Document 0269 DOCN M9550269 TI Analysis of needlestick injuries to health care workers providing home care. DT 9505 AU Backinger CL; Koustenis GH; Division of Professional Practices, Food and Drug Administration,; Rockville, MD 20857. SO Am J Infect Control. 1994 Oct;22(5):300-6. Unique Identifier : AIDSLINE MED/95150302 AB BACKGROUND: This research analyzed needlestick injuries sustained by employees working in the home health environment to determine to what extent existing infection control policies and procedures in home health care are effective in reducing the risk of transmission of blood-borne infections. METHODS: In June and July 1992, a random sample of 600 directors of home health care agencies in the United States were sent questionnaires concerning written blood-borne infection control policies and procedures of home health care agencies. Agency characteristics were also identified. RESULTS: A 46% response rate (n = 278) was obtained. Of the 226 agencies that reported needlestick injury rates, 102 agencies reported no needlestick injuries to home health care agency employees in the last year and 124 agencies reported from one to 134 needlestick injuries, for a cumulative total of 475. Statistical analyses revealed that agencies with safer sharps containers, safer hypodermics, or safer access to intravenous administration lines did not have statistically significantly rates of lower needlestick injury than agencies without these safer products. CONCLUSIONS: This study should be considered exploratory; causal relationships cannot be established. Although written blood-borne infection control policies and procedures do not appear to provide protection to home health care workers from the risk of needlestick injury, limitations in the data exist. Consequently, results should be viewed with caution and additional research is needed. DE Blood-Borne Pathogens Comparative Study Health Personnel/*STATISTICS & NUMER DATA Hepatitis B/PREVENTION & CONTROL Home Care Services/*MANPOWER Human HIV Infections/PREVENTION & CONTROL Infection Control/*METHODS Needlestick Injuries/*EPIDEMIOLOGY Occupational Exposure Questionnaires Risk Factors United States/EPIDEMIOLOGY JOURNAL ARTICLE SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).