Chaudhuri Sudip Banik, Ray Kuntala
Post Graduate Student, Department of Community Medicine, North Bengal Medical College , Darjeeling, West Bengal, India .
Assistant Professor, Department of Community Medicine, College of Medicine & Sagar Datta Hospital , Kamarhati, N-24 Parganas, West Bengal, India .
J Clin Diagn Res. 2016 Jan;10(1):LC21-4. doi: 10.7860/JCDR/2016/15668.7132. Epub 2016 Jan 1.
Unsafe injection can transmit many diseases to patients, injection providers and healthy people of community.
To find out critical steps whether executed according to recommended best practice methods, availability of equipments in health facilities for safe injection practices and some important steps of waste disposal methods.
This facility-based cross-sectional observational study was conducted among 30 Auxiliary nurse midwives (ANM) & 27 nursing staffs (NS) to assess certain aspects of their practice while administrating injection and disposal of the disposables. Health facilities were also observed to asses necessary equipments of safe injection and waste disposal methods.
Among the health workers 93.3% ANM and 100% NS took sterile syringe from sterile unopened packet, all of the study subjects washed hand before giving injection, 13.3% of ANMs and 8% of NS are fully vaccinated against Hep B, 53.3% of ANM and all NS are practices non recapping. Only 13.33% sub centres along with PHC & BPHC had at least one puncture resistant leak proof container, 86.7% sub centres, PHC are free from loose needles. Transport for off side treatment is the method of waste disposal in case of 73.3% cases sub centres, PHC & BPHC.
There is need to educate, train and motivate service providers in proper methods of giving injection along with improve the adequacy of supply of required equipments.
不安全注射可将多种疾病传播给患者、注射操作人员及社区中的健康人群。
查明关键步骤是否按照推荐的最佳实践方法执行，医疗机构中用于安全注射操作的设备可用性以及废物处理方法的一些重要步骤。
本基于机构的横断面观察性研究在30名辅助护士助产士（ANM）和27名护理人员（NS）中进行，以评估他们在注射给药和一次性用品处理方面的某些操作情况。还对医疗机构进行了观察，以评估安全注射和废物处理方法所需的设备。
在卫生工作者中，93.3%的辅助护士助产士和100%的护理人员从未开封的无菌包装中取用无菌注射器，所有研究对象在注射前洗手，13.3%的辅助护士助产士和8%的护理人员接种了全程乙肝疫苗，53.3%的辅助护士助产士和所有护理人员不回套针帽。只有13.33%的分中心以及初级卫生保健中心（PHC）和基层卫生保健中心（BPHC）至少有一个防穿刺、防渗漏容器，86.7%的分中心、初级卫生保健中心没有散落的针头。对于73.3%的分中心、初级卫生保健中心和基层卫生保健中心，废物处理方法是转运至外部进行处理。
需要对服务提供者进行教育、培训并激励他们采用正确的注射方法，同时提高所需设备的供应充足性。
