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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109
Volume 15, Issue 3, July 2015 pp 622-625
Assessment of injection safety practices in tertiary institute in Maharashtra, INDIA
Nilesh Bendale1, Prakash Bhatkule2
1Assistant Professor, 2Professor, Department of Community Medicine, Government Medical College, Akola, Maharashtra, INDIA.
Introduction: Each year at least 16 billion injections are administered in developing and transitional countries. But various reports from all over the world have shown lacunae in injection safety precautions. This study aims at standardized assessment of injection safety practices in a medical college hospital in Maharashtra state of India to highlight the issue. Materials and Methods: An observational study was designed based on the Rapid Assessment And Review Guide for injection safety practices developed by WHO. Twenty sites where injection procedures are done routinely at Government Medical College Hospital, Akola were selected randomly for observation and interviews. Data analysis was carried out by calculating various indicators of injection safety as developed by WHO. Results: In present study, proportion of population reporting a preference for injections in case of fever was 35%. Proportion of the population spontaneously reporting the risk of HIV infection associated with unsafe injections was 77%. Among injection providers who were mostly nurses and few doctors, awareness regarding transmission of HIV, HBV and HCV was 100%, 100% and 30% respectively. Needle Recapping was found in 65% of injections procedures directly observed. Annual number of needle-stick injuries per injection provider was 0.64. Conclusions: In present study, injections were not overprescribed in tertiary care institute. There was preference for injections over oral medications among general population. There was adequate knowledge of risk of HIV, HBV and HCV transmissions through unsafe injections among prescribers.