Prise en charge des accidents d'exposition au sang au CHU de Treichville, Abidjan (Côte-d'Ivoire)

Ehui, E.; Kra, O.; Ouattara, I.; Eholié, Serge; Kakou, A.; Bissagnené, E.; Kadio, A.

doi:10.1016/j.medmal.2007.03.016

Cited by 13 publications

(18 citation statements)

References 11 publications

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“…The epidemiological profile of BEA reported in our study is similar to that already described in other studies where needlestick injuries accounted for the majority of BEA: 75% by GERES [29], 88% for the committee against the nosocomial infections of Hôpital Ibn-Roshd of Casablanca [13], 80% in Paris-Nord [30], 73% in Ivory Coast [31], 86.2% in Japan [32] and 60% in France [29]. The rate (94.12%) suffered high BEA personnel infected in our series has corroborated the data from the literature: 93% in Nigeria [28], 82% in the (Nord-Pasde-Calais) France [25] and 78% in Chile [33].…”

Section: Discussionsupporting

confidence: 89%

Prevalence of Hepatitis B and C Virus in Health Care Personnel in Ibn Sina Hospital, Rabat, Morocco

Souly¹,

Kadi²,

Elkamouni³

et al. 2016

OJMM

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Risk of infection by hepatitis B (HBV) and C (HCV) viruses remains a permanent problem, not only for health care workers but also for patients. It is often a major public health concern in low incomes countries. The aims of this study were to determine seroprevalence of viral hepatitis B (HBV) and C (HCV), frequency occurrence of blood exposure accidents (BEA) and identify key risk factors for infection among 601 health care workers of Ibn Sina Hospital in Rabat. In this study nineteen health personnel (3.16%) were HBsAg positive and fifteen (2.50%) were anti-HCV antibodies positive. The seropositivity to hepatitis B and C in the surgical department respectively was 4.22% and 3.45%. Nurses were the most affected by hepatitis virus infections. We noticed that HCV came first with a prevalence of 4.44%. The seropositivity reached its acme within the health staff having practiced for more than 20 years, hepatitis C coming first with a prevalence of 4.27%. Globally, 34 health care personnel are positive for HBV or HCV, 32 among them were victims at least once of blood exposure accident (BEA) while practicing. The needlestick represented 81.25% of the BEA type. Prevalence of hepatitis B and C serologic markers in health care workers in our Hospital outnumbered that of the general population. Nurses, surgery department personnel and the professional having worked for a long time were the main factors behind the high risks of infections.

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Section: Discussionsupporting

confidence: 89%

Prevalence of Hepatitis B and C Virus in Health Care Personnel in Ibn Sina Hospital, Rabat, Morocco

Souly¹,

Kadi²,

Elkamouni³

et al. 2016

OJMM

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“…Male are predominant in our study, this result is consistent with several African series: Daou in Mali found a sex ratio (M/F) of 4.3 [7], Ehui in Ivory Coast 1.4 [8]; However Dieng in Senegal found 0.7 [9] and there are several European series where the dominance is female. This is probably related to the number of female employed as health care staffs in the different countries.…”

Section: Demographic and Occupational Characteristics Of Victimssupporting

confidence: 92%

“…This is probably related to the number of female employed as health care staffs in the different countries. In our victims, the mean age was 33.8 ± 7.4 years this is close to the 33.8 ± 7.4 years found in the Ivorian series by Ehui [8] and 32 ± 6.5 years in the Senegalese series by Dieng [9]. It should be noted here that this mean-age is similar to the average age of our staffs at the hospital of Gao.…”

Section: Demographic and Occupational Characteristics Of Victimssupporting

confidence: 85%

“…These frequencies are probably underestimated. Other African studies found higher frequencies like those of Kumacheck in Uganda (19.2%) [12], Dieng in Senegal (40%) [9] and Ehui in Ivory Coast (%) [8]. This variability may be related to the unreported cases in structures, how well post-exposure cases are being managed and the availability of personal protective equipment and how well staffs applied universal precautions.…”

Section: The Frequency Of the Aebmentioning

confidence: 94%

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Assessing Five Years of Management of Accidental Exposure to Blood at Gao Hospital, Mali

Cissoko

Sidibé

Dembélé

et al. 2019

AJRID

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Accidental exposure to blood (AEB) constitutes a risk of transmission of blood-borne viruses including HIV, hepatitis B and hepatitis C virus especially amongst health workers. This study aims to describe accidental exposure to blood and post exposure management five years after it begin at the Hospital of Gao, since 2012 there is insurrection in this area making difficult to maintain health care system. This study will help to identify gaps to fill in order to improve the prevention of blood borne pathogen infection in this hospital. All cases of AEB declared at the Hospital from January 1st 2007 to December 31, 2011 have been enrolled. The sociodemographic profile of victims, the circumstances of the accident, the post exposure management and the follow up of subject have been registered. Data were entered and analyzed with the SPSS software. Chi square test was used with the level of significance p<0.05. During the 60 months of the study, an average of 124 workers were employed at the Hospital of Gao and 15 cases of accidental blood exposure were declared equal to an incidence density of 4.2 cases per 100 persons per year. Males were the most affected (60%). Nurses and lab technicians represent the majority of victims (53.3%). The most frequent type of accident was the injury by cannula needle sticks during intravenous injections (73.3%). Most of the cases received High Activity Antiretroviral Therapy (HAART) within a mean delay of 25 Hours from the accident, and the regiment (AZT/3TC/LPV/r) is predominantly used. HIV serology was done in 53.3% of subjects and revealed 1 positive case. Initial blood tests in all victims were normal. The HAART observance was worst among medical doctors (p < 0.001). No contaminations by HIV were detected after 6 months of follow up. The frequency of declared accidental exposures to blood at the Hospital of Gao is low. The post exposure management is facing a problem of observance of the treatment whenever it shows efficacy in all cases.

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“…Other studies have shown signifi cant differences in HCW vaccination. The numbers range from 18 % in certain African and Asian countries to 77 % in Australia and New Zealand (20)(21)(22)(23).…”

Section: Discussionmentioning

confidence: 99%

Knowledge and Attitudes of Health Care Workers from the Primary Health Centre in Inđija, Serbia on Professional Exposures to Blood-borne Infections

Gajić

Rajčević

Đurić

et al. 2013

Archives of Industrial Hygiene and Toxicology

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Exposure to blood-borne infections (HIV, hepatitis B, hepatitis C) poses a serious risk to health care workers (HCWs). The aim of this cross-sectional study was to determine the level of knowledge and attitudes on occupational exposure in primary health care. In 2009, a total of 100 health care workers from the Primary Health Care Centre in Inđija, Autonomous Province of Vojvodina, Serbia were included in the study. The results suggested that the health care workers who participated in the survey possess basic knowledge about blood-borne virus transmission routes. Most incorrect answers were related to the transmission of blood-borne viruses by tears, saliva, urine and stool. This study also demonstrated that health workers tend to unrealistically estimate the risk of HIV infections. As for the level of education about the prevention and control of blood-borne infections, 49 % of the participants had never had any education on this topic, while 22 % had been educated during the last fi ve years. Around 75 % consider education on blood-borne infection and protective measures at work unnecessary.

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Prise en charge des accidents d'exposition au sang au CHU de Treichville, Abidjan (Côte-d'Ivoire)

Cited by 13 publications

References 11 publications

Prevalence of Hepatitis B and C Virus in Health Care Personnel in Ibn Sina Hospital, Rabat, Morocco

Prevalence of Hepatitis B and C Virus in Health Care Personnel in Ibn Sina Hospital, Rabat, Morocco

Assessing Five Years of Management of Accidental Exposure to Blood at Gao Hospital, Mali

Knowledge and Attitudes of Health Care Workers from the Primary Health Centre in Inđija, Serbia on Professional Exposures to Blood-borne Infections

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