CHILDHOOD NEEDLESTICK INJURIES IN THE DUBLIN METROPOLITAN-AREA

Childhood needlestick injuries and other risk exposures outside of hos pital are becoming increasingly common. A retrospective review of case notes to ascertain the incidence, epidemiology and adequacy of managem ent and follow-up of exposures in the Dublin metropolitan area reveale d 52 cases between July 1995 and October 1996. Median age of children was 7.4 years. Most occurred in inner city areas with a recognised hig h prevalence of IV drug use. Only 2 high-risk exposures were identifie d, On presentation all cases received Hepatitis B vaccination and 56% received Hepatitis B immunoglobulin. Following Hepatitis B virus, Hepa titis C virus and Human immunodeficiency virus testing, no seroconvers ions have been identified to date in 9 children with completed tests, General follow-up and Hepatitis B immunisation when initiated were not always complete. Standardised management protocols and wider availabi lity of counselling are recommended.