Anesthesiologists’ acquisition of hepatitis B virus infection

Tian, Jingling; Tan, Fang; Lai, Lifei; Deng, Yingqing; Chi, Xinjin; Geng, Hongfang; Zhu, Qianqian

doi:10.1097/md.0000000000016416

Cited by 3 publications

(4 citation statements)

References 26 publications

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“…of CHW having completed the HB vaccination standard, respectively. Such data are worrisome, considering that the WHO 3 and the Brazilian Ministry of Health 7 recommend 100% vaccination against HB among health workers, since lack of vaccination exposes these professionals to the risk of HB virus (HBV) infection 3,5,12,13 .…”

Section: Discussionmentioning

confidence: 99%

“…Despite this, Brazilian surveys have showed inadequate adherence of health-care professionals to HB vaccination [8][9][10][11] . Recent publications report important differences in HB vaccination adherence among the countries [12][13][14][15][16][17] .…”

Section: Introductionmentioning

confidence: 99%

“…In the last few years, the number of publications about HB vaccination prevalence has grown exponentially due to the importance of regional knowledge about this issue in order to achieve the WHO goals [8][9][10][11][12][13][14][15][16][17] . However, few studies have investigated HB vaccination prevalence in community health workers (CHW) [8][9][10] , who take a privileged position in the dynamics of implantation and consolidation of the Brazilian healthcare system, because they link the community to the health service, being fundamental to primary healthcare policies 18 .…”

Section: Introductionmentioning

confidence: 99%

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Adherence of community health workers to hepatitis B vaccination

et al. 2021

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Introduction: Hepatitis B (HB) vaccination for health-care workers is essential for World Health Organization’s goals achievement of viral hepatitis (VH) elimination. However, recent studies showed low vaccination adherence by these professionals and lack of knowledge about HB vaccination adherence of community health workers (CHW). Objective: To identify the adherence of CHW to HB vaccination; to determine the causes of non-adherence; to investigate whether the prevalence of vaccination is different among surveyed towns, and to verify whether years practiced as CHW have any association with vaccination adherence. Methods: This cross-sectional study included five towns (T) of a Brazilian state. Data were collected at VH educational meetings, in which CHW answered a questionnaire. The proportions Z-test and the likelihood ratio test were used for statistical analysis. Significance was set at p<0.05. Results: The sample included 516 CHW. Most CHW (86.8%) reported to have taken the vaccine, but only 59.7% affirmed having taken all doses, and 28.1% correctly answered the number of doses. 24.4% of CHW pointed the unknowing about HB vaccine importance as the main reason for non-adherence. T4 and T5 showed higher vaccination prevalence than T2 and T1. Vaccination adherence was higher among individuals with more years working as CHW. Conclusion: CHW demonstrated low adherence to HB vaccination and pointed the lack of knowledge about HB vaccine importance as the main reason for that. There were differences in vaccination prevalence among the towns and adherence was positively associated with professional experience.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Adherence of community health workers to hepatitis B vaccination

et al. 2021

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“…Arghittu et al [8] found that only 30.6% HCWs in an Italian University Hospital had the "flu vaccination". Tian et al [9] found that among 1739 Chinees anesthesiologists, 91.9% were exposed to sharps injuries, and 79.4% received three "HBV vaccination doses". However, half of them received reminder HBV vaccination doses.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the knowledge, attitudes, vaccine hesitancy, and behaviors of anesthesia technicians on adult vaccination

Sökmen

Ünal

2022

jidhealth

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Background: Anesthesia technicians work in places with a high risk of infectious diseases. Vaccination is one of the most essential methods that protect society and healthcare workers against infectious diseases. This study aims to determine anesthesia technicians' knowledge, behavior, attitude, and vaccine hesitancy. Methods: A cross-sectional web-based study was conducted between October 2021 and February 2022 at the Ankara Yildirim Beyazit University, Turkiye. A semi-structured and self-reported online survey was recruited to collect data from the Turkish anesthesia technicians’ community. Data of 1600 participants have undergone descriptive and univariate analyses to evaluate the differences in mean scores on knowledge, attitudes, and vaccine hesitancy. Results: The mean age of respondents was 24 years (±6.15). More than two-thirds (79.2%) were females, single (84.9%), aged less than 30 years (88.4%), and unemployed (61.1%); however, 12.4% had chronic diseases. The mean knowledge, attitude, and vaccine hesitancy score were 13.24± 3.22 (range: 0-21), 11.19 ± 3.19 (range: 0-15), and 28.67± 6.64, range: 12–60), respectively. Most respondents had information (1458, 91.1%) about COVID-19 vaccines, and 1247(77.9%) had been vaccinated. However, 240 (16.3%) did not receive vaccines at all compared to 59 (3.7%) who completed the thirteen recommended vaccines in Turkiye. The mean of vaccine hesitancy was significantly higher among females (P=0.001), unemployed (P=0.007), residents in Southeast Anatolia (P=0.001), and those who did not use medication continuously (P=0.016). However, participants aged 40 years and above (P=0.013) showed the lowest mean of vaccine hesitancy than the other age groups. Conclusion: Appropriate training and guidance might increase the vaccination information and enhance the vaccination rates among anesthesia technicians.

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Occurrence and outcome of blood-contaminated percutaneous injuries among anesthesia practitioners: a cross-sectional study

Zbeidy

Livingstone

Shatz

et al. 2022

International Journal for Quality in Health Care

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Background Anesthesia practitioners are at risk for percutaneous injuries by blood-contaminated needles and sharp objects that may result in transmission of HIV and hepatitis viruses. Reporting these injuries is important for early prevention and management of blood-borne infections. We investigated the occurrence, reporting, characteristics, and outcome of contaminated percutaneous injuries (CPI) in anesthesia residents, fellows, and faculty. Methods A cross-sectional anonymous survey electronically distributed to all 214 anesthesia practitioners at a large academic multihospital-based anesthesia practice in Florida, USA. Results The overall response rate was 51% (110/214) (60% (50/83) for residents, 50% (8/16) for fellows, 45% (52/115) for anesthesia faculty). 59% (65/110) (95%CI: 50,68) of participants reported having one or more CPI during their years of anesthesia practice (residents 42% (95%CI: 29,55), fellows 50%, faculty 77% (95%CI: 66,88). Numbers of CPI per anesthesia practitioner who answered survey was 0.58 for residents, 0.75 for fellows, and 1.5 for faculty. Within the last 5 years, 35% (95%CI: 26,44) of participants had one or more CPI (39% of residents, 50% of fellows, 29% of faculty. CPI in the last 5 years in faculty older than 45 years of age was 12% (3/25) compared to 44% (12/27) in faculty younger than 45 years of age. Analyzing data from practitioners who had one CPI revealed that 70% (95%CI: 55,85) reported the incident at the time of injury (residents 85%, fellows 100%, faculty 58%). Hollow-bore needles constituted 73.5% (95%CI: 59,88) of injuries. As per participants responses, 17% (18/103) of CPIs received post-exposure prophylaxis and there were zero seroconversions. Conclusion Based on our study results, most anesthesia practitioners will sustain a CPI during their years of practice. Despite some improvement compared to historic figures, occurrence of CPI continues to be high and reporting of percutaneous injuries remains suboptimal among anesthesia residents. A fifth of injuries in the perioperative setting are from an infected source and require postexposure prophylaxis. Although no infections were reported due to CPI exposure in this study, findings underscore the need for more education and interventions to reduce occupational blood exposures in anesthesia practitioners and improve reporting.

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Anesthesiologists’ acquisition of hepatitis B virus infection

Abstract: Supplemental Digital Content is available in the text

Cited by 3 publications

References 26 publications

Adherence of community health workers to hepatitis B vaccination

Adherence of community health workers to hepatitis B vaccination

Evaluation of the knowledge, attitudes, vaccine hesitancy, and behaviors of anesthesia technicians on adult vaccination

Occurrence and outcome of blood-contaminated percutaneous injuries among anesthesia practitioners: a cross-sectional study

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