<abstract xmlns="http://www.w3.org/1999/xhtml"><sec id="j_sjph-2017-0023_s_333_w2aab2b8c21b1b7b1aab1c16b1Aa"><h3>Introduction</h3><p>Medical students are mainly exposed to needle stick and sharp object injuries in the course of their clinical activities during studying. They are at high risk due to their undeveloped skills, restricted clinical experience, lack of knowledge and risk perception. The objectives of this study were to determine the prevalence of needle stick injuries of the fourth and final year medical students, and to estimate their knowledge about blood-borne pathogens disease transmission and standard precautions.</p></sec><sec id="j_sjph-2017-0023_s_334_w2aab2b8c21b1b7b1aab1c16b2Aa"><h3>Methods</h3><p>This cross-sectional study was conducted at the Faculty of Medicine, in February 2014. The students were invited to self-administer a questionnaire of 26 closed questions prepared for this study.</p></sec><sec id="j_sjph-2017-0023_s_335_w2aab2b8c21b1b7b1aab1c16b3Aa"><h3>Results</h3><p>The questionnaire was filled in and returned by 637 students. The prevalence of needle sticks and sharp object injuries was 29.5%. Needle stick injuries were the most common type of accidents, more frequent among the fourth compared to the sixth year students (p=0.002). The majority of accidents occurred in patient rooms (53%) and the emergency department (15%). 54% of participants reported an accident to the responsible person. Students without accidents had a significantly better perception of risk (3.79 vs. 3.35; p&lt;0.05). Out of the total participating students, only 16.6% (106/637) received all three doses of Hepatitis B vaccination, while 16.2% were partially vaccinated.</p></sec><sec id="j_sjph-2017-0023_s_336_w2aab2b8c21b1b7b1aab1c16b4Aa"><h3>Conclusions</h3><p>There is a need for additional theoretical and practical education of our students on blood exposure via accidents, raising the awareness of the necessity of hepatitis B vaccination, and introducing the unique/comprehensive procedure for accident reporting for students and healthcare workers in the entire country.</p></sec></abstract>

IntroductionMedical students are mainly exposed to needle stick and sharp object injuries in the course of their clinical activities during studying. They are at high risk due to their undeveloped skills, restricted clinical experience, lack of knowledge and risk perception. The objectives of this study were to determine the prevalence of needle stick injuries of the fourth and final year medical students, and to estimate their knowledge about blood-borne pathogens disease transmission and standard precautions.MethodsThis cross-sectional study was conducted at the Faculty of Medicine, in February 2014. The students were invited to self-administer a questionnaire of 26 closed questions prepared for this study.ResultsThe questionnaire was filled in and returned by 637 students. The prevalence of needle sticks and sharp object injuries was 29.5%. Needle stick injuries were the most common type of accidents, more frequent among the fourth compared to the sixth year students (p=0.002). The majority of accidents occurred in patient rooms (53%) and the emergency department (15%). 54% of participants reported an accident to the responsible person. Students without accidents had a significantly better perception of risk (3.79 vs. 3.35; p<0.05). Out of the total participating students, only 16.6% (106/637) received all three doses of Hepatitis B vaccination, while 16.2% were partially vaccinated.ConclusionsThere is a need for additional theoretical and practical education of our students on blood exposure via accidents, raising the awareness of the necessity of hepatitis B vaccination, and introducing the unique/comprehensive procedure for accident reporting for students and healthcare workers in the entire country.

Knowledge about blood-borne pathogens and the prevalence of needle stick injuries among medical students in Serbia

Slovenian Journal of Public Health

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

POZNAVANJE PATOGENOV, KI SE PRENAŠAJO S KRVJO, IN RAZŠIRJENOST POŠKODB Z INJEKCIJSKIMI IGLAMI MED ŠTUDENTI MEDICINE V SRBIJI

IntroductionMedical students are mainly exposed to needle stick and sharp object injuries in the course of their clinical activities during studying. They are...

	Students
	Without accidents	With at least one accident	P
Academic year
Fourth	357 (89.9)	40 (10.1)
Sixth	220 (91.7)	20 (8.3)	0.466
Gender
Male	177 (88.1)	24 (11.9)
Female	400 (91.7)	36 (8.3)	0.139
Finished secondary school
Medical	399 (91.9)	35 (8.1)	0.087
Other	178 (87.7)	25 (12.3)
Mean Scores of:
knowledge on BBD transmission	8.59±2.08	8.44±2.51	0.606
knowledge on standard precautions	6.05±2.08	6.35±2.19	0.281
risk perception	3.79±1.66	3.35±1.56	0.049
Total score	18.44±3.92	18.15±4.44	0.597

	n = 60 Academic year No.(%)		P
	Fourth	Sixth
Needle stick injury	32 (53.3)	8 (13.3)	0.002
Before using needle	1 (1.7)	2 (3.3)	0.209
After using needle	5 (8.3)	7 (11.7)	0.040
Needle recapping	12 (20.0)	4 (6.7)	0.409
During needle disposition in sharp container	9 (15.0)	0 (0)	0.018
Handling with contaminated sharp devices	12 (20.0)	2 (3.3)	0.084
Handling with broken glass devices (broken blood collection tubes, ampoules, thermometers etc.)	9 (15.0)	1 (1.7)	0.086
Contact with blood through damaged skin	0 (0)	5 (8.3)	0.003
Contact with boold through conjuctiva/mucose membranes	0 (0)	3 (5.0)	0.033

	Frequency	(%)
Academic year
Fourth	397	(62.3)
Sixth	240	(37.7)
Gender
Male	201	(31.6)
Female	436	(68.4)
Finished secondary school
Medical	434	(68.1)
Other	203	(31.9)
Taken Course on Occupational Exposure
No	157	(24.6)
Yes	468	(73.4)
Hepatitis B vaccination
No	428	(67.2)
Partially vaccinated	103	(16.2)
Vaccinated with 3 doses	106	(16.6)

Knowledge about blood-borne pathogens and the prevalence of needle stick injuries among medical students in Serbia

Article Category: Original scientific article

Published Online: May 26, 2017

Page range: 179 - 184

Received: Dec 01, 2016

Accepted: Apr 10, 2017

DOI: https://doi.org/10.1515/sjph-2017-0024

Keywords
Hepatitis B vaccine, knowledge, medical students, needlestick injuries, Serbia

© National Institute of Public Health, Slovenia

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Factors possibly associated with the accidents among Medical school students, University of Belgrade, Serbia, 2014.

Nature of accidents by the circumstances when the accidents occurred of 4th and 6th year students, Medical school, University of Belgrade, Serbia, 2014.

Demographic characteristics of 4th and 6th year students, Medical school, University of Belgrade, Serbia, 2014 (N=637)Missing data were not included in some analyses.

Knowledge about blood-borne pathogens and the prevalence of needle stick injuries among medical students in Serbia

Article Category: Original scientific article

Published Online: May 26, 2017

Page range: 179 - 184

Received: Dec 01, 2016

Accepted: Apr 10, 2017

DOI: https://doi.org/10.1515/sjph-2017-0024

KeywordsHepatitis B vaccine, knowledge, medical students, needlestick injuries, Serbia

© National Institute of Public Health, Slovenia

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Factors possibly associated with the accidents among Medical school students, University of Belgrade, Serbia, 2014.

Nature of accidents by the circumstances when the accidents occurred of 4th and 6th year students, Medical school, University of Belgrade, Serbia, 2014.

Demographic characteristics of 4th and 6th year students, Medical school, University of Belgrade, Serbia, 2014 (N=637)Missing data were not included in some analyses.

Keywords
Hepatitis B vaccine, knowledge, medical students, needlestick injuries, Serbia