Acta Scientific Medical Sciences (ASMS)(ISSN: 2582-0931)

Research Article Volume 7 Issue 2

Economic Burden of Using Conventional Syringes and Budget Impact of Introducing Safety Syringes in Emergency Departments Across University Hospitals in Egypt

Ismail G1*, Rashed H2, Abdel Aziz S3, Zaki M4, Bassyouni R5, Girgis S1, Mohamed A6, Ahmad A7, Elzamarany E8, Higazi A9, Gala S10, Bayan N11 and Abdelghaffar H12

1Professor of Clinical Pathology, Faculty of Medicine, Ain Shams University, Cairo, Egypt
2Professor of Clinical Pathology, Head of Infection Control Unit, Assiut University Hospital, Assiut, Egypt
3Assistant Lecturer of Medical Microbiology and Immunology, Alexandria University, Alexandria, Egypt
4Professor of Clinical Pathology, Director of Infection Control Unit, Faculty of Medicine, Mansoura University, Mansoura, Egypt
5Professor of Infection Prevention and Control Unit, Faculty of Medicine, Fayoum University, Fayoum, Egypt
6Professor of Microbiology and Immunology, General Director of Infection Prevention and Control, Suez Canal University Hospitals, Faculty of Medicine, Suez Canal University, Ismailia, Egypt
7Associate Professor of Clinical Pathology, Assuit University, Assuit, Egypt
8Professor of Clinical Pathology, Faculty of Medicine, Tanta University, Al Gharbia, Egypt
9Assistant Professor Department of Clinical and Chemical Pathology, Faculty of Medicine, Minia university, Minia, Egypt
10Becton Dickinson and Co., Franklin Lakes, NJ, USA
11Becton Dickinson, Dubai, United Arab Emirates
12Professor of ENT, Faculty of Medicine, Helwan University, Cairo, Egypt

*Corresponding Author: Ismail G, Professor of Clinical Pathology, Faculty of Medicine, Ain Shams University, Cairo, Egypt.

Received: November 29, 2022; Published: January 09, 2023


Background: Needlestick injuries (NSIs) represent a serious health problem among health care workers (HCWs) mainly nurses as they are associated with a high risk of infection with blood-borne pathogens including hepatitis B virus, hepatitis C virus, and human immunodeficiency virus which are associated with significant clinical, economic, psychological and societal burdens. Safety syringes were shown to minimize the rate of NSIs and accordingly reduce the associated burdens as well as improve the quality of life of HCWs.

Objectives: The main objectives of this study were to assess the economic burden of NSIs in the emergency departments of University hospitals from a societal perspective and to estimate the budget impact of introducing safety syringes to the university hospitals across Egypt.

Methodology: This was a cross-sectional observational study where data were collected from 76 nurses from eight university hospitals using a self-administered survey, including 30 questions. The economic burden of NSI was estimated by developing a population-based model, using a hybrid top-down, bottom-up approach. A budget impact analysis was performed to evaluate the impact of introducing safety syringes on a payer budget over a 3-month time horizon. The analysis included the direct cost of NSI associated with both conventional and safety syringes.

Results: The study revealed that, with an average NSI rate of 1.3 events per nurse over 3 months and a total cost of EGP 1,773 per nurse, The total economic burden of NSIs associated with conventional syringes usage was estimated to be EGP 11.3 million per 3 months. In addition to the economic burden of NSIs, 70% of the nurses reported experiencing psychological and societal impact associated with NSIs. The budget impact analysis revealed a cost-saving of EGP 4.2 million per three months with the introduction of safety syringes as compared to conventional syringes.

Conclusion: Results of the current study suggest that using conventional syringes is associated with high clinical and economic burden while the switch to safety syringes in the University hospitals in Egypt can lead to cost savings by reducing the total number of NSIs.

Keywords: Needlestick Injuries; Health Care Workers; Hepatitis


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Citation: Ismail G., et al. “Economic Burden of Using Conventional Syringes and Budget Impact of Introducing Safety Syringes in Emergency Departments Across University Hospitals in Egypt”.Acta Scientific Medical Sciences 7.2 (2023): 37-43.


Copyright: © 2022 Ismail G., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


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