Case Report

Needlestick injury in a pregnant inpatient in an overcrowded hospital

Nnabuike Chibuoke Ngene, Chioma Obiageli Onyia, Jagidesa Moodley, Mokete Joseph Titus
Southern African Journal of HIV Medicine | Vol 15, No 2 | a23 | DOI: https://doi.org/10.4102/sajhivmed.v15i2.23 | © 2014 Nnabuike Chibuoke Ngene, Chioma Obiageli Onyia, Jagidesa Moodley, Mokete Joseph Titus | This work is licensed under CC Attribution 4.0
Submitted: 12 December 2014 | Published: 23 May 2014

About the author(s)

Nnabuike Chibuoke Ngene, Department of Obstetrics and Gynaecology, Pietermaritzburg Metropolitan Hospitals Complex, KwaZulu-Natal, South Africa; Department of Obstetrics and Gynaecology, Nelson R Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa, South Africa
Chioma Obiageli Onyia, Department of Obstetrics and Gynaecology, Pietermaritzburg Metropolitan Hospitals Complex, KwaZulu-Natal, South Africa, South Africa
Jagidesa Moodley, Women’s Health and HIV Research Group, Nelson R Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa, South Africa
Mokete Joseph Titus, Department of Obstetrics and Gynaecology, Pietermaritzburg Metropolitan Hospitals Complex, KwaZulu-Natal, South Africa; Department of Obstetrics and Gynecology, Nelson R Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa, South Africa

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Abstract

Needlestick injury (NSI) is commonly reported among healthcare workers, but is not well documented in patients. We report a case of an NSI in an HIV-negative, gestational hypertensive patient admitted to a hospital for induction of labour at term. Owing to an insufficient number of hospital beds, patients were seated in an overcrowded corridor of the antenatal ward where a patient stepped on the needle of an inadvertently disconnected intravenous infusion set of another pregnant patient, who was HIV-infected. The injury occurred prior to labour induction. Antiretroviral post-exposure prophylaxis to prevent HIV infection was administered to the injured patient and her newborn. This report illustrates how hospital bed shortage may compromise patient safety and discusses measures to prevent NSI among patients and hospital overcrowding.


Keywords

Needlestick injury; HIV; patient safety; post-exposure prophylaxis; hospital overcrowding

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