title: Frequency and barriers of underreported needlestick injuries amongst Iranian nurses, a questionnaire survey.
abstract: OBJECTIVE
  To determine the frequency of needlestick injuries and barriers of reporting such injuries amongst Iranian nurses.
  
  
  BACKGROUND
  Exposure to blood-borne pathogens because of needlestick injuries in particular is a potential risk for healthcare workers, including clinical nurses. The burden of sharp injuries sustained by healthcare workers is still unclear, primarily because of underreporting.
  
  
  METHODS
  A cross-sectional study was undertaken amongst 111 clinical nurses working in five major teaching hospitals in Tehran/Iran during 2007-2008 who were randomly selected.
  
  
  METHODS
  A validated self-reported questionnaire containing demographic characteristics and history of experiences with contaminated needlesticks as well as probably reason/s for underreporting such injuries was used.
  
  
  RESULTS
  More than half of the enrolled nurses (54.1%, n = 60) had no experience of contaminated injuries, while the rest of 45.9% (n = 51) had experienced at least one contaminated needlestick injuries during their clinical performance. More than one-third (34.0%, n = 38) had experienced a mean of 58 contaminated needlestick injuries during the past 12 months (crude incidence: 0.52 NSI/nurse/year). Only 14 nurses (36.8%) with needlestick injuries experiences had officially reported their experiences. The major reasons for not reporting needlestick injuries were dissatisfaction with follow-up investigations by officials after reporting the events (33.3%) and safe/low risk considering of source patients (29.2%).
  
  
  CONCLUSIONS
  Increased frequency and underreporting of needlestick injuries amongst Iranian nurses is going to be a major concern. As a preventive strategy, further interventions such as constant staff training, life-long learning and standardising postexposure procedures are recommended.
  
  
  CONCLUSIONS
  Determining the prevalence, burden and reasons for underreporting needlestick injuries by clinical nurses are required for establishing a preventive strategy to decrease hospital infections.
authors.affiliation: Department of Nursing, Tabriz University of Medical Sciences, Tabriz, Iran.
authors.forename: Arman
authors.initials: A
authors.lastname: Azadi
authors.forename: Monireh
authors.initials: M
authors.lastname: Anoosheh
authors.forename: Ali
authors.initials: A
authors.lastname: Delpisheh
mesh_terms: D000062:Accidents, Occupational / Q000706:statistics & numerical data*; D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007492:Iran / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D016602:Needlestick Injuries / Q000453:epidemiology*; D009726:Nurses; D015995:Prevalence; D012307:Risk Factors; D011795:Surveys and Questionnaires