Risks to Health Care Workers in Developing Countries

Sagoe-Moses, Charles; Pearson, Richard D.; Perry, Jane; Jagger, Janine

doi:10.1056/nejm200108163450711

Cited by 179 publications

(136 citation statements)

References 16 publications

(15 reference statements)

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“…The unavailability of the materials required to implement universal recommendations is obviously an obstacle in developing countries and reinforces the need for local studies in order to adapt prevention guidelines. 2 Our minimum estimates of the cumulative risk of HIV seroconversion are comparable to those reported among surgeons in Zambia and Tanzania. 611 The occupational risk of HCV infection has not previously been estimated in sub-Saharan Africa, despite a community HCV seroprevalence exceeding 5% in central Africa.…”

supporting

confidence: 74%

Assessment of Occupational Exposure to Human Immunodeficiency Virus and Hepatitis C Virus in a Referral Hospital in Burundi, Central Africa

Pont

Hatungimana

Guiguet

et al. 2003

Infect. Control Hosp. Epidemiol.

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supporting

confidence: 74%

Assessment of Occupational Exposure to Human Immunodeficiency Virus and Hepatitis C Virus in a Referral Hospital in Burundi, Central Africa

Pont

Hatungimana

Guiguet

et al. 2003

Infect. Control Hosp. Epidemiol.

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“…The knowledge, awareness, and regulations regarding the protection of HCWs from blood-borne exposures were documented to be not satisfactory in the developing countries [12]. Likewise, the identification of a moderate degree of knowledge on HBV/HCV in our study population composed in 26.2% of medical laboratory technicians and in 72.8% nurses is in line with the results of the first countrywide study from Turkey meant to address important aspects of the awareness about the risk of blood-borne infections and the use of protective barriers among HCWs.…”

Section: O R I G I N a L P A P E R S Ijomeh 2013;26(1) 127mentioning

confidence: 99%

“…The frequency of HCV in Turkey varies between 1.2% and 4% [7]. Based on the risk of exposure to blood and body fluids (BBF), HBV and HCV infections constitute a well-recognized occupational risk for healthcare workers (HCWs) [8][9][10][11][12]. According to the WHO reports, each year approximately three million of the overall 35 million HCWs worldwide experience percutaneous exposure to blood-borne viruses (BBVs) resulting in 16 000 hepatitis C and 66 000 hepatitis B infections, mainly from low-income countries [13] where a combination of increased risk, fewer safety precautions and inadequate risk reduction strategies were evident [14].…”

Section: Introductionmentioning

confidence: 99%

The level of knowledge of, attitude toward and emphasis given to HBV and HCV infections among healthcare professionals: Data from a tertiary hospital in Turkey

Çekın

Ozdemir

2013

International Journal of Occupational Medicine and Environmental Health

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Objectives:To evaluate the level of knowledge of, to investigate the attitudes toward, and to determine the emphasis given to the national prevalence of HBV/HCV infections among healthcare professionals. Materials and Methods: A total of 206 healthcare professionals (mean (SD) age: 37.0 (6.3) years; 86.9% -females) including medical laboratory technicians (N = 54) and nurses (N = 152) employed in the Antalya Training and Research Hospital, Antalya, Turkey. Laboratory (N = 53), operating room (N = 41) and in-patient clinic (N = 112) staff were included in this descriptive study. A 33-item questionnaire composed of questions related to their level of knowledge and attitudes toward HBV/HCV infections, the sources of their knowledge of HBV/HCV infections and the emphasis given to the national and global importance of the diseases was administered via a face-to-face interview method with each subject; participation was volunteer based. Results: The participants working in the in-patient clinic (18.0 (3.2)) had the highest mean (SD) knowledge level compared to the laboratory (16.4 (3.1), p < 0.05) and operating room (17.0 (2.8), p < 0.05) staff. The participants from the in-patient clinic (44.6%) had a more advanced level of knowledge compared to the participants working in the laboratory (27.8%, p < 0.05) and the operating room (30.0%, p < 0.05). Most of the subjects (60.7%) had education concerning HBV/HCV infections in the past. There was no significant difference between the hospital units in terms of the attitudes of healthcare workers (HCWs) toward HBV/HCV infections and the level of education concerning them. Conclusions: Our findings revealed a moderate level of knowledge in most HCWs, regardless of their exposure to risk. While the highest knowledge scores and vaccination rates were noted among the in-patient clinic staff, there was no significant difference between the hospital units in terms of the attitudes of HCWs towards a patient or a colleague with an HBV/HCV infection. Therefore, the present study was designed to examine the level of knowledge of the attitude toward and the emphasis given to HBV and HCV infections among healthcare professionals from a tertiary hospital in Turkey. METHODS Study populationOut of 240 healthcare professionals employed in the Antalya Training and Research Hospital, Antalya, Turkey, 206 healthcare professionals (85.8%; mean (SD) age: 37.0 (6.3) years; 86.9% females) working in the laboratory (N = 53), operating room (N = 41), and in-patient clinic (N = 112) were included in this descriptive study upon their voluntary participation. A written informed consent was obtained from each subject following a detailed explanation of the objectives and the protocol of the study that was conducted in accordance with the ethical principles stated in the "Declaration of Helsinki" and approved by the institutional ethics committee. Data collectionA 33-item questionnaire (see Appendix) composed of questions related to the level of knowledge of HBV/HCV infections (N = 25), attitud...

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“…the World Health organization estimates the global burden of disease from occupational exposure to be 40% of the hepatitis B and C infections and 2.5% of the HIV infections among health care workers. 5 Needle injuries mainly occur during suturing (52%), loading (11%), passing (13%), recapping (3%), cleaning up (3%) and others (17%). 4 Needle injury is more common with solid bore (81%) than hollow bore (19%) needles.…”

Section: Discussionmentioning

confidence: 99%

Prevention of needle stick injuries during irrigation in oral & maxillofacial surgery by a simple technical modification

Chhabra

Jain

Chhabra

2011

Int. j. infect. control

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Risks to Health Care Workers in Developing Countries

Cited by 179 publications

References 16 publications

Assessment of Occupational Exposure to Human Immunodeficiency Virus and Hepatitis C Virus in a Referral Hospital in Burundi, Central Africa

Assessment of Occupational Exposure to Human Immunodeficiency Virus and Hepatitis C Virus in a Referral Hospital in Burundi, Central Africa

The level of knowledge of, attitude toward and emphasis given to HBV and HCV infections among healthcare professionals: Data from a tertiary hospital in Turkey

Prevention of needle stick injuries during irrigation in oral & maxillofacial surgery by a simple technical modification

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