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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Infect+Control+Hosp+Epidemiol
2016 ; 37
(6
): 635-46
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How Much do Needlestick Injuries Cost? A Systematic Review of the Economic
Evaluations of Needlestick and Sharps Injuries Among Healthcare Personnel
#MMPMID27022671
Mannocci A
; De Carli G
; Di Bari V
; Saulle R
; Unim B
; Nicolotti N
; Carbonari L
; Puro V
; La Torre G
Infect Control Hosp Epidemiol
2016[Jun]; 37
(6
): 635-46
PMID27022671
show ga
OBJECTIVE To provide an overview of the economic aspects of needlestick and
sharps injury (NSI) management among healthcare personnel (HCP) within a Health
Technology Assessment project to evaluate the impact of safety-engineered devices
on health care METHODS A systematic review of economic analyses related to NSIs
was performed in accordance with the PRISMA statement and by searching PubMed and
Scopus databases (January 1997-February 2015). Mean costs were stratified by
study approach (modeling or data driven) and type of cost (direct or indirect).
Costs were evaluated using the CDC operative definition and converted to 2015
International US dollars (Int$). RESULTS A total of 14 studies were retrieved: 8
data-driven studies and 6 modeling studies. Among them, 11 studies provided
direct and indirect costs and 3 studies provided only direct costs. The median of
the means for aggregate (direct + indirect) costs was Int$747 (range,
Int$199-Int$1,691). The medians of the means for disaggregated costs were Int$425
(range, Int$48-Int$1,516) for direct costs (9 studies) and Int$322 (range,
Int$152-Int$413) for indirect costs (6 studies). When compared with data-driven
studies, modeling studies had higher disaggregated and aggregated costs, but
data-driven studies showed greater variability. Indirect costs were consistent
between studies, mostly referring to lost productivity, while direct costs varied
widely within and between studies according to source infectivity, HCP
susceptibility, and post-exposure diagnostic and prophylactic protocols. Costs of
treating infections were not included, and intangible costs could equal those
associated with NSI medical evaluations. CONCLUSIONS NSIs generate significant
direct, indirect, potential, and intangible costs, possibly increasing over time.
Economic efforts directed at preventing occupational exposures and infections,
including provision of safety-engineered devices, may be offset by the savings
from a lower incidence of NSIs. Infect Control Hosp Epidemiol 2016;37:635-646.