Clinical Case Database / Category: Teaching and Training

Infected needlestick injuries

Publication details

Kirstie Kinross, Siobhan Williams, Saran Shantikumar, Ashok Handa
Foundation Years Journal, volume 5, issue 1, p.27 (123Doc Education, London, February 2011)


Needlestick injuries (NSI) are a relatively common occurrence within the healthcare setting. In this article, we outline the risks involved and how to go about managing a needlestick injury.

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Kirstie Kinross

Foundation Doctor, Department of Orthopaedics
Wycombe Hospital, High Wycombe

Siobhan Williams

Foundation Doctor, , Department of Orthopaedics
Wycombe Hospital, High Wycombe

Saran Shantikumar

Academic Clinical Fellow,
Nuffield Department of Surgical Sciences
John Radcliffe Hospital, Oxford

Ashok Handa

Consultant Vascular Surgeon, Clinical Tutor and Reader in Surgery
Nuffield Department of Surgical Sciences
John Radcliffe Hospital


1. Thomas WJ, Murray JR. The incidence and reporting rates of needle-stick injury amongst UK surgeons. Ann R Coll Surg Engl. 2009;91(1):12–7.
2. Elmiyeh B, Whitaker IS, James MJ, et al. Needle-stick injuries in the National Health Service: A culture of silence. J R Soc Med. 2004;97:326–7.
3. Naghavi SH, Kaveh AS. Accidental blood and body fluid exposure among doctors. Occup Med. 2009;59:101–6.
4. Makary MA, Al-Attar A, Holzmueller CG, et al. Needlestick injuries among surgeons in training. NEJM. 2007;356:2693–9.
5. Bartlett J, Weber D. Management of healthcare workers exposed to HIV. Up-to-date
6. Exposure to blood: what health personnel need to know. National Institute for Occupational Safety and Health 2003.
7. Guidance for clinical health care workers—Protection against infection with blood-borne viruses. Department of Health 1998.
8. Exposure to hepatitis B virus: guidance on post-exposure prophylaxis. Commun Dis Rep. 1992;2:9.
9. Zuckerman, J.N. Review: Hepatitis B immune globulin for prevention of hepatitis B infection. J Med Virol. 2007:79:919–21.
10. Eye of the Needle. Health Protection Agency 2008.
11. Wallis GC, Kim WY, Chaudhary BR, et al. Perceptions of orthopaedic surgeons regarding hepatitis C viral transmission: A questionnaire survey. Ann R Coll Surg Engl. 2007;89:276–80.
12. Giulieri S, Schiffer V, Yerly S, et al. The trap: professional exposure to
human immunodeficiency virus antibody negative blood with high viral load.
Arch Intern Med. 2007;167:2524–6.
13. Bell, P. Nicholl, B. Needlestick Injuries. Student BMJ. 2007;15:293–336.
14. Kerr HL, Stewart N, Pace A, et al. Sharps injury reporting amongst surgeons. Ann R Coll Surg Engl. 2009;91:430–2.


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T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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