title: Prevalence of Needlestick Injuries Among Healthcare Workers in the Accident and Emergency Department of a Teaching Hospital in Nigeria.
abstract: BACKGROUND
  Healthcare workers (HCWs) are continually exposed to hazards from contact with blood and body fluids of patients in the healthcare setting.
  
  
  OBJECTIVE
  To determine the prevalence of needlestick injuries (NSIs) and associated factors among HCWs in the Accident and Emergency Department of the University of Benin Teaching Hospital (UBTH), Benin City, Nigeria.
  
  
  METHODS
  This was a cross-sectional study. Data were collected using a structured, self-administered questionnaire and analyzed using IBM SPSS version 20. Univariate, bivariate, and binary logistic regression analyses were done. The level of significance was set at P < 0.05.
  
  
  RESULTS
  The prevalence of NSIs 12 months preceding the study was 51.0% (50/98). Doctors 8/10 (80.0%) and nurses 28/40 (70.0%) had the highest occurrence. Recapping of needles 19/50 (38.0%) and patient aggression 13/50 (26.0%) were responsible for most injuries. The majority 31/50 (62.0%) of the injuries were not reported. The uptake of postexposure prophylaxis (PEP) was low 11/50 (22.0%). The factors that were significantly associated with NSI include age 30 years and above (odds ratio [OR] =0.28, confidence interval [CI] = 0.11-0.70), work duration of three years and above (OR = 0.29, CI = 0.11-0.75), and being a nurse (OR = 3.38, CI = 1.49-9.93) or a paramedic (OR = 0.18, CI = 0.06-0.52).
  
  
  CONCLUSIONS
  The high prevalence of NSIs among the HCWs, especially in doctors and nurses is an indication that HCWs in UBTH are at great risk of contracting blood-borne infections. Efforts should be made to ensure that injuries are reported and appropriate PEP undertaken following NSIs.
authors.affiliation: Department of Community Health, College of Medical Sciences, University of Benin, P. M. B. 1154, Benin City, Nigeria.
authors.forename: A R
authors.initials: AR
authors.lastname: Isara
authors.affiliation: Department of Community Health, College of Medical Sciences, University of Benin, P. M. B. 1154, Benin City, Nigeria.
authors.forename: K E
authors.initials: KE
authors.lastname: Oguzie
authors.affiliation: Department of Community Health, College of Medical Sciences, University of Benin, P. M. B. 1154, Benin City, Nigeria.
authors.forename: O E
authors.initials: OE
authors.lastname: Okpogoro
keywords: Healthcare workers; Needlestick injuries; Postexposure prophylaxis