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Blunt versus sharp suture needles for preventing percutaneous exposure incidents in surgical staff

  1. Annika Saarto1,*,
  2. Jos H Verbeek2,
  3. Marie-Claude Lavoie3,
  4. Manisha Pahwa4

Editorial Group: Cochrane Work Group

Published Online: 9 NOV 2011

Assessed as up-to-date: 1 MAY 2011

DOI: 10.1002/14651858.CD009170.pub2


How to Cite

Saarto A, Verbeek JH, Lavoie MC, Pahwa M. Blunt versus sharp suture needles for preventing percutaneous exposure incidents in surgical staff. Cochrane Database of Systematic Reviews 2011, Issue 11. Art. No.: CD009170. DOI: 10.1002/14651858.CD009170.pub2.

Author Information

  1. 1

    Finnish Institute of Occupational Health, Turku, Finland

  2. 2

    Finnish Institute of Occupational Health, Cochrane Work Review Group, Kuopio, Finland

  3. 3

    University of Maryland Baltimore, Baltimore, Maryland, USA

  4. 4

    University of Toronto, Dalla Lana School of Public Health, Toronto, ON, Canada

*Annika Saarto, Finnish Institute of Occupational Health, Lemminkäisenkatu 14-18 B, Turku, 20520, Finland. annika.saarto@utu.fi.

Publication History

  1. Publication Status: Edited (no change to conclusions), comment added to review
  2. Published Online: 9 NOV 2011

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References

References to studies included in this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. Additional references
  4. References to other published versions of this review
Ablett 1998 {published data only}
  • Ablett JC, Whitten M, Smith JR. Do blunt tipped needles reduce the risk of glove puncture and needlestick injury in the suture of episiotomy and perineal repair?. Journal of Obstetrics and Gynaecology 1998;18(5):478-9.
Hartley 1996 {published data only}
Meyer 1996 {published data only}
  • Meyer D, Hamelmann GW, Timmermann W, Thiede A. The risk of needlestick injuries during abdominal closure. Zentralblatt für Chirurgie 1996;121:30-4.
Mingoli 1996 {published data only}
  • Mingoli A, Sapienza P, Sgarzini G, Luciani G, De Angelis G, Modini C, et al. Influence of blunt needles on surgical glove perforation and safety for the surgeon. The American Journal of Surgery 1996;172(5):512-7.
Nordkam 2005 {published data only}
  • Nordkam RAG, Bluyssen SJM, Van Goor H, Millat B. Randomized clinical trial comparing blunt tapered and standard needles in closing abdominal fascia. World Journal of Surgery 2005;29(4):441-5.
Rice 1996 {published data only}
Sullivan 2009 {published data only}
  • Sullivan S, Williamson B, Wilson LK, Korte JE, Soper D. Blunt needles for the reduction of needlestick injuries during cesarean delivery: a randomized controlled trial. Obstetrics and Gynecology 2009;114(2 Pt 1):211-6. [MEDLINE: 5]
Thomas 1995 {published data only}
  • Thomas PB, Falder S, Jolly M, Saunders NJG, Smith JR. The role of blunt tipped needles and a new needleholder in reducing needlestick injury. Journal of Obstetrics and Gynaecology 1995;15:336-8.
Wilson 2008 {published data only}
  • Wilson LK, Sullivan S, Goodnight W, Chang EY, Soper D. The use of blunt needles does not reduce glove perforations during obstetrical laceration repair. American Journal of Obstetrics and Gynecology 2008;199:639.e1-9.e4.
Wright 1993 {published data only}
  • Wright KU, Moran CG, Briggs PJ. Glove perforation during hip arthroplasty. A randomised prospective study of a new taperpoint needle. Journal of Bone and Joint Surgery 1993;75-B(6):918-20.

References to studies excluded from this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. Additional references
  4. References to other published versions of this review
Bebbington 1996 {published data only}
  • Bebbington MW, Treissman MJ. The use of a surgical assist device to reduce glove perforations in postdelivery vaginal repair: A randomized controlled trial. American Journal of Obstetrics and Gynecology 1996;175(4):862-6.
Botet 1998 {published data only}
Monz 1991 {published data only}
Tydeman 1995 {published data only}
  • Tydeman GSJ. Risks to surgeons: a comparison of blunt and sharp tipped suture needles. Journal of Obstetrics and Gynaecology 1995;15:333-5.

Additional references

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. Additional references
  4. References to other published versions of this review
ACS 2011
  • American College of Surgeons. Statement on sharps safety. Statements of the College 2011.
Akduman 1999
  • Akduman D, Kim LE, Parks RL, L'Ecuyer PB, Mutha S, Jeffe DB, et al. Use of personal protective equipment and operating room behaviors in four surgical subspecialties: personal protective equipment and behaviors in surgery. Infection Control and Hospital Epidemiology 1999;20(2):110-4.
Anderson 2008
  • Anderson ER, Gates S. Techniques and materials for closure of the abdominal wall in caesarean section. Cochrane Database of Systematic Reviews 2008, Issue 4. [DOI: 10.1002/14651858.CD004663.pub2]
Ansa 2002
  • Ansa VO, Udoma EJ, Umoh MS, Anah MU. Occupational risk of infection by human immunodeficiency and hepatitis B viruses among health workers in south-eastern Nigeria. East African Medical Journal 2002;79(5):254-6.
Bennett 1994
  • Bennett NT, Howard RJ. Quantity of blood inoculated in a needlestick injury from suture needles. Journal of the American College of Surgeons 1994;178(2):107-110.
Berguer 2005
Brough 1988
Catanzarite 2007
Cheetham 2016
  • Cheetham S, Thompson SC, Liira J, Afilaka OA, Liira H. Education and training for preventing sharps injuries and splash exposures in healthcare workers. Cochrane Database of Systematic Reviews 2016, Issue 1. [DOI: 10.1002/14651858.CD012060]
Chen 2005
Clarke 2002
  • Clarke SP, Rockett JL, Sloane DM, Aiken LH. Organizational climate, staffing, and safety equipment as predictors of needlestick injuries and near-misses in hospital nurses. American Journal of Infection Control 2002;30(4):207-16.
Doebbeling 2003
  • Doebbeling BN, Vaughn TE, McCoy KD, Beekmann SE, Woolson RF, Ferguson KJ, et al. Percutaneous injury, blood exposure, and adherence to standard precautions: are hospital-based health care providers still at risk?. Clinical Infectious Diseases 2003;37(8):1006-13.
Edlich 2003
Ellenbecker 1996
Fisman 2002
  • Fisman DN, Mittleman AM, Sorock GS, Harris AD. Willingness to pay to avoid sharps-related injuries: a study in injured health care workers. American Journal of Infection Control 2002;30(5):283-7.
Fisman 2007
  • Fisman DN, Harris AD, Rubin M, Sorock GS, Mittleman AM. Fatigue increases the risk of injury from sharp devices in medical trainees: results from a case-crossover study. Infection Control and Hospital Epidemiology 2007;28(1):10-7.
Furlan 2009
  • Furlan AD, Pennick V, Bombardier C, van Tulder M. Cochrane Back Review Group, 2009 updated method guidelines for systematic reviews in the Cochrane Back Review Group. Spine (Phil PA 1976) 2009;34:1929-41.
Higgins 2011
  • Higgins JPT, Green S, editors. Cochrane Handbook for Systematic Reviews of Interventions 5.1.0.[updated March 2011]. The Cochrane Library, Available from: www.cochrane-handbook.org.
Ilhan 2006
Jagger 2008
  • Jagger J, Perry J, Gomaa A, Kornblatt Phillips E. The impact of US policies to protect healthcare workers from bloodborne pathogens: the critical role of safety-engineered devices. Journal of Infection and Public Health 2008;1:62-71.
Jagger 2011
  • Jagger J, Berguer R, Philips EK, Parker G, Gomaa AE. Increase in sharps injuries in surgical settings versus non-surgical settings after passage of national needlestick legislation. Association of periOperative Registered Nurses Journal 2011;93(3):322-30.
Lavoie 2012
  • Lavoie MC, Verbeek JH, Parantainen A, Pahwa M. Devices for preventing percutaneous exposure injuries caused by needles in health care personnel. Cochrane Database of Systematic Reviews 2012, Issue 4. [DOI: 10.1002/14651858.CD009740]
Lefebvre 2008
  • Lefebvre DR, Strande LF, Hewitt CW. An enzyme-mediated assay to quantify inoculation volume delivered by suture needlestick injury: two gloves are better than one. Journal of the American College of Surgeons 2008;206(1):113-22.
Mast 2004
  • Mast E, Mahoney F, Kane M, Margolis H. Hepatitis B vaccines. In: Plotkin OW editor(s). Vaccines. Philadelphia: Saunders, 2004:299-337.
Meyers 2008
Miller 1994
NIOSH 2008
  • NIOSH. Use of blunt-tip suture needles to decrease percutaneous injuries to surgical personnel. Safety and Health Information Bulletin 2008, issue 101:1-4.
Oh 2005
Orji 2002
  • Orji EO, Fasubaa OB, Onwudiegwu U, Dare FO, Ogunniyi SO. Occupational health hazards among health care workers in an obstetrics and gynaecology unit of a Nigerian teaching hospital. Journal of Obstetrics and Gynaecology 2002;22(1):75-8.
Parantainen 2012
  • Parantainen A, Verbeek JH, Lavoie MC, Pahwa M. Extra gloves or special types of gloves versus a single pair of gloves for preventing percutaneous exposure injuries in healthcare personnel. Cochrane Database of Systematic Reviews 2012, Issue 1. [DOI: 10.1002/14651858.CD009573]
Pruss-Ustun 2005
RevMan 2011 [Computer program]
  • RevMan. Review Manager (RevMan). Version 5.1 for Windows. Copenhagen: The Nordic Cochrane Centre, The Cochrane Collaboration, 2011.
Roberts 1999
  • Roberts RB, Lincoff AS, Frankel RE. Occupational exposure to HIV in an urban university hospital setting. Brazilian Journal of Infectious Diseases 1999;3(2):50-62.
Robinson 2002
  • Robinson KA, Dickersin K. Development of a highly sensitive search strategy for the retrieval of reports of controlled trials using PubMed. International Journal of Epidemiology 2002;31(1):150-3.
Roelofs 2003
  • Roelofs CR, Barbeau EM, Ellenbecker MJ, Moure-Eraso R. Prevention strategies in industrial hygiene: a critical literature review. American Industrial Hygiene Association Journal 2003;64(1):62-7.
Smith 1988
Smith 1990
Smith 2006
  • Smith DR, Choe MA, Jeong JS, Jeon MY, Chae YR, An GJ. Epidemiology of needlestick and sharps injuries among professional Korean nurses. Journal of Professional Nursing 2006;22(6):359-66.
Smith 2006b
  • Smith DR, Mihashi M, Adachi Y, Nakashima Y, Ishitake T. Epidemiology of needlestick and sharps injuries among nurses in a Japanese teaching hospital. Journal of Hospital Infection 2006;64(1):44-9.
Sohn 2006
Stafford 1998
  • Stafford MK, Pitman MC, Nanthakumaran N, Smith JR. Blunt-tipped versus sharp-tipped needles: wound morbidity. Journal of Obstetrics and Gynaecology 1998;Jan 18(1):18-9. [PUBMED: 15511994]
Tarantola 2006
  • Tarantola A, Golliot F, L'Heriteau F, Lebascle K, Ha C, Farret D, Bignon S, Smail A, Doutrellott-Philippon C, Astagneau P, Bouvet E. Assessment of preventive measures for accidental blood exposure in operating theaters: a survey of 20 hospitals in Northern France. American Journal of Infection Control 2006;34:376-382.
Verbeek 2005
  • Verbeek J, Salmi J, Pasternack I, Jauhiainen M, Laamanen I, Schaafsma F, et al. A search strategy for occupational health intervention studies. Journal of Occupational and Environmental Medicine 2005;62(10):682-7.
Wallis 2007
  • Wallis GC, Kim WY, Chaudhary BR, Henderson JJ. Perceptions of orthopaedic surgeons regarding hepatitis C viral transmission: a questionnaire survey. Annals of the Royal College of Surgeons of England 2007;89(3):276-80.
Watt 2008
Watt 2010
WHO 2007
  • World Health Organization. Needlestick injuries: implementation of pilot projects to reduce sharps injuries in health care workers. http://www.who.int/occupational_health/topics/needinjuries/en/index.html (Accessed 5 September 2007).

References to other published versions of this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. Additional references
  4. References to other published versions of this review
Parantainen 2008
  • Parantainen A, Lavoie MC, Pahwa M, Verbeek JH. Prevention of percutaneous injuries with risk of hepatitis B, hepatitis C, or other viral infections for health care workers. Cochrane Database of Systematic Reviews 2008, Issue 2. [DOI: 10.1002/14651858.CD007197]
Parantainen 2011