J Appl Bacteriol. 1987;62:385-402.
5. Wagner D, de With K, Huzly D, Hufert F, Weidmann M, Breisinger S, et al. Nosocomial transmission of dengue. Emerg Infect Dis. 2004;10(10):1872-3.
6. Word Health Organisation. 2003. http://www.who.int/.
7. Schmid GP, Buve A, Mugyenyi P, Garnett GP, Hayes RJ, Williams BG, et al. Transmission of HIV-1 infection in sub-Saharan Africa and effect of elimination of unsafe injections. Lancet. 2004;363:482-8.
8. Lavoie MC VJ, Pahwa M. Devices for preventing percutaneous exposure injuries caused by needles in healthcare personnel. Cochrane Database Syst Rev. 2014;3:CD009740. doi: 10.1002/14651858.CD009740.pub2.
9. Fisman DN, Mittleman MA, Sorock GS, Harris AD. Willingness to pay to avoid sharps-related injuries: a study in injured health care workers. Am J Infect Control. 2002;30(5):283-7.
10. Sohn JW, Kim BG, Kim SH, Han C. Mental health of healthcare workers who experience needlestick and sharps injuries. J Occup Health. 2006;48(6):474-9.
11. American Nurses Association's. Needlestick prevention guide. 2002.
12. World Health Organization. Quantifying selected major risks to health. In: The World Health Report. Geneva: WHO; 2002. p. 47-98.
13. Dziekan G, Chisholm D, Johns B, Rovira J, Hutin YJ. The cost-effectiveness of policies for the safe and appropriate use of injection in healthcare settings. Bull World Health Organ. 2003;81(4):277-85.
14. Tuma S, Sepkowitz KA. Efficacy of safety-engineered device implementation in the prevention of percutaneous injuries: a review of published studies. Clin Infect Dis. 2006;42(8):1159-70. doi: 10.1086/501456.
15. Whitby M, McLaws M, Slater K. Needlestick injuries in a major teaching hospital: the worthwhile effect of hospital-wide replacement of conventional hollow-bore needles. Am J Infect Control. 2008;36(3):180-6.
16. Kontopantelis E, Reeves D. Performance of statistical methods for meta-analysis when true study effects are non-normally distributed: a simulation study. Stat Methods Med Res. 2012;21(4):409-26.
17. Brockwell SE, Gordon IR. A comparison of statistical methods for meta-analysis. Stat Med. 2001;20(6):825-40.
18. Reddy SG, Emery RJ. Assessing the effect of long-term availability of engineering controls on needlestick injuries among health care workers: a 3-year preimplementation and postimplementation comparison. Am J Infect Control. 2001;2(6):425-7.
19. Adams D, Elliott TS. Impact of safety needle devices on occupationally acquired needlestick injuries: a four-year prospective study. J Hosp Infect. 2006;64(1):50-5.
20. Higgins JPT, Green S, editors. Cochrane handbook for systematic reviews of interventions version 5.1.0 [updated March 2011]. The Cochrane Collaboration. 2011. Available from http://www.cochrane-handbook.org.
21. Younger B, Hnt EH, Robinson C, McLemore C. Impact of a shielded safety syringe on needlestick injuries among healthcare workers. Infect Control Hosp Epidemiol. 1992;13(6):349-53.
22. Duesman K, Ross J. Survey of accidental needlesticks in 26 facilities using Vanishpoint automated retraction syringe. J Healthc Saf Compliance Infect Control. 1998;2(3):111-4.
23. Guyatt G, Oxman AD, Oxman AD, Akl EA, Kunz R, Vist G, et al. GRADE guidelines: 1. Introduction-GRADE evidence profiles and summary of findings tables. J Clin Epidemiol. 2011;64(4):383-94.
24. Sohn S, Eagan J, Sepkowitz KA, Zccotti G. Effect of implementing safety-engineered devices on percutaneous injury epidemiology. Infect Control Hosp Epidemiol. 2004;25(7):536-42.
25. van der Molen HF, Zwinderman KAH, Sluiter JK, Frings-Dresen MHW. Better effect of the use of a needle safety device in combination with an interactive workshop to prevent needle stick injuries. Saf Sci. 2011;4(8-9):1180-6.
26. Hoffmann C, Bchholz L, Schnitzler P. Reduction of needlestick injuries in healthcare personnel at a university hospital using safety devices. J Occup Med Toxicol. 2013;8(1):20.
27. Valls V, Lozano MS, Yanez R, Martinez MJ, Pascal F, Lloret J, et al. Use of safety devices and the prevention of percutaneous injuries among healthcare workers (Provisional abstract). Infect Control Hosp Epidemiol. 2007;28:1352-60.
28. Adams D, Elliott TS. A comparative user evaluation of three needle-protective devices. Br J Nurs (Mark Allen Publishing). 2003;12(8):470-4.
29. Azar-Cavanagh M, Burdt P, Green-McKenzie J. Effect of the introduction of an engineered sharps injury prevention device on the percutaneous injury rate in healthcare workers. Infect Control Hosp Epidemiol. 2007;28(2):165-70.
30. Beason R, Borgignon J, Fowler D, Gardner C. Evaluation of a needle-free intravenous access system. J Intraven Nurs. 1992;15(1):11-6.
31. Evaluation of blunt suture needles in preventing percutaneous injuries among health-care workers during gynecologic surgical procedures -- New York City, March 1993-June 1994. MMWR Morb Mortal Wkly Rep. 1997;46(2):25-29.
32. Armadans Gil L, Fernandez Cano MI, Albero Andres I, Angles Mellado ML, Sanchez Garcia JM, Campins Marti M, et al. Safety-engineered devices to prevent percutaneous injuries: cost-effectiveness analysis on prevention of high-risk exposure. [Spanish] Analisis coste-efectividad de dispositivos sanitarios disenados para prevenir exposiciones percutaneas. Gac Sanit. 2006;20(5):374-81.
33. Billiet LS, Parker CR, Tanley PC, Wallas CH. Needlestick injury rate reduction during phlebotomy: a comparative study of two safety devices. Lab Med. 1991;22(2):120-3.
34. Catalán Gómez MT, Sol Vidiella J, Castellà M, Castells Bo C, Losada Pla N, Llís Espny J. Implementation of safety devices: biological accident prevention [Spanish]. Rev Enferm. 2010;3(4):50-4.
35. Dugger B. Introducing products to prevent needlesticks. Nurs Manag. 1992;23(10):62-6.
36. Edwards C, Johnson C. Evaluation of a luer-activated intravenous administration system. J Assoc Vasc Access. 2012;17(4):200-7.
37. Gartner K. Impact of a needleless intravenous system in a university Hospital. Am J Infect Control. 1992;20(2):75-9.
38. Gershon RRM, Pearse L, Grimes M, Flanagan PA, Vlahov D. The impact of multifocused interventions on sharps injury rates at an acute-care hospital. Infect Control Hosp Epidemiol. 1999;20(12):806-11.
39. Lamontagne F, Abitebol D, Lolom I, Pellissier G, Tarantola A, Descamps JM, et al. Role of safety-engineered devices in preventing needlestick injuries in 32 French hospitals. Infect Control Hosp Epidemiol. 2007;28(1):18-23.
40. Laufer FN, Chiarello LA. Application of cost-effectiveness methodology to the consideration of needlestick-prevention technology. Am J Infect Control. 1994;22(2):75-82.
41. Lawrence LW, Delclos GL, Felknor SA, Johnson PC, Frankowski RF, Cooper SP, et al. The effectiveness of a needleless intravenous connection system: an assessment by injury rate and user satisfaction. Infect Control Hosp Epidemiol. 1997;18(3):175-82.
42. L'Ecyer PB, Schwab EO, Iademarco E, Barr N, Aton EA, Fraser VJ. Randomized prospective study of the impact of three needleless intravenous systems on needlestick injury rates. Infect Control Hosp Epidemiol. 1996;17(12):803-8.
43. MacPherson J. The interlink needleless intravenous system did not reduce the number of needlestick injuries in Christchurch hospital operating theatres. N Z Med J. 1996;10(1031):387-8.
44. McCleary J, Caldero K, Adams T. Guarded fistula needle reduces needlestick injuries in hemodialysis. Nephrol News Issues. 2002;16(6):66-70. 72.
45. Mendelson MH, Short LJ, Schechter CB, Meyers BR, Rodrigez M, Cohen S, et al. Study of a needleless intermittent intravenous-access system for peripheral infusions: analysis of staff, patient, and institutional outcomes. Infect Control Hosp Epidemiol. 1998;1(6):401-6.
46. Mlherin S, Rickman LS, Jackson MM. Initial worker evaluation of a new safety syringe. Infect Control Hosp Epidemiol. 1996;17(9):593-4.
47. Orenstein R, Reynolds L, Karabaic M, Lamb A, Markowitz SM, Wong ES. Do protective devices prevent needlestick injuries among health care workers? Am J Infect Control. 1995;23(6):344-51.
48. Pereira CC, Bishai D. Vaccine presentation in the USA: economics of prefilled syringes versus multidose vials for influenza vaccination. Expert Rev Vaccines. 2010;11:1343-9.
49. Pro VDC, Segata G, Piccini A, Argentero G, Signorini PA, Daglio L, et al. Theme updates on the epidemiology of occupational bloodborne infectious diseases. [Italian] Aggiornamenti in tema di epidemiologia delle malattie infettive occupazionali trasmesse per via ematica. G Ital Med Lav Ergon. 2010;32(3):235-9.
50. Roges A, Verdn-Esqer C, Buisson-Valles I, Laville M, Lashéras A, Sarrat A, et al. Impact of safety devices for preventing percutaneous injuries related to phlebotomy procedures in health care workers. Am J Infect Control. 2004;32(8):441-4.
51. Skolnick R, LaRocca J, Barba D, Paicius L. Evaluation and implementation of a needleless intravenous system: making needlesticks a needless problem. Am J Infect Control. 1993;21(1):39-41.
52. Terrell F, Williams B. Implementation of a customized needleless intravenous delivery system. J Intraven Nurs. 1993;16(6):339-44.
53. Vadelle-Malbos C, Gury C, Prost G, Brossard D, V-Thi P, Bonaccorsi A. Sterile needleprick prevention devices: assessment after recording of accidents in two hospitals. [Italian] Dispositifs medicaux steriles de protection des piqures: evaluation apres recensement des accidents dans deux hopitaux. Archives des Maladies Professionnelles et de Medecine du Travail. 1996;57(7):508-18.
54. Wolfrm J. A follow-up evaluation to a needle-free I.V. system. Nurs Manag. 1994;25(12):33-5.
55. Yassi A, McGill ML, Khokhar JB. Efficacy and cost-effectiveness of a needleless intravenous access system. Am J Infect Control. 1995;23(2):57-64.
56. Zakrzewska JM, Greenwood I, Jackson J. Cross-infection control: introducing safety syringes into a UK dental school- a controlled study. Br Dent J. 2001;190(2):88-92.
57. Peate WF. Preventing needlesticks in emergency medical system workers. J Occup Environ Med. 2001;43(6):554-7.
58. Valls V, Lozano MS, Yanez R, Martinez MJ, Pascal F, Lloret J, et al. Use of safety devices and the prevention of percutaneous injuries among healthcare workers [corrected] [published erratum appears in INFECT CONTROL HOSP EPIDEMIOL 2008 Mar;29(3):288]. Infect Control Hosp Epidemiol. 2007;28(12):1352-60.
59. Kontopantelis E, Springate DA, Reeves D. A re-analysis of the Cochrane Library data: the dangers of unobserved heterogeneity in meta-analyses. PLoS One. 2013;8(7):e69930.
60. Kicinski M, Springate DA, Kontopantelis E. Publication bias in meta-analyses from the Cochrane Database of Systematic Reviews. Stat Med. 2015;34(20):2781-93.
61. Beswick A, Robinson E, Evans G, Codling A. An evaluation of the efficacy of safer sharps devices. Systematic review. Prepared by the Health and Safety Laboratory for the Health and Safety Executive 2012. 2012.
62. Zakrzewska JM, Greenwood I, Jackson J. Introducing safety syringes into a UK dental school: a controlled study (Structured abstract). Br Dent J. 2001;190:88-92.
63. Mustafa RA, Santesso N, Brozek J, Akl EA, Walter SD, Norman G, et al. The GRADE approach is reproducible in assessing the quality of evidence of quantitative evidence syntheses. J Clin Epidemiol. 2013;66(7):736-42. qiz 742 e731-735.