Reluctance to care for patients with HIV or hepatitis B / C in Japan

Wada, Koji; Smith, Derek; Ishimaru, Tomohiro

doi:10.1186/s12884-016-0822-2

Cited by 26 publications

(30 citation statements)

References 37 publications

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“…3 Majority of the health workers in our study, 89% (81/91) would care for a patient with hepatitis B. Our findings were contrary to the one carried out in Japan regarding personal attitudes, where 41% and 18% of nurses agreed or somewhat agreed that they would be reluctant to care for a hypothetical patient infected with HBV, respectively [22].…”

Section: Attitude Of Health Workers On Hepatitis Bcontrasting

confidence: 77%

A Retrospective Study on the Prevalence and Health Worker’s Perspective on Hepatitis B virus Infection in Ngora District, Eastern Uganda

Lawrence

Arafat

Samantha

et al. 2018

MRJI

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Background: Hepatitis B virus infection is a global health problem and it is estimated that one-third of the world population has been infected with HBV with serological evidence of past or present infection. It is estimated that over 400 million people are chronically infected with Hepatitis B globally. Currently, its prevalence among the Ugandans is about 10% (3.5 million people). The aim of this study was to determine the prevalence and Health workers' perspective on Hepatitis B in Ngora District, Eastern Uganda.

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Section: Attitude Of Health Workers On Hepatitis Bcontrasting

confidence: 77%

A Retrospective Study on the Prevalence and Health Worker’s Perspective on Hepatitis B virus Infection in Ngora District, Eastern Uganda

Lawrence

Arafat

Samantha

et al. 2018

MRJI

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“…Only 30.3% have previously received occupational safety special training. The lack of awareness and related training may influence discrimination of HIV patients [18]. Thirteen percent agreed that patients with HIV/AIDS should be treated only in Infectious Diseases Hospitals.…”

Section: Discussionmentioning

confidence: 99%

An Integrated Intervention for Increasing Clinical Nurses’ Knowledge of HIV/AIDS-Related Occupational Safety

Huang

et al. 2016

IJERPH

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Background: Approximately 35 new HIV (Human Immunodeficiency Virus, HIV) cases and at least 1000 serious infections are transmitted annually to health care workers. In China, HIV prevalence is increasing and nursing personnel are encountering these individuals more than in the past. Contaminated needle-stick injuries represent a significant occupational burden for nurses. Evidence suggests that nurses in China may not fully understand HIV/AIDS (Acquired immunodeficiency syndrome, AIDS) and HIV-related occupational safety. At this time, universal protection precautions are not strictly implemented in Chinese hospitals. Lack of training may place nurses at risk for occupational exposure to blood-borne pathogens. Objectives: To assess the effectiveness of integrated interventions on nurses’ knowledge improvement about reducing the risk of occupationally acquired HIV infection. Methods: We audited integrated interventions using 300 questionnaires collected from nurses at the Affiliated Hospital of Xiangnan University, a public polyclinic in Hunan Province. The intervention studied was multifaceted and included appropriate and targeted training content for hospital, department and individual levels. After three months of occupational safety integrated interventions, 234 participants who completed the program were assessed. Results: Of the subjects studied, 94.3% (283/300) were injured one or more times by medical sharp instruments or splashed by body fluids in the last year and 95.3% considered their risk of occupational exposure high or very high. After the intervention, awareness of HIV/AIDS-related knowledge improved significantly (χ2 = 86.34, p = 0.00), and correct answers increased from 67.9% to 82.34%. Correct answers regarding risk perception were significantly different between pre-test (54.4%) and post-test (66.6%) (χ2 = 73.2, p = 0.00). When coming into contact with patient body fluids and blood only 24.0% of subjects used gloves regularly. The pre-test knowledge scores on universal precautions were relatively high. Correct answers about universal precautions improved significantly from pre-test (83.71%) to post-test (89.58%; χ2 = 25.00, p = 0.00). After the intervention, nurses’ attitude scores improved significantly from pre-test (3.80 ± 0.79) to post-test (4.06 ± 0.75; t = 3.74, p = 0.00). Conclusions: Integrated educational interventions enhance nurses’ knowledge of risk reduction for occupationally acquired HIV infections and improve the observance of universal precautionary procedures. This enhancement allows nurses to assume a teaching role for prevention and management of HIV/AIDS.

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“…This consensus statement has been developed as a guidance for the occupational health management of healthcare workers infected with HIV, HBV, and / or HCV. Stigma and discrimination against healthcare workers infected with HIV, HBV, and/or HCV still exist in Japan [21][22][23] . These recommendations emphasize the protection of the rights and responsibilities of healthcare workers infected with HIV, HBV, and/or HCV.…”

Section: Discussionmentioning

confidence: 99%

A consensus for occupational health management of healthcare workers infected with human immunodeficiency virus, hepatitis B virus, and / or hepatitis C virus

Ishimaru

Wada

Smith

2017

Journal of Occupational Health

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:Occupational health management plays an important role in the prevention of provider-to-patient transmission in healthcare workers infected with human immunodeficiency virus (HIV), hepatitis B virus (HBV), and/or hepatitis C virus (HCV). Therefore, the Japan Society for Occupational Health's Research Group on Occupational Health for Health Care Workers has proposed a consensus for the management of healthcare workers infected with HIV, HBV, and/or HCV based on recent evidence for each concerned group. The consensus recommends that: (1) employers in medical institutions should establish a policy of respecting the human rights of healthcare workers, management strategies for occupational blood exposure, and occupational health consultation; (2) occupational health staff should appropriately assess the risk of provider-to-patient transmission of HIV, HBV, and / or HCV infection and rearrange their tasks if necessary. When conducting risk assessment, occupational health staff should obtain informed consent and then cooperate with the physician in charge as well as infection control experts in the workplace; (3) healthcare workers infected with HIV, HBV, and/or HCV should disclose their employment to their treating physician and consult with their doctor regarding the need for special considerations at work ; and ( 4 ) supervisors and colleagues in medical institutions should correctly understand the risks of HIV, HBV, and HCV infection and should not engage in any behavior that leads to discrimination against colleagues infected with HIV, HBV, and/or HCV.

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Reluctance to care for patients with HIV or hepatitis B / C in Japan

Cited by 26 publications

References 37 publications

A Retrospective Study on the Prevalence and Health Worker’s Perspective on Hepatitis B virus Infection in Ngora District, Eastern Uganda

A Retrospective Study on the Prevalence and Health Worker’s Perspective on Hepatitis B virus Infection in Ngora District, Eastern Uganda

An Integrated Intervention for Increasing Clinical Nurses’ Knowledge of HIV/AIDS-Related Occupational Safety

A consensus for occupational health management of healthcare workers infected with human immunodeficiency virus, hepatitis B virus, and / or hepatitis C virus

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