Knowledge regarding postexposure prophylaxis of HIV among nurses

Dhital, Puja Sharma; Sharma, Sarojini; Poudel, Pratik; Dhital, Pankaj Raj

doi:10.2147/nrr.s131454

Cited by 5 publications

(12 citation statements)

References 5 publications

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“…Transmission via mucous membranes as well as through abraded skin is the least common mode of occupational HIV transmission. The average risk of percutaneous exposure following HIV exposure is estimated to be 0.3% and 0.09% after exposure to mucous membranes [8]. The studies showed that occupational exposures occur predominantly in developing countries, although they are infrequently reported [9,10].…”

Section: Resultsmentioning

confidence: 99%

“…The studies included in this paper revealed that nurses had inadequate knowledge regarding PEP [2,4,6,8,[24][25][26]. Despite varied level of knowledge nurses have regarding PEP, PEP remains the only ARV treatment regimen intended to reduce the occupational transmission of HIV [7].…”

Section: Discussionmentioning

confidence: 99%

“…and 56.2% remaining untrained, respectively [4,25]. This was also highlighted and emphasized through two studies, which indicated that nurses did not receive any training on PEP [6,8].…”

Section: Receiving Training On Post-exposure Prophylaxismentioning

confidence: 99%

“…In a study that was conducted in Cameroon, 73.7% of the nurses had a lack of information concerning PEP [4]. From a study conducted Bharatpur, a sample of 50 nurses were used and from the sample, out of which 40% did not know the correct meaning of PEP and most of the participants not knowing the correct regimen for PEP (46%); 50% of the participants did not know of the duration of PEP and 66% of participants had pre-knowledge on PEP [8]. Research conducted in Nepal concluded that nurses only sought information regarding PEP by self-learning, with 78% on a sample of 425 nurses, 48% through co-workers, and 11% based on working experience [6].…”

Section: Level Of Knowledge Regarding Post-exposure Prophylaxismentioning

confidence: 99%

“…Some nurses may not have adequate knowledge on how to take immediate steps after exposure to infected blood. This was evident from two studies that 39.9% and 48% reported that the exposed site is washed with soap and water, respectively [6,8], and 94.5% reported that the exposed areas should be rinsed with water or normal saline [8].…”

Section: Immediate Steps To Take After Exposure To Infected Bloodmentioning

confidence: 99%

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Knowledge regarding post-exposure prophylaxis amongst nurses in an African context

Makhado¹,

Seekane²

2020

HIV & AIDS Review

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Occupational exposure to human immunodeficiency virus (HIV) among nurses had been reported to be a major challenge in South African and broader African context. There seems to be an increase in the level of exposure and uptake of post-exposure prophylaxis (PEP) in Africa. This had warranted the need to establish a systematic review on the level of knowledge among nurses regarding PEP in the African continent. The search engines used included: EBSco Host (North-West University [NWU] library), Sabinet, Google Scholar, ScienceDirect, and PubMed. The search was limited to the current decade (2008-2018), including articles that are in English. Keywords used were: 'knowledge' , 'post-exposure prophylaxis/PEP' , 'HIV' , and 'nurs*'. Thematic evaluation to pick out commonalities of the applications covered in this review have been achieved. The themes identified from the review were: poor knowledge regarding PEP, receiving training on PEP for HIV, immediate steps to take after exposure to infected blood, exposure to HIV, and not taking PEP. There is a strong need to increase the awareness and knowledge regarding PEP as well as to implement training programs to train nurses on the process of PEP in healthcare settings, to increase knowledge on PEP, and thereby decrease seroconversion of HIV. y.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…and 56.2% remaining untrained, respectively [4,25]. This was also highlighted and emphasized through two studies, which indicated that nurses did not receive any training on PEP [6,8].…”

Section: Receiving Training On Post-exposure Prophylaxismentioning

confidence: 99%

Section: Level Of Knowledge Regarding Post-exposure Prophylaxismentioning

confidence: 99%

Section: Immediate Steps To Take After Exposure To Infected Bloodmentioning

confidence: 99%

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Knowledge regarding post-exposure prophylaxis amongst nurses in an African context

Makhado¹,

Seekane²

2020

HIV & AIDS Review

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Occupational post‐exposure prophylaxis among healthcare workers: a scoping review of factors affecting optimal utilization

Auerbach,

Malone,

Forsyth

2024

J Int AIDS Soc.

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IntroductionPost‐exposure prophylaxis (PEP) is an efficacious prevention method when initiated promptly after an HIV exposure. Yet, PEP has been underutilized, even among healthcare workers (HCWs) with occupational exposure in sites with PEP policies and procedures and access to PEP medications. It is important to understand the dynamics of uneven PEP use in what appears to be an optimal context to better protect the health and wellbeing of HCWs.MethodsWe conducted a scoping review to elucidate factors influencing HCWs’ use of PEP after occupational exposure. We searched PubMed, PsychInfo and Google Scholar for peer‐reviewed literature published in English from 2014 to 2022 using the terms HIV, postexposure/post‐exposure prophylaxis, acceptability, healthcare workers, and values and preferences. An inductive narrative review of the resulting 53 studies identified core themes.ResultsNearly all studies (96%) with various HCW types and settings occurred in low‐ and middle‐income countries (LMICs) in Africa and Asia. Identified themes arrayed along a trajectory of PEP use experience: awareness/knowledge; acceptability; availability/access; uptake/use; adherence/completion. Across studies, awareness of PEP for HIV prevention was high, knowledge about drug regimens and healthcare facility policies was moderate to low; acceptability of PEP was moderate to high; PEP's perceived accessibility/availability was inconsistent and varied by geographic location and setting; HCWs’ uptake of PEP was low, affected by not knowing how to report an exposure and being unaware of PEP availability; and adherence/completion of PEP regimens was moderate to low, impeded by side effects and a belief that completing regimens was unnecessary to avert seroconversion. HCWs consistently expressed concern about HIV stigma.DiscussionFindings are limited by the inconsistent use of constructs across studies and a lack of clarity about reporting exposure events. Multi‐level approaches are needed to address the interplay of individual, social and structural barriers that diminish HCWs’ PEP use. Improved training, incident reporting, 24‐hour access to non‐stigmatizing PEP services and monitoring of adherence/completion are essential to optimizing HCWs’ PEP use.ConclusionsLessons from HCWs’ experience in LMICs may inform understanding of PEP under‐use among people in these settings with non‐occupational exposures.

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Evaluation of Nurses’ Knowledge and Attitude toward HIV-Infected Patients in Barbados

Huq

Moriyama

Harris³

et al. 2019

J Int Assoc Provid AIDS Care

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Background:Continued assessment of nurses’ knowledge and attitude is necessary for improving their performance at workplace. We attempted to evaluate nurses’ knowledge and attitude toward HIV-infected patients and their underlying factors.Methods:We conducted a descriptive, cross-sectional study participated by 218 nurses and collected relevant data.Results:Majority (57.3%) of the nurses had 1 to 5 years of experience in the nursing job, and 78.4% of them were involved in the provision of direct care to HIV-infected individuals for ≤5 years, and only 6.4% for ≥11 years. The overall knowledge and attitude of the participants were good (3.25/5 and 3.42/5 scores, respectively). The knowledge regarding appropriate care of HIV-infected patients was significantly better among the registered nurses compared to nursing assistants (NA) with limited years of formal education (odds ratio [OR] = 0.37; 95% confidence interval [CI] = 0.20-0.69; P <.001). In the provision of care to the HIV-infected patients, the attitude of female participants was significantly better than the males (unadjusted OR = 0.18; 95% CI = 0.05-0.60; P = .01).Conclusion:Inclusion of relevant HIV- and AIDS-related topics in the curriculum for NAs and closely guided hands-on training of the nurses are likely to improve nurses’ knowledge and attitude toward the provision of care to HIV-infected individuals.

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Knowledge regarding postexposure prophylaxis of HIV among nurses

Cited by 5 publications

References 5 publications

Knowledge regarding post-exposure prophylaxis amongst nurses in an African context

Knowledge regarding post-exposure prophylaxis amongst nurses in an African context

Occupational post‐exposure prophylaxis among healthcare workers: a scoping review of factors affecting optimal utilization

Evaluation of Nurses’ Knowledge and Attitude toward HIV-Infected Patients in Barbados

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