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Brief report: Needlestick injury and inadequate post-exposure practice in medical students

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Abstract

BACKGROUND: Medical students are at a particularly high risk for needlestick injury and its consequences because of their relative inexperience and lack of disability insurance.

OBJECTIVE: To determine the risk of needlestick injury and the use of post-exposure prophylaxis among medical students.

DESIGN: Internet-based survey.

PARTICIPANTS: The 2003 graduating medical school class at the University of Toronto.

MEASUREMENTS: Number of needlestick injuries, circumstances surrounding those incidents, and post-exposure actions.

RESULTS: The response rate was 88% (157/178). Over one third (55/157) of respondents suffered at least 1 needlestick injury. In more than half the high-risk injuries, the students continued working and did not seek medical advice. Six students who suffered a needlestick injury began prophylactic human immunodeficiency virus medications. Of those students who suffered an injury, 15% had purchased disability insurance prior to the incident.

CONCLUSIONS: Poor use of post-exposure procedures and a lack of disability insurance leave medical students at high risk for career and life-altering consequences from a needlestick injury.

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Author information

Authors and Affiliations

  1. Department of Medical Imaging, University of Toronto, Toronto, ON, Canada

    Patrick Cervini MD

  2. Departments of Medicine and Health Policy, Management and Evaluation, University of Toronto, The Institute for Clinical Evaluative Sciences and St. Michael’s Hospital, Toronto, ON, Canada

    Chaim Bell MD, PhD, FRCP(C)

Authors
  1. Patrick Cervini MD
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  2. Chaim Bell MD, PhD, FRCP(C)
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Corresponding author

Correspondence to Chaim Bell MD, PhD, FRCP(C).

Additional information

None of the authors has any conflict of interest relevant to the data of this manuscript.

See editorial by Willams and Gerrity, p. 450.

Dr. Bell is supported by a Clinician Scientist Award from the Canadian Institutes of Health Research. The results and conclusions are those of the author, and no official endorsement by the funding agency is intended or should be inferred.

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Cervini, P., Bell, C. Brief report: Needlestick injury and inadequate post-exposure practice in medical students. J GEN INTERN MED 20, 419–421 (2005). https://doi.org/10.1111/j.1525-1497.2005.0092.x

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  • DOI: https://doi.org/10.1111/j.1525-1497.2005.0092.x

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