• Abdullah Aliff Abdul Wahab Department of Community Health, The National University of Malaysia (UKM), 56000, Kuala Lumpur, Malaysia
  • Faiz Daud Graduate School of Business, SEGi University, Kota Damansara, 47810, Petaling Jaya, Selangor, Malaysia.
  • Nabilah Othman Medical Department, Hospital Tuanku Ja'afar, 70300 Seremban, Negeri Sembilan, Malaysia
  • Farhana Adila Sahak Jalan Gereja Health Clinic, Jalan Gereja, Bandar Hilir, 75000 Melaka, Malaysia
Keywords: Sharps Injury, Needlestick Injuries, Healthcare Workers


Sharps injury imposed a major threat towards safety and health among healthcare workers (HCWs). Many studies in Malaysia concentrated on prevalence of needle stick injury (NSI), however the prevalence of sharps injury among HCWs based on local guideline was still scarce in Malaysia. This information gap leads us to conduct this study. Our study aimed to determine the prevalence of sharps injury among HCWs in Hospital Melaka and to describe the factors among staff with sharps injury. This cross-sectional study was conducted in Hospital Melaka, Malaysia. 165 reported cases from 2013-2015 were reviewed and secondary data extracted. Data was analyzed using IBM SPSS version 20. Among reported sharps injury cases in this study, 65 (39.4%) were male, while 100 (60.6%) were female. The mean age was 27.41 (SD: 6.06). More than half of the reported sharps injury occurred among doctor, 113 (68.5%) specifically House Officer; 89 (53.9%) followed by paramedic, 26 (15.8%) and others, 26 (15.8%). Mostly occurred in ward, 114 (69.1%). The device which accounted for most of sharps injury cases was hypodermic needle, 67 (40.6%). Many of the sharps injury cases occurred while withdrawing needle from patient, 26 (15.9%). Prevalence of sharps injury among HCWs in this study was 0.8% in year 2013, 1.1% in year 2014 and 0.5% in year 2015. Nearly half from the total number of reported sharps injury cases among HCWs in Hospital Melaka were from Medical Department, 71 (43%). Recommended measures include usage of Safety-engineered devices (SEDs) and emphasize on standard precaution.


1. Centre for Disease Control and Prevention (CDC). Workbook for Designing, Implementing, and Evaluating a Sharps Injury Prevention Program 2008:1-168.

2. Ministry of Health Malaysia. Sharps Injury Surveillance Manual (First Edition) 2007:1-46.

3. National Institute for Occupational Safety and Health (NIOSH). Preventing Needlestick Injuries in Health Care Settings [document on the Internet]. DHHS (NIOSH) Publication No. 2000-108. 1999 [updated 6 June 2014; cited 1 July 2015]. Available from: https://www.cdc.gov/niosh/docs/2000-108/pdfs/2000-108.pdf?id=10.26616/

4. Occupational Health Unit Ministry of Health Malaysia. Quality Assurance Manual: Number of Sharp Injuries Among Workers Within the Ministry of Health 2010:1–16.

5. Occupational Health Unit Ministry of Health Malaysia. Quality Assurance Indicator: Incidence Rate of Needlestick Injuries Among Health Care Workers Within the Ministry of Health 1998:1-6.

6. Mannocci A, De Carli G, Di Bari V et al. How Much do Needlestick Injuries Cost? A Systematic Review of the Economic Evaluations of Needlestick and Sharps Injuries among Healthcare Personnel. Infect Control Hosp Epidemiol 2016; 37(6):635–646.

7. Rapiti, E, Prüss-Üstün, A, Hutin, Y. Sharps injuries: Assessing the Burden of Disease from Sharps Injuries to Health Care Workers at National and Local Levels. World Health Organization Environmental Burden of Disease 2005; 11:1-50.

8. Occupational Health Unit Ministry of Health Malaysia. Guidelines on Occupational Exposures to Human Immunodeficiency Virus (HIV), Hepatitis B Virus (HBV) and Hepatitis C Virus (HCV), and Recommendations for Post Exposure Prophylaxis (PEP) 2009:1-30.

9. Lee LK, Noor Hassim I. Implication of the Prevalence of Needlestick Injuries in a General Hospital in Malaysia and Its Risk in Clinical Practice. Environ Health Prev Med 2005; 10:33–41.

10. Rampal L, Rosidah Z, Sook LW et al. Needle Stick and Sharps Injuries and Factors Associated Among Health Care Workers in a Malaysian Hospital. European Journal of Social Sciences 2010; 13(3):354–62.

11. Bhardwaj A, Sivapathasundaram N, Yusof MF et al. The Prevalence of Accidental Needle Stick Injury and Their Reporting Among Healthcare Workers in Orthopaedic Wards in General Hospital Melaka, Malaysia. Malaysian Orthopaedic Journal 2014; 8(2):6–13.

12. Nagandla K, Kumar K, Bhardwaj A et al. Prevalence of Needle Stick Injuries and Their Underreporting Among Healthcare Workers in The Department of Obstetrics and Gynaecology. Int Arch Med. 2015; 8(181):1–16.

13. Sarifah R. Chapter 3: Health Delivery System in Malaysia. [document on the Internet]. 2012. [cited 1 July 2015]. Available from: http://studentsrepo.um.edu.my/3880/3/CHAP_3_-_CHAP_8.pdf

14. Seto WH, Cowling BJ, Lam HS et al. Clinical and Nonclinical Health Care Workers Faced a Similar Risk of Acquiring 2009 Pandemic H1N1 infection. Clin Infect Dis 2011; 53(3):280–283.

15. Law of Malaysia Act 514 Occupational Safety and Health Act 1994. [statute on the Internet]. 2015 [cited 1 July 2015]. Available from: http://www.dosh.gov.my/index.php/en/list-of-documents/acts/23-02-occupational safety-and-health-act-1994-act-514/file

16. Yarahmadi R, Abbaszadeh Dizaji R, Hossieni AF et al. The Prevalence of Needle Sticks Injuries Among Health Care Workers at a Hospital in Tehran. Iran J Health Saf Environ 2014; 1(1):23–9.

17. Hanafi MI, Mohamed AM, Kassem MS et al. Needlestick Injuries Among Health Care Workers of University of Alexandria Hospitals. East Mediterr Health J 2011; 17(1):26–35.

18. Amira CO, Awobusuyi JO. Needle-Stick Injury Among Health Care Workers in Hemodialysis Units in Nigeria: A Multi-Center Study. Int J Occup Environ Med 2014; 5(1):1–8.

19. Medical Development Division Ministry of Health Malaysia. Policies and Procedures on Infection Control (2nd Edition) 2010:1-209.

20. Department of Occupational Safety and Health (DOSH), Ministry of Human Resources, Malaysia. Guidelines for Hazard Identification, Risk Assessment and Risk Control 2008:1-32.

21. Ebrahimi H, Khosravi A. Needlestick Injuries Among Nurses. J Res Health Sci 2007; 7(2):56–62.

22. Zafar A, Aslam N, Nasir N et al. Knowledge, Attitudes and Practices of Health Care Workers Regarding Needle Stick Injuries at a Tertiary Care Hospital in Pakistan. J Pak Med Assoc 2008; 58(2):57–60.

23. Tosini W, Ciotti C, Goyer F et al. Needlestick Injury Rates According to Different Types of Safety‐Engineered Devices: Results of a French Multicenter Study. Infect Control Hosp Epidemiol 2010; 31(4):402–407.

24. Sohn S, Eagan J, Sepkowitz KA et al. Effect of Implementing Safety-Engineered Devices on Percutaneous Injury Epidemiology. Infect Control Hosp Epidemiol 2004; 25(7): 536-542.

25. Elder A, Paterson C. Sharps Injuries in UK Health Care: A Review of Injury Rates, Viral Transmission and Potential Efficacy of Safety Devices. Occup Med (Lond) 2006; 56(8):566–574.
How to Cite
Abdullah Aliff Abdul Wahab, Faiz Daud, Nabilah Othman, & Farhana Adila Sahak. (2019). OCCUPATIONAL SHARPS INJURY AMONG HEALTHCARE WORKERS IN HOSPITAL MELAKA 2013 – 2015: A CROSS SECTIONAL STUDY. Malaysian Journal of Public Health Medicine, 19(2), 170-178. Retrieved from http://mjphm.org/index.php/mjphm/article/view/295