Knowledge and Beliefs among Health Care Workers Regarding Hepatitis B Infection and Needle Stick Injuries at a Tertiary Care Hospital, Karachi

ArticleinJournal of the College of Physicians and Surgeons--Pakistan: JCPSP 21(5):317-8 · May 2011with21 Reads
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.
    • "Similarly, Koria and Lala (2012) in Pakistan and Foster et al. (2010) in Jamaika had the same results. However, the finding from this study is at variance with that reported in a study in Karachi by Habib et al. (2011) who found that the overall knowledge of the health workers studied was inadequate. Risk perception is the subjective judgment that people make about the characteristic and severity of a risk. "
    [Show abstract] [Hide abstract] ABSTRACT: Hepatitis B virus (HBV) infection threatens the health of populations across the globe. It is an important occupational risk for health care workers (HCWs); they are known to be at high risk of the infection following needle stick injuries and accidental exposure to infected blood and other body fluids. This study was conducted to assess the knowledge, risk perception and hepatitis B vaccination status of HCWs in Usmanu Danfodiyo University Teaching Hospital (UDUTH), Sokoto, Nigeria. A descriptive cross-sectional study among 124 HCWs selected by multistage sampling technique was conducted in the months of February to April 2013. Informed consent was taken and information was collected by a pre-designed questionnaire, data analysis was done using computer software, SPSS version 20. Majority of respondents (86.3%) demonstrated good knowledge of HBV infection. Most of the respondents (92.7%) perceived themselves to be more at risk of HBV infection as compared to the general population by virtue of their profession. Only 50 (40.3%) of the 124 respondents have been vaccinated against HBV infection. In addition, only 28 (56.0%) of the 50 respondents that have been vaccinated against HBV infection had the recommended three doses of the vaccine. This study demonstrated poor uptake of hepatitis B vaccination among HCWs in UDUTH, Sokoto, Nigeria, despite good knowledge and high risk perception. Periodic education of staff on prevention of transmission of blood and other body fluids borne pathogens in the hospital setting, and promotion of accessibility to vaccines against relevant vaccine preventable diseases in the healthcare facilities are hereby suggested.
    Full-text · Article · Apr 2016
    • "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. "
    [Show abstract] [Hide abstract] 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.
    Article · Nov 2013
    • "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. "
    [Show abstract] [Hide abstract] 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.
    Full-text · Article · Jul 2013
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