Occupational exposure to blood and body fluids among nursing students in clinical internship

Submitted: 27 September 2022
Accepted: 16 December 2022
Published: 20 April 2023
Abstract Views: 948
PDF: 134
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.


Background. During their academic activities, nursing students are required to carry out clinical internships during which they can be exposed to contamination by bloodborne pathogens. Objective. The study was carried out to determine the prevalence and associated factors of occupational exposure to biological material potentially infected by blood in a population of nursing students. Materials and Methods. A cross-sectional design was used in this study and a self administered questionnaire was provided to students. The research work was conducted from February 20, 2022, to March 15, 2022. Results. The questionnaire was completed by 119 students. A total of 94 (78.99%) of the participants were female with a mean age of 20.46±1.16 years. 48 (40.34%) exposures were recorded with corresponding incidence rates of 0.4 exposures/person/year. With at least one accidental exposure to blood in 21 (43.75%) students. The OR analysis made by year of study showed that the ratio between the exposure risk was lower than 1 with P>0.05. The comparison between the different nursing specialties showed a significant difference between the students of General Nurses and Family and Community Health Nurses. The variables associated with exposures to blood were: female sex and personal protective equipment. Conclusions. During their clinical training, nursing students face several types of risks including biological through blood. In order to prevent the occurrence of these incidents, the consequences of which can be fatal, it is necessary to invest in training sessions and our institute should set up a local management unit for following the exposed students.

Shiao JS, Mclaws ML, Huang KY, Guo YL. Student nurses in Taiwan at high risk for needlestick injuries. Ann Epidemiol 2002;12:197-201.

Hada V, Saurabh K, Sharma A, et al. Nursing students: A vulnerable health-care worker for needlesticks injuries in teaching hospitals. J Family Med Prim Care 2018;7:717-20.

Hbibi A, Kasouati J, Charof R, et al. Evaluation of the knowledge and attitudes of dental students toward occupational blood exposure accidents at the end of the dental training program. J Int Soc Prev Community Dent 2018;8:77-86.

Reis RK, Gir E, Canini SR. Accidents with biological material among undergraduate nursing students in a public Brazilian university. Braz J Infect Dis 2004;8:18-24.

Nouetchognou JS, Ateudjieu J, Jemea B, Mbanya D. Accidental exposures to blood and body fluids among health care workers in a Referral Hospital of Cameroon. BMC Res Notes 2016;9:94.

Petrucci C, Alvaro R, Cicolini G, et al. Percutaneous and mucocutaneous exposures in nursing students: An Italian observational study. J Nurs Scholarsh 2009;41:337-43.

Reda S, Gebrehiwot M, Lingerew M, et al. Occupational blood exposure beyond needle stick injuries: hospital-based cross-sectional study among healthcare workers in governmental hospitals of Northern Ethiopia. BMC Health Serv Res 2021;21:1136.

Auta A, Adewuyi EO, Tor-Anyiin A, et al. Health-care workers' occupational exposures to body fluids in 21 countries in Africa: systematic review and meta-analysis. Bull World Health Organ 2017;95:831-41F.

Zhang X, Chen Y, Li Y, et al. Needlestick and sharps injuries among nursing students in Nanjing, China. Workplace Health & Safety 2018;66:276-84.

Tawiah PA, Oppong K, Effah ES, et al. Occupational Exposure to Blood and Body Fluids among Medical Laboratory Science Students of the University of Health and Allied Sciences during Vocational Internship in the Volta Region of Ghana. Sci World J 2020;2020.

Talas MS. Occupational exposure to blood and body fluids among Turkish nursing students during clinical practice training: frequency of needlestick/sharp injuries and hepatitis B immunisation. J Clin Nurs 2009;18:1394-403.

Smith DR, Leggat PA. Needlestick and sharps injuries among nursing students. J Adv Nurs 2005;51:449-55.

Ghulam F, Akmal H, Aftab J, et al. Knowledge, Attitude and Practices among nursing students on needle-stick injuries. PJMHS 2013;7:357-60.

El- Houfey AA, Sharkawey SA, Hassan AK. Occupational Exposure to Blood and Body Fluids among Nursing and Dental Students at Internship Year in Assiut City. J Ame Sci 2013;9:499-75.

Hajjaji Darouiche M, Chaabouni T, et al. Occupational blood exposure among health care personnel and hospital trainees. Int J Occup Environ Med 2014;5:57-61.

Vaquero-Álvarez E, Cubero-Atienza A, Martínez-Jiménez MP, et al. Occupational Safety and Health Training for Undergraduates Nursing Students: A Spanish Pilot. Int J Environ Res Public Health 2020;17:8381.

Zungu LI, Sengane ML, Setswe KG. Knowledge and experiences of needle prick injuries (NPI) among nursing students at a university in Gauteng, South Africa. SA Fam Pract 2008;50:48.

Noé C. Sous-déclaration des accidents d’exposition au sang : une situation préoccupante chez les étudiants en soins infirmiers. Rech Soins Infirm 2015;123:49-65.

Coudray MA, Gay C. Le défi des compétences: comprendre et mettre en oeuvre la réforme des études infirmières. Elsevier Masson 2009.

Granry JC, Moll MC. Rapport de mission: Etat de l’art (national et international) en matière de pratiques de simulation dans le domaine de la sante. Haute Autorité de Santé 2012.

Mohamed Nabil Attia N, Sobhy Sorour A, Mohammed Ahmed F. Occupational Health Hazards among Faculty of Nursing Students in Zagazig University. Zagazig Nursing J 2018;14:133-45.

Syed Ali Hussain J, Ram SM, Galinde J, Rao K Jingade R. Occupational Exposure to Sharp Instrument Injuries among Dental, Medical and Nursing Students in Mahatma Gandhi Mission’s Campus, Navi Mumbai, India. J Contemp Dent 2012;2:1-10.

Nawafleh HA, El Abozead S, Al Momani MM, Aaraj H. Investigating needle stick injuries: Incidence, knowledge and perception among South Jordanian nursing students. J Nurs Educ Pract 2018;8:59-69.

Mc Carthy GM, Britton JE. A Survey of Final-Year Dental, Medical and Nursing Students: Occupational Injuries and Infection Control. J Can Dent Assoc 2000;66:561-5.

Berahou H, Serhier Z, Housbane S, et al. Les accidents d’exposition au sang chez les étudiants en médecine de Casablanca (Maroc): Analyse des connaissances et pratiques. Santé Publique 2017;29:579-84.

Kra O, Kadiané NJ, Aba YT, et al. Attitudes and practices of nursing students confronted with blood exposure accidents in Abidjan. Afr J Infect Dis 2016;10:43-8.

El Bouazzi, O., Toujami, Z., Raoui, S. M., Benammi, D., Merabti, A., Didouh, M., & El Ouali Lalami, A. (2023). Occupational exposure to blood and body fluids among nursing students in clinical internship. Journal of Public Health in Africa, 14(6). https://doi.org/10.4081/jphia.2023.2336


Download data is not yet available.