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Awareness of Operating Room Personnel’s Towards HBV/HIV at Omdurman Teaching Hospital, Sudan
Current Issue
Volume 2, 2014
Issue 1 (February)
Pages: 6-10   |   Vol. 2, No. 1, February 2014   |   Follow on         
Paper in PDF Downloads: 23   Since Aug. 28, 2015 Views: 2480   Since Aug. 28, 2015
Authors
[1]
Asim B. Eltahir, Department of General Surgery, Omdurman Teaching Hospital, Khartoum, Sudan.
[2]
Aamir A. Hamza, Department of General Surgery, College of Medicine and Health Sciences, University of Bahri, Khartoum, Sudan.
[3]
Saadeldin A. Idris, Faculty of Medicine, Department of Surgery, Alzaeim Alazhari University, Khartoum, Sudan.
Abstract
Background: Operating room personnel’s are at risk to blood and body fluid (BBF) of patients, through accidental sharps and needle stick injuries. Preventive measure, awareness, reporting of incidence and post exposure prophylaxis (PEP) are ways to avoid mortality and morbidity. Objectives: To assess the level of awareness regarding HIV/HBV among operating room surgical personnel. Methodology: This is a prospective observational study, conducted at Omdurman Teaching Hospital during a period from June - Nov 2012. Study population was operating room personnel’s. The collected data was analyzed using SPSS computer package version 19. Results: Participants were 88; medical staff 77.3%, while the paramedics 22.7%. Almost 96% of the participants agreed that they will apply the standard precaution measures when operating on known HBV/HIV patients. On accidental NSI, over 90% of the operating room personnel’s (ORP) will adopt the simple PEP. Reporting the incidence to the infection control department (ICD) of the hospital will be done by 64.8%. On sharp injury 23% mention they will test the blood of the patient only. More than 40% of the ORP didn’t complete their HBV vaccination only 37% of the house-surgeons were vaccinated. HIV/HBV prevention program was attended by 28.4% ll’111of the ORP. Conclusion: There is fair level of aware¬ness among medical doctors and paramedics towards uni¬versal precautions and needle stick injuries. The knowledge of PEP needs to be emphasized. Clear policy for reporting and protocol for PEP are needed. Vaccination coverage is very poor.
Keywords
Awareness, HIV, HBV, Post Exposure Prophylaxis, Universal Precaution
Reference
[1]
Panlilio AL, Cardo DM, Grohskopf LA, Heneine W, Ross CS. Updated US Public Health Service guidelines for the management of occupational exposures to HIV and recommendations for post exposure prophylaxis. MMWR Recomm Rep 2005; 54(RR-9):1-17.
[2]
US Publich Health Sevice. Updated US Public Health Service guidelines for the management of occupational exposures to HBV, HCV, and HIV and recommendations for postexposure prophylaxis. MMWR Recomm Rep 2001; 50(RR-11):1-42.
[3]
Polish LB, Tong MJ, Co RL, et al. Risk factors for hepatitis C virus infection among health care personnel in a community hospital. Am J Infect Control 1993; 21:196-200.
[4]
Shahzad Hussain Waqar, Minhajul Siraj, Zeeshan Razzaq, Zafar Iqbal Malik, Muhammad Abdul Zahid. Knowledge, attitude and practices about needle stick injuries in Healthcare Workers. Pak J Med Res 2011; 50 (3):111-114.
[5]
Ippolito G. Surveillance of occupational exposure to blood-borne pathogens in health care workers: the Italian national experience. Euro surveillance 1999; 4: 33-6.
[6]
Zafar A, Aslam N, Nasir N, Meraj R, Mehraj V. Knowledge, attitudes and practices of health care workers regarding needle stick injuries at a tertiary care hospital in Pakistan. Journal of the Pakistan Medical Association 2008; 58 (2): 57-60.
[7]
Seyed Hamid Reza Naghavi, Kaveh A Sanati. Accidental blood and body fluid exposure among doctors. Occupational Medicine 2009; 59:101–106.
[8]
Bahadori M, Sadigh G. Occupational Exposure to Blood and Body Fluids. The Int J of Enviro Med 2010 Jan; 1 (1): 1-10.
[9]
Garner JS. Hospital Infection Control Practices Advisory Committee. Guideline for isolation precautions in hospitals. Infect Hosp Epidemiol 1996; 17:53-80.
[10]
Alam M. Knowledge, attitude and practices among health care workers on needle-stick injuries. Ann Saudi Med. 2002; 22:396-9.
[11]
Mehta A, Rodrigues C, Singhal T, Lopes N, D'Souza N, Sathe K, Dastur FD. Interventions to reduce needle stick injuries at a tertiary care centre. Indian J Med Microbiol 2010;28:17-20
[12]
UK Chief Medical Officers’ Expert Advisory Group on AIDS, Department of Health. HIV Post-Exposure Prophylaxis February 2004; 1-40.
[13]
Centers for Disease Control and Prevention. Updated CDC Recommendations for the Management of Hepatitis B Virus–Infected Health-Care Providers and Students. MMWR 2012; 61(3):5-6.
[14]
Hui-Ling Kerr, Nicola Stewart, Alistair Pace, Sherief Elsayed. Sharps injury reporting amongst surgeons. Ann R Coll Surg Engl 2009; 91: 430–432
[15]
Moazzam Ali Zaidi, Robin Griffiths, Salem A Beshyah, Julie Myers and Mukarram A Zaidi. Blood and body fluid exposure related knowledge, attitude and practices of hospital based health care providers in United Arab Emirates. Safety and Health at Work 2012 Sep; 3 (3): 19-25.
[16]
Kennedy R, Kelly S, Gonsalves S, McCann PA. Barriers to the reporting and management of needle stick injuries among surgeons. Ir J Med Sci 2009; 178:297-9.
[17]
Margolis HS, Coleman PJ, Brown RE, Mast EE, Sheingold SH, Arevalo JA. Prevention of hepatitis B virus transmission by immunization: an economic analysis of current recommendations. Journal of the American Medical Association 1995 ;( 274)15: 1201–1208.
[18]
Duff S E, CKM Wong, May RE. Surgeons' and occupational health departments' awareness of guidelines on post exposure prophylaxis for staff exposed to HIV: telephone survey. BMJ 1999 Jul; 319: 161-163.
[19]
CDC. U.S. Public Health Service Guidelines for the Management of Occupational Exposures to HIV and Recommendations for Post-exposure Prophylaxis. CDC Guidelines. MMWR Recomm Rep.1998 May; 47(RR-7): 1-33.
[20]
Bassett IV, Freedberg KA, Walensky RP. Two drugs or three? Balancing efficacy, toxicity, and resistance in post exposure prophylaxis for occupational exposure to HIV. Clin Infect Dis 2004; 39:395–401.
[21]
Halpern SD, Asch DA, Shaked A, Stock P, Blumberg EA. Inadequate hepatitis B vaccination and post-exposure evaluation among transplant surgeons: prevalence, correlates, and implications. Ann Surg. 2006 Aug; 244(2):305
[22]
Emeka B. Kesieme, Kenechi Uwakwe, Eshiobo Irekpita, Andrew Dongo, Kefas John Bwala, and Bamidele J Alegbeleye. Knowledge of hepatitis B vaccine among operating room personnel in Nigeria and their vaccination status. Hepatitis Research and Treatment 2011; Volume 2011, Article ID 157089,
[23]
Wang H, Fennie K, He G, et al. A training pro¬gramme for prevention of occupational exposure to bloodborne pathogens: Impact on knowledge, behaviour and incidence of needle stick injuries among student nurses in Changsha, People’s Re¬public of China. J Adv Nurs 2003; 41(2):187-94.
[24]
Hamid MZA, Aziz NA, Anita AR, Norlijah O. Knowledge of blood-borne infectious diseases and the practice of universal precautions amongst health-care workers in a tertiary hospital in Malaysia. Southeast Asian J Trop Med and Public Health 2010 Sep; 41(5): 1192-1199
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