Farmer Needlestick Injuries – Risk & Recommended Treatment

PURPOSE

Livestock production often involves the use of veterinary chemicals as part of animal husbandry. Some of these are administered by injection. Needlestick injuries are a risk and can occur, resulting in poor outcomes if not treated correctly. To assist with identification and appropriate treatment the NCFH provides a table of livestock injection products and recommended treatment options. Whilst due care has been taken with compiling this document it is not a complete list of all animal health products (vaccines, drenches, antibiotics and mineral supplements) that if accidentally self-administered have potential to cause injury. No responsibility can be held by the authors for how this information is used and outcomes. Readers should independently verify recommendations contained in this document.

HEALTH PROFESSIONALS ALERT 

In Australia, all animal health companies with products registered with the Australian Pesticides and Veterinary Medicine Authority (APVMA) have a legislated requirement to report human exposure of their products to the APVMA but they can only do this, if notified of incidents. Please note that agricultural workers and farmers can and should report any adverse event to the APVMA and be encouraged to do so. They do not have to wait for the animal health company to do it. Similarly health and medical professionals SHOULD also report any adverse patient experience. 

PLEASE SEE

https://apvma.gov.au/sites/default/files/images/311-adverse-experience-reporting-form.pdf https://portal.apvma.gov.au/aerpexternal/welcome.htm

Download table of Livestock Injection Products – PDF

Appendix 1

Table of Livestock Injection Products

Farmer Needle Stick Injuries Risk & Recommended Treatment

Dr David Rendell[1], Dr Susan Brumby[2,3], Richard Lunz[2], Dr Scott McCoombe[3], Mr Stephen Clifforth[4], Dr Kelley Donham[5] – updated 2016

Original version of from NCFH – National Opening the Gates on Farmer Health Conference Oct 2010

 

[1] Livestock Logic, 60 Portland Rd, Hamilton VIC 3300

[2] National Centre for Farmer Health Western District Health Service, 20 Foster St, Hamilton VIC 3300

[3] Deakin University, 75 Pigdons Road, Waurn Ponds VIC 3216

[4] Glenelg Surgical Clinic, 9 Garton St, Hamilton VIC 3300

[5] University of Iowa, Iowa City, IA 52242, USA

 

Whilst due care has been taken with compiling this document it is not a complete list of all animal health products (vaccines, drenches, antibiotics and mineral supplements ) that if accidentally self-administered have potential to cause injury.  

No responsibility can be held by the authors for how this information is used and outcomes. Readers must independently verify recommendations contained in this document, as per below.

Even for products assessed as being a low risk, if pain and swelling or other clinical signs develop after exposure to animal health products or any agricultural or veterinary chemical;

  • seek immediate medical advice
  • call the 1800 number on the product packaging and speak to the manufacturer
  • Access the relevant MSDS (material safety data sheet) and it is safest to go direct to product manufacturer as most other websites including MIMS are up to 4 years out of date (Note MSDS vary in quality)
  • Contact Poisons Information Centre on 13 1126 and ask for medical information for practitioners

Adverse experiences must be reported.

To report an unintended effect from the use of registered agricultural or veterinary chemicals

CONTACT

Australian Pesticides and Veterinary Medicines Authority AVMPA.

Free call: 1800 700 583 (within Australia) – charges apply for calls made from mobile phones
Fax: +61 2 6210 4776
Email: aerp@apvma.gov.au

Report Online https://apvma.gov.au/sites/default/files/images/311-adverse-experience-reporting-form.pdf

All animal health companies with products registered with the APVMA have a legislated requirement to report human exposure to their products to the APVMA but they can only do this, if notified of incidents.

The following surgeons have had surgical experience with Category 3 and/or 4 Needle Stick Injuries involving Gudair

  1. Stephen Clifforth, Glenelg Surgical Clinic Hamilton Vic (03) 5572 5233
  2. Dr Gary Kode: Plastic and Reconstructive Surgeon, Launceston (03) 6334 9313
  3. Dr Stephen Salerno*, Plastic and Reconstructive Surgeon, Essendon, Victoria. T: (03) 9337 0032 (office) or (03) 9076 2000 (The Alfred Hospital, Melbourne)

References

Richardson, G Links, I, & Windsor, P (2005) Gudair (OJD) vaccine self-inoculation: a case for early debridement

Med J Aust 2005; 183 (3): 151-152.

M Alfredson, T Heath (2009). Fingertip And Distal Phalanx Necrosis after Self-Inoculation with the Johne’s disease Vaccine: A Case Report and Review of The Literature… The Internet Journal of Hand Surgery. 3 (1)

Gwynne-Jones D, Lyall P, Hung NA, Meikle G. (2008) Accidental human injection of Excenel RTU: ceftiofur hydrochloride in cottonseed oil. Clin Toxicol (Phila). 2008 Nov;46 (9):908-10.