Knowledge and beliefs among health care workers regarding hepatitis B infection and needle stick injuries at a tertiary care hospital, Karachi

Department of Pathology and Microbiology, The Aga Khan University Hospital, Karachi.
Journal of the College of Physicians and Surgeons--Pakistan: JCPSP (Impact Factor: 0.35). 05/2011; 21(5):317-8.
Source: PubMed

ABSTRACT Hepatitis B virus (HBV) infection is a recognized occupational risk for health care workers (HCWs). This study aimed to assess the knowledge and beliefs of HCWs regarding HBV transmission and needle stick injuries (NSIs). A cross-sectional questionnaire based KAP study was conducted at Civil Hospital, Karachi, during the period of January to September 2006. HCWs were inquired about possible modes of HBV transmission and association with NSIs. Data were entered using EpiInfo 6.04d software. Statistical analysis was performed using SPSS 12.5 software. A total of 343 HCWs participated, and those answered at least 5 correct modes of HBV transmission were considered knowledgeable. Knowledgeable group was more likely to report NSIs (p < 0.006), more vaccinated (p < 0.001) and were also more likely to attend awareness session (p < 0.009). Overall knowledge were inadequate and behaviour and attitude towards clinical practices were found compromised. To reduce the occupational risk, effort should be focused to establish effective infection control program and training of staff.

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    • "There are some mandatory college courses on the hazards of exposure to BBPs for health care professionals in Iran. As a routine and repetitive everyday work, they will lose some of their information and safety attitudes after employment; therefore, the knowledge of HCWs about NSI hazards is insufficient and they have a careless attitude in clinical practice.[121314] Although some studies in developed and developing countries have shown that education can effectively reduce the incidence of NSIs/SIs among HCWs,[111516] unfortunately we have very limited data in Iran. "
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    ABSTRACT: One of the serious occupational concerns in health care workers (HCWs) is exposure to blood/body fluids that can transmit blood borne pathogens such as human immunodeficiency virus and hepatitis B and C viruses. We are reporting the effects of training course and surveillance on the rate of needle stick injuries (NSIs) among HCWs at an educational hospital in Iran. To evaluate the effects of training course on the rate of NSIs and its reporting. We selected two hospitals (A&B) based on their similarities in wards and facilities then asked the managers of these two hospitals to participate in our study. We established a new occupational health center and conducted a training course at hospital A on 2010 and compared it with control group (hospital B). The data from 2009 to 2011 was collected, analyzed to compare pre and post intervention rates. DURING STUDY PERIOD NURSES SUSTAINED THE HIGHEST NUMBER OF INJURIES (HOSPITAL A: n=80; 66.1% and hospital B: n=64; 35.4%). The incidence rate of NSIs in hospital A was 7.16 NSI/100FTE/YEAR before the intervention which was increased to 12.06 after the intervention. In hospital B this rate was 6.05 during three years. The study revealed remarkable increase in the incidence rate of NSIs after the intervention. This is being achieved by meticulous surveillance, training course and improving awareness.
    International journal of preventive medicine 11/2013; 4(11):1236-1242.
    • "A cross-sectional questionnaire based study done by Habib et al., among HCWs in 2011 revealed that overall knowledge were inadequate and behavior and attitude towards clinical practices were found compromised. Sixty-five percent believed that all HCWs are at risk and 89% believed that vaccination provides protection.[14] In the present study overall awareness was found to be adequate with 90.03% of AHCWs well-informed about HBI. "
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    ABSTRACT: Auxiliary healthcare workers (AHCWs) have a higher risk of occupational exposure to hepatitis B virus infection than the general population. Daily handling and exposure to biomedical wastes, blood, and its products make the AHCWs vulnerable to blood borne diseases among which Hepatitis B is one of the world's most common and serious infectious diseases. To evaluate the HBV infection related awareness and occupational risk perception among AHCWs. Survey. A cross-sectional survey was carried out in M. S. Ramaiah Medical and Dental Hospitals among 300 auxiliary health workers which comprised of laboratory technicians, hygienists, laundry workers, and the housekeeping staff. After acquiring ethical clearance and informed written consent, they were explained about the objective of the study and were requested to fill a standard questionnaire. The data was compiled and subjected to statistical analysis using the Statistical Package for Social Sciences (SPSS) software. SPSS Software Version 19. Our survey revealed that 90.03% of the respondents were aware of hepatitis B infection (HBI) and 67.2% answered questions correctly on risk perception. Only 37% of the respondents correctly answered questions on biomedical waste management. Overall, an adequate awareness and a moderate occupational risk perception about HBI were found among the study group. However, knowledge regarding hospital waste disposal was found to be insufficient. Our vision aims at a nation committed to combat silent epidemic of viral hepatitis infection.
    07/2013; 3(2):67-71. DOI:10.4103/2231-0762.122434
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    ABSTRACT: Background: Hepatitis B is a global public health problem. In India the carrier rate of hepatitis B is higher among health care personnel. Nurses are probably the most commonly exposed health care staff exposed to needle prick, injuries and contact with infectious fluids. Objective: To assess the levels of awareness regarding infectivity of hepatitis B among nurses, their attitude towards hepatitis B vaccination and practices followed after needle stick injury. Methodology: A cross sectional observational study was conducted in 30 nurses of MY hospital (MYH) and multispecialty private hospital (PH) each with help of semi structured questionnaire about knowledge, attitude and practice related to hepatitis B. Chi square test was applied to assess significant difference between the two centres. Result: 73.3% of nurses of MYH and 43.3% of PH think that they are at high risk for hepatitis B infection. 43.3% of MYH and 23.3% of PH considered all hospital places to be risky. 30% nurses of MYH and 20% of PH had knowledge of post exposure prophylaxis. 36.67% of nurses of MYH and 93.33% nurses of PH were vaccinated. 33.33% of MYH nurses and 46.6% of PH nurses were exposed to needle stick injury. Conclusion: This study was concluded as vaccination was more in private institution than government institution. Main reason or the acceptance of vaccination is Hospital policy. Knowledge about post exposure prophylaxis and correct action after needle stick injuries was less.
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