title: Needle stick injuries during fine needle aspiration procedure: Frequency, causes and knowledge, attitude and practices of cytopathologists.
abstract: BACKGROUND
  There is no study available on the frequency, predisposing factors and outcome of needle stick injury (NSI) in cytopathologists who perform fine needle aspiration (FNA).
  
  
  OBJECTIVE
  To know the frequency, circumstances and sequlae of NSI sustained by cytopathologists, assess their knowledge about risks of NSI and attitudes and practices towards use of standard precautions and post-injury wound care.
  
  
  METHODS
  
  
  
  METHODS
  cross sectional.
  
  
  METHODS
  Tertiary care teaching and non-teaching hospitals and private laboratories.
  
  
  METHODS
  Knowledge, attitude and practices survey using a questionnaire.
  
  
  RESULTS
  Majority (90.5%) of the respondents have had NSI in their total career. In the previous year, more than half (71.4%) had at least one NSI (mean 3.2). NSI was the most common in index finger of non-dominant hand (59.6%) and occurred during step two of FNA procedure when the needle was being manipulated within the lump. The major predisposing factors were uncooperative patients (88.9%), small children (54%), deep masses (36.5%), hot humid climate (88.9%), heavy workload (76.2%) and poor administrative arrangement (54%). The adherence to standard precautions was not optimal (74.6%). None of them reported NSI to the authorities, nor investigated source patient or themselves. 82.5% of the respondents were not aware of any formal exposure reporting system in their hospital.
  
  
  CONCLUSIONS
  Cytopathologists frequently experience NSI while performing FNA. Frequency of injury is also related to patient characteristics and work site factors. Education and motivation for adhering to standard precautions and post-exposure prophylaxis are often lacking.
authors.affiliation: Department of Pathology, Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India.
authors.forename: Neeta
authors.initials: N
authors.lastname: Kumar
authors.forename: Prashant
authors.initials: P
authors.lastname: Sharma
authors.forename: Shyama
authors.initials: S
authors.lastname: Jain