##plugins.themes.bootstrap3.article.main##


Olga Lucia Gaitan Gomez https://orcid.org/0000-0002-9252-1457

Patricia Aristizabal https://orcid.org/0000-0001-5501-239X

Luz Stella Bueno Robles https://orcid.org/0000-0002-9842-536X

Resumen

Introducción: Las prácticas de inyecciones seguras han recobrado importancia en las últimas dos décadas, como consecuencia de las infecciones asociadas con su aplicación incorrecta. Objetivo: Analizar la evidencia disponible sobre las prácticas de inyecciones seguras ejecutadas por el personal de la salud en su práctica clínica. Método: Revisión integrativa de la literatura, realizada en 12 bases de datos entre 1999 y 2018. Resultados: Se seleccionaron 29 artículos y se identificaron prácticas riesgosas como el reúso de los dispositivos de inyección en el mismo paciente o en otros, fallas en la técnica aséptica, ausencia o no seguimiento del protocolo posexposición, reencapuchado de la aguja y ausencia de inmunización contra el virus de hepatitis B. Conclusiones: Los esfuerzos orientados a la seguridad del paciente deben enfocarse también en acciones concretas dirigidas a la administración de los medicamentos.

##plugins.themes.bootstrap3.article.details##

Keywords

inyecciones, personal de salud, prestación de atención de salud, salud, revisión

References
1. Miller MA, Pisani E. The cost of unsafe injections. Bull World Health Organ [internet]. 1999;77(10):808-11. Disponible en: https://bit.ly/3251XPT
2. World Health Organization. World Alliance for Patient Health: Forward Programme 2008-2009 [internet]. Education; 2008. Disponible en: https://bit.ly/2NwWM61
3. Organización Mundial de la Salud. Alianza Mundial para la Seguridad del Paciente: la investigación en seguridad del paciente. Vol. 8, Patient safety in surgery. Ginebra; 2014.
4. World Health Organization. Summary of the evidence on patient safety: implications for research [internet]. Ginebra, Suiza; 2008. Disponible en: https://bit.ly/2pza9up
5. World Health Organization. Preámbulo a las soluciones para la seguridad del paciente [internet]. Ginebra, Suiza; 2007. Disponible en: https://bit.ly/1dLV8bW
6. Prüss-Ustün A, Rapiti E, Hutin Y. Estimation of the global burden of disease attributable to contaminated sharps injuries among health-care workers. Am J Ind Med. 2005;48(6):482-90. https://doi.org/10.1002/ajim.20230
7. Hauri AM, Armstrong GL, Hutin YJF. Contaminated injections in health care settings. En: Ezzati M, eta al. Comparative quantification of health risks: global and regional burden of diseases attributable to selected major risk factors [internet]. Geneva: WHO; 2004. p. 1803-49. Disponible en: https://apps.who.int/iris/handle/10665/42770
8. Hauri AM, Armstrong GL, Hutin YJF. The global burden of disease attributable to contaminated injections given in health care settings. Int J STD AIDS. 2004;15(1):7-16. https://doi.org/10.1258/095646204322637182
9. Balter S, Layton M, Bornschlegel K, Smith P, Crutcher M, Mallonee S, et al. Transmission of hepatitis B and C viruses in outpatient settings: New York, Oklahoma, and Nebraska, 2000-2002. Morb Mortal Wkly Rep [internet]. 2003 [citado 2017 mar 16];52(38):901-6. Disponible en: https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5238a1.htm
10. Thompson ND, Perz JF, Moorman AC, Holmberg SD. Nonhospital health care-associated hepatitis B and C virus transmission: United States, 1998-2008. Ann Intern Med. 2009;150(1):33-9, https://doi.org/10.736/0003-4819-150-1200901060-00007
11. Samandari T, Malakmadze N, Balter S, Joseph F, Khristova M, Swetnam L, et al. A large outbreak of hepatitis B virus infections associated with frequent injections at a physician´s office. Infect Control Hosp Epidemiol. 2005 Sep;26(9):745-50. https://doi.org/10.1086/502612
12. Hutin YJF, Harpaz R, Drobeniuc J, Melnic A, Ray C, Favorov M. Injections given in healthcare settings as a major source of acute hepatitis B in Moldova. Int J Epidemiol. 1999;28:782-6. https://doi.org/10.1093/IJE/28.4.782
13. Branch-Elliman W, Weiss D, Balter S, Bornschlegel K, Phillips M. Hepatitis C transmission due to contamination of multidose medication vials: summary of an outbreak and a call to action. Am J Infect Control. 2013;41(1):92-4. https://doi.org/10.1016/j.ajic.2012.01.022
14. Fischer GE, Schaefer MK, Labus BJ, Sands L, Rowley P, Azzam IA, et al. Hepatitis C virus infections from unsafe injection practices at an endoscopy clinic in Las Vegas, Nevada, 2007-2008. Clin Infect Dis. 2010;51(3):267-73. https://doi.org/10.1086/653937
15. Vun MC, Galang RR, Fujita M et al. Cluster of HIV infections attributed to unsafe injection practices-Cambodia. Morb Mortal Wkly Rep. 2016;65:142-5. https://doi.org/10.15585/mmwr.mm6506a2
16. Centers for Disease Control and Prevention. Invasive Staphylococcus aureus infections associated with pain injections and reuse of single-dose vials-Arizona and Delaware, 2012. Morb Mortal Wkly Rep [internet]. 2012;61(27):501-5. Disponible en: https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6127a1.htm
17. Reid SR. Injections that kill: nosocomial bacteraemia and degedege in Tanzania. Rural Remote Health [internet]. 2010;10(3):1463. Disponible en: https://bit.ly/32cLNnj
18. Centers for Disease Control and Prevention. CDC grand rounds: preventing unsafe injection practice in the U.S Health-Care System. Morb Mortal Wkly Rep [internet]. 2013;62(21):16. Disponible en: https://bit.ly/2Nbfz7G
19. Guh A, Thompson ND, Shaefer M, Patel PR, Perz JF. Patient notification for bloodborne pathogen testing due to unsafe injection practices in the US Health. Med Care. 2012;50(9):785-91. https://doi.org/10.1097/MLR.0b013e31825517d4
20. Burns K, Heslin J, Crowley B, Thornton L, Laoi BN, Kelly E, et al. Nosocomial outbreak of hepatitis B virus infection involving two hospitals in the Republic of Ireland. J Hosp Infect. 2011;78(4):279-83. https://doi.org/10.1016/j.jhin.2011.02.016
21. Germain J-M, Carbonne A, Thiers V, Gros H, Chastan S, Astagneau P. Patient‐to‐patient transmission of hepatitis C virus through the use of multidose vials during general anesthesia. Infect Control Hosp Epidemiol. 2005;26(9):789-92. https://doi.org/10.1086/502618
22. Yuan J, Liu Y, Yang Z, Cai Y, Deng Z, Qin P, et al. Mycobacterium abscessus post-injection abscesses from extrinsic contamination of multiple-dose bottles of normal saline in a rural clinic. Int J Infect Dis. 2009;13(5):537-42. https://doi.org/10.1016/j.ijid.2008.11.024
23. Kim H., Cho Y, Lee S, Y K, Lee D, Lee J, et al. Mycobacterium massiliense outbreak after intramuscular injection, South Korea. Epidemiolo Infect. 2012;140(10):1880-7. https://doi.org/10.1017/S0950268811002809
24. Morgan D, Liang S, Smith C, Johnson K, Harris A, Furuno J, et al. Frequent multidrug-resistant acinetobacter baumannii contamination of globes, gowns and hands of healthcare workers. Infect Control Hosp Epidemiol. 2010;31(7):716-21. https://doi.org/10.1086/653201
25. Russotto V, Cortegiani A, Raineri SM, Giarratano A. Bacterial contamination of inanimate surfaces and equipment in the intensive care unit. J Intensive Care. 2015;3(1):54. https://doi.org/10.1186/s40560-015-0120-5
26. Matsuo M, Oie S, Furukawa H. Contamination of blood pressure cuffs by methicillin-resistant Staphylococcus aureus and preventive measures. Ir J Med Sci. 2013;182:707-9. https://doi.org/10.1007/s11845-013-0961-7
27. Margarido CA, Villas Boas TM, Mota VS, Silva CKM Da, Poveda VDB. Microbial contamination of cuffs lab coats during health care. Rev Bras Enferm. 2014;67(1):127-32. https://doi.org/10.5935/0034-7167.20140017
28. Longtin Y, Schneider A, Tschopp CC, Renzi GG, Gayet-Ageron AA, Schrenzel J, et al. Contamination of stethoscopes and physicians’ hands after a physical examination. Mayo Clin Proc. 2014;89(3):291-9. https://doi.org/10.1016/j.mayocp.2013.11.016
29. Tomas ME, Kundrapu S, Thota P, Sunkesula VCK, Cadnum JL, Mana TSC, et al. Contamination of health care personnel during removal of personal protective equipment. JAMA Intern Med. 2015;44106:1-7. https://doi.org/10.1001/jamainternmed.2015.4535
30. Moher D, Liberati A, Tetzlaff J, Altman DG, The PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Med. 2009;6(7):e1000097. https://doi.org/10.1186/2046-4053-4-1
31. Mamédio C, Roberto M, Nobre C. The Pico strategy for the research question. Rev Latino-Am Enferm. 2007;15(3):1-4 https://doi.org/10.1590/S0104-11692007000300023
32. Rehan HS, Chopra D, Sah RK, Chawla T, Agarwal A, Sharma GK. Injection practices of healthcare professionals in a tertiary care hospital. J Infect Public Health. 2012;5(2):177-81. https://doi.org/10.1016/j.jiph.2012.01.001
33. Chaudhuri SB, Ray K. Safe injection practices in primary health care settings of naxalbari block, Darjeeling district, West Bengal. J Clin Diagnostic Res. 2016;10(1):21-4. https://doi.org/10.7860/JCDR/2016/15668.7132
34. Garapati S, Peethala S. Assessment of knowledge and practices on injection safety among service providers in east Godavari district of Andhra Pradesh. Indian J Community Heal [internet]. 2014;26(3):259-63. Disponible en: https://bit.ly/2qbejsk
35. Elhoseeny TA, Mourad JK. Assessment of the safety of injection practices and injection-related procedures in family health units and centers in Alexandria. J Egypt Public Health Assoc. 2014;89(2):66-73. https://doi.org/10.1097/01.EPX.0000445305.88786.9e
36. Bolarinwa Akeem O, Salaudeen Ganiyu A, Aderibigbe Adedeji S, Musa Ibraheem O, Akande Makanjuola T, Bamidele Olusegun J. Injection safety practices among primary health care workers in Ilorin, kwara state of Nigeria. Heal Sci J. 2012;6(3):496-509. Disponible en: https://bit.ly/34jRGkj
37. Pandit NB, Choudhary SK. Unsafe injection practices in Gujarat, India. Singapore Med J. 2008;49(11):936-9. Disponible en: https://bit.ly/36pInkH
38. Mesfin K, Teferi G, Engedawork E, Gebre-Mariam T. Assessment of health care providers injection practices in Dessie district, North-Eastern Ethiopia: Facility based study. J Pharm Sci Innov. 2015;4(2):100-7. Disponible en: https://bit.ly/2lYWCtM
39. Wu Z, Cui F, Chen Y, Miao N, Gong X, Luo H, et al. Evaluation of immunization injection safety in China, 2010: Achievements, future sustainability. Vaccine. 2013;31(S9):J43-8. https://doi.org/10.1016/j.vaccine.2012.11.057
40. Moro PL, Moore A, Balcacer P, Montero A, Diaz D, Gómez V, et al. Epidemiology of needlesticks and other sharps injuries and injection safety practices in the Dominican Republic. Am J Infect Control. 2007;35(8):552-9. https://doi.org/10.1016/j.ajic.2007.06.001
41. Logez S, Soyolgerel G, Fields R, Luby S, Hutin Y. Rapid assessment of injection practices in Mongolia. Am J Infect Control. 2004;32(1):31-7. https://doi.org/10.1016/j.ajic.2003.06.006
42. Bobby P, Sima R, Dipankar C, Sukamol B, Raghunath M, Nabanita B, et al. A study on safe injection practices of nursing personnel in a tertiary care hospital of Kolkata, West Bengal, India. Turk Silahli Kuvvetleri, Koruyucu Hekim Bul [internet]. 2011;10(6):681-6. Disponible en: https://bit.ly/2kQUrs5
43. Fitzner J, Aguilera JF, Yameogo A, Duclos P, Hutin YJF. Injection practices in Burkina Faso in 2000. Int J Qual Heal Care. 2004;16(4):303-8. https://doi.org/10.1093/intqhc/mzh052
44. Ismail N, Aboul Ftouh A, El-Shoubary WH, Mahaba H. Safe injection practice among health-care workers in Gharbiya Governorate, Egypt. East Mediterr Heal J. 2007;13(4):14. Disponible en: https://bit.ly/2JITMCh
45. Foda NMT, Elshaer NSM, Sultan YHM. Safe injection procedures, injection practices, and needlestick injuries among health care workers in operating rooms. Alexandria J Med. 2017;54:85-92. https://doi.org/10.1016/j.ajme.2016.11.002
46. McLaws M-LL, Ghahramani S, Palenik CJ, Keshtkar V, Askarian M. Assessment of injection practice in primary health care facilities of Shiraz, Iran. Am J Infect Control. 2014;42(3):300-4. https://doi.org/10.1016/j.ajic.2013.09.006
47. Dentinger C, Pasat L, Popa M, Hutin YJF, Mast EE. Injection practices in Romania progress and challenges. Infect Control Hosp Epidemiol. 2004;25(1):30-5. https://doi.org/10.1086/502288
48. Omorogbe VE, Omuemu VO, Isara AR. Injection safety practices among nursing staff of mission hospitals in Benin City, Nigeria. Ann Afr Med. 2012;11(1):36-41. https://doi.org/10.4103/1596-3519.91020
49. Gounder P, Beers R, Bornschlegel K, Hinterland K, Balter S. Medication injection safety knowledge and practices among anesthesiologist: New York State, 2011. J Clin Anesth. 2013;25(7):521-8. https://doi.org/10.1016/j.jcliname.2013.04.013
50. Gyawali S, Rathore DS, KC B, Shankar PR. Study of status of safe injection practice and knowledge regarding injection safety among primary health care workers in Baglung district, western Nepal. BMC Int Health Hum Rights. 2013;13(1):3. https://doi.org/10.1186/1472-698X-13-3
51. Al Awaidy S, Bawikar S, Duclos P. Safe injection practices in a primary health care setting in Oman. East Mediterr Heal J [internet]. 2006;12(Suppl 2):207-16. Disponible en: https://bit.ly/2mgo6v7
52. Pugliese G, Gosnell C, Bartley JM, Robinson S. Injection practices among clinicians in United States health care settings. Am J Infect Control. 2010;38(10):789-98. https://doi.org/10.1016/j.ajic.2010.09.003
53. Kermode M, Holmes W, Langkham B, Thomas MS, Gifford S. Safer injections, fewer infections: Injection safety in rural north India. Trop Med Int Heal. 2005;10(5):423-32.https://doi.org/10.1111/j.1365-3156.2005.01421.x
54. Ford K. Survey of syringe and needle safety among student registered nurse anesthetists: Are we making any progress? AANA J [internet]. 2013;81(1):37-42. Disponible en: https://bit.ly/2JGOUxG
55. Okwen MP, Ngem BY, Alomba FA, Capo M V, Reid SR, Ewang EC. Uncovering high rates of unsafe injection equipment reuse in rural Cameroon: validation of a survey instrument that probes for specific misconceptions. Harm Reduct J. 2011;8(1):4. https://doi.org/10.1186/1477-7517-8-4
56. Kossover-Smith RA, Coutts K, Hatfield KM, Cochran R, Akselrod H, Schaefer MK, et al. One needle, one syringe, only one time? A survey of physician and nurse knowledge, attitudes, and practices around injection safety. Am J Infect Control. 2017;45(2017):1018-23. https://doi.org/10.1016/j.ajic.2017.04.292
57. Anderson L, Weissburg B, Rogers K, Musuuza J, Safdar N, Shirley D. Challenges to safe injection practices in ambulatory care. Infect Control Hosp Epidemiol. 2017;1-3. https://doi.org/10.1017/ice.2017.31
58. Reid SR. Injection drug use, unsafe medical injections, and HIV in Africa:a systematic review.Harm Reduct J.2009;6(1):24.https://doi.org/10.1186/1477-7517-6-24
59. Reid S, Van Niekerk AA. Injection risks and HIV transmission in the Republic of South Africa. Int J STD AIDS. 2009;20(12):816-9. https://doi.org/10.1258/ijsa.2009.009230
60. Schmid GP, Buvé A, Mugyenyi P, Garnett GP, Hayes RJ, Williams BG, et al. Transmission of HIV-1 infection in sub-Saharan Africa and effect of elimination of unsafe injections. Lancet. 2004;363(9407):482-8. https://doi.org/10.1016/S0140-6736(04)15497-4
61. US Goverment Accountability Office G. Patient safety HHS has taken steps to address unsafe injection practices, but more action is needed [internet]. Washington, D.C.; 2012. Disponible en: https://bit.ly/2JK2DDL
62. Centers for Disease Control and Prevention. Outbreaks and patient notifications in outpatient settings, selected examples, 2010-2014 [internet]. Atlanta; 2015. p. 1-8. Disponible en: https://bit.ly/2N8iTjY
63. Perz JF, Thompson ND, Schaefer MK, Patel PR. US outbreak investigations highlight the need for safe injection practices and basic infection control. Clin Liver Dis. 2010;14(1):137-51. https://doi.org/10.1016/j.cid.2009.11.004
64. Gutelius B, Perz J, Parker M, Hallack R, Stricof R, Clement E, et al. Multiple clusters of hepatitis virus infections associated with anesthesia for outpatient endoscopy procedures. Gastroenterology. 2010;138(1):163-70. https://doi.org/10.1053/j.gastro.2010.03.053
65. Manchikanti L, Falco FJE, Benyamin RM, Caraway DL, Helm Ii S, Wargo BW, et al. Assessment of infection control practices for interventional techniques: a best evidence synthesis of safe injection practices and use of single-dose medication vials. Pain Physician [internet]. 2012;15(5):573-614. Disponible en: https://bit.ly/2lYNnK8
66. Kim H, Cho Y, Lee S, Kook Y, Lee D, Lee J, et al. Mycobacterium massiliense outbreak after intramuscular injection, South Korea. Epidemiol Infect. 2012 Oct 4 [citado 2017 jul 11];140(10):1880-7. https://doi.org/10.1017/S0950268811002809
67. Centers for Disease Control and Prevention. Surveillance of occupationally acquired HIV/AIDS in healthcare personnel, as of December 2010 [internet]. Atlanta; 2011. Disponible en: https://bit.ly/2ChlUrE
68. Moreno R, Barreto R, Mora D, Morales M, Rivas F. Accidentes biológicos por exposición percutánea y contacto cutáneo-mucoso en el personal de enfermería del Instituto Autónomo Hospital Universitario de Los Andes, Mérida, Venezuela, 2003. Rev Fac Nac Salud Pública [internet]. 2004;22(1):73-86. Disponible en: https://bit.ly/2C1Pvpv
69. Montufar Andrade FE, Villa Franco JP, Madrid Muñoz CA, Díaz Correa LM, Vega Miranda J, Vélez Rivera JD, et al. Infección por VIH posterior a exposición ocupacional de riesgo biológico en trabajadores de la salud. Infectio. 2015;19(1):31-4. https://doi.org/10.1016/j.infect.2014.04.003
70. Servicio de Salud Pública de los Estados Unidos. Exposición laboral a los virus de la hepatitis B y C y al virus de la inmunodeficiencia humana. Rev Panam Salud Pública [internet]. 2002;11(2):132-41. Disponible en: https://bit.ly/2C7QZhL
Cómo citar
Gaitan Gomez, O., Aristizabal, P., & Bueno Robles, L. (2020). Práctica de inyecciones seguras por parte del personal de la salud: revisión integrativa. Investigación En Enfermería: Imagen Y Desarrollo, 22. https://doi.org/10.11144/Javeriana.ie22.pisp
Sección
Artículos de Revisión Integrativa o Sistemática
Artículos más leídos del mismo autor/a