HIV INFECTION RISK TO HEALTH-CARE WORKERS

AIHAJ ◽  
1990 ◽  
Vol 51 (12) ◽  
pp. A-802-A-806 ◽  
Author(s):  
Robyn M. Gershon ◽  
David Vlahov
Keyword(s):  
Health Care ◽  
Hiv Infection ◽  
Health Care Workers ◽  
Infection Risk ◽  
Care Workers ◽  
Hiv Infection Risk

scholarly journals Predictors of HIV Infection Risk among Health-Care Workers in Sub-Saharan Africa: A Systematic Review

2021 ◽  
Vol 2 (2) ◽  
pp. 176-191
Author(s):  
David Nzioka Mutisya
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Hiv Infection ◽  
Health Care Workers ◽  
Significant Relationship ◽  
Healthcare Workers ◽  
Infection Risk ◽  
Care Workers ◽  
Knowledge Attitude And Practice ◽  
Hiv Infection Risk

The study set out to investigate the determinants of HIV infection risk among healthcare workers in SSA through a systematic review. The aim of the study was to identify, collect and systematically review and synthesize existing literature articles on the determinants of HIV infection risk among healthcare workers in SSA. The objectives of the study were to: determine the prevalence of health care workers' exposure to HIV risky conditions in health care settings in SSA; identify selected determinants of HIV infection risk among Health care workers in SSA (major focus in Nigeria, South Africa, and Tanzania) and apply effective strategies to prevent issues associated with HIV infection risk among Health care workers.  The study conceptualizes that HCWs in the SSA region are at risk of HIV infection due to factors related to lack of healthcare resources, their knowledge, attitude and practice, and barriers to reporting. The combined effect of these factors is that hoped to determine the propensity of HCWs to be infected by HIV/AIDS.  The key themes guiding the systematic review were:  risk to exposure to HIV among HCWs; lack of health care resources and facilities. The findings of the study confirmed all the three alternative study hypotheses that: there is a significant relationship between lack of health care resources and facilities and the risk of HIV infection among HCWs in SSA; there is a significant relationship between HCWs’ knowledge, attitude, and practice on HIV and their risk of HIV infection in SSA and; there is a significant relationship between barriers to reporting and the risk of HIV infection among HCWs in SSA. In this regard, the study found out that HCWs in SSA are at high risk of HIV exposure whilst working. In this regard, this is a result of lack of enough equipment, poor practices at work and barriers to reporting, including stigmatization and lack of well-stipulated reporting guidelines.  As such, the following recommendations were made:: there is a need to increase funding in the health care sector to enhance access to the right equipment, microbicides, vaccination, and PEP for HCWs; there is a need for psychosocial support systems to make it easy for HCWs to report infection with ease and that; the government should adopt recommended global best standards to enhance protection of HCWs while at work in SSA. Two areas for further study were also recommended. As such, there is a need for studies on each of the study objectives, and; there is a need for a descriptive study on the topic under investigation in this study for correlation purposes. 

scholarly journals A COVID-19 Infection Risk Model for Frontline Health Care Workers

2020 ◽  
Author(s):  
Louie Florendo Dy ◽  
Jomar Fajardo Rabajante
Keyword(s):  
Health Care ◽  
Health Care Worker ◽  
Health Care Workers ◽  
Infection Risk ◽  
The Philippines ◽  
Interaction Time ◽  
Work Shift ◽  
Crowd Density ◽  
Care Workers ◽  
Care Worker

AbstractThe number of confirmed COVID-19 cases admitted in hospitals is continuously increasing in the Philippines. Frontline health care workers are faced with imminent risks of getting infected. In this study, we formulate a theoretical model to calculate the risk of being infected in health care facilities considering the following factors: the average number of encounters with a suspected COVID-19 patient per hour; interaction time for each encounter; work shift duration or exposure time; crowd density, which may depend on the amount of space available in a given location; and availability and effectiveness of protective gears and facilities provided for the frontline health care workers. Based on the simulation results, a set of risk assessment criteria is proposed to classify risks as ‘low’, ‘moderate’, or ‘high’. We recommend the following: (i) decrease the rate of patient encounter per frontline health care worker, e.g., maximum of three encounters per hour in a 12-hour work shift duration; (ii) decrease the interaction time between the frontline health care worker and the patients, e.g., less than 40 minutes for the whole day; (iii) increase the clean and safe space for social distancing, e.g., maximum of 10% crowd density, and if possible, implement compartmentalization of patients; and/or (iv) provide effective protective gears and facilities, e.g., 95% effective, that the frontline health care workers can use during their shift. Moreover, the formulated model can be used for other similar scenarios, such as identifying infection risk in public transportation, school classroom settings, offices, and mass gatherings.

scholarly journals The experience of European hospital-based health care workers on following infection prevention and control procedures for COVID-19

2020 ◽  
Author(s):  
Denise van Hout ◽  
Paul Hutchinson ◽  
Marta Wanat ◽  
Caitlin Pilbeam ◽  
Herman Goossens ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Prevention And Control ◽  
Infection Prevention ◽  
Infection Risk ◽  
Infection Prevention And Control ◽  
Emotional Wellbeing ◽  
Care Workers ◽  
And Control ◽  
The Impact

ABSTRACTBackgroundWorking under pandemic conditions exposes health care workers (HCWs) to infection risk and psychological strain. Protecting the physical and psychological health of HCWs is a key priority. This study assessed the perceptions of European hospital HCWs of local infection prevention and control (IPC) procedures during the COVID-19 pandemic and the impact on their emotional wellbeing.MethodsWe performed two rounds of an international cross-sectional survey, between 31 March and 17 April 2020 via existing research networks (round 1), and between 14 May and 31 August 2020 via online convenience sampling (round 2). Main outcome measures were (1) behavioural determinants of HCW adherence with IPC procedures, (2) WHO-5 Well-Being Index, a validated scale of 0-100 reflecting emotional wellbeing. The WHO-5 was interpreted as a score below or above 50 points, a cut-off score used in previous literature to screen for depression.Results2,289 HCWs (round 1: n=190, round 2: n=2,099) from 40 countries in Europe participated. Mean age of respondents was 42 (±11) years, 66% were female, 47% and 39% were medical doctors and nurses, respectively. 74% (n=1699) of HCWs were directly treating patients with COVID-19, of which 32% (n=527) reported they were fearful of caring for these patients. HCWs reported high levels of concern about COVID-19 infection risk to themselves (71%) and their family (82%) as a result of their job. 40% of HCWs considered that getting infected with COVID-19 was not within their control. This was more common among junior than senior HCWs (46% versus 38%, P value <.01). Sufficient COVID-19-specific IPC training, confidence in PPE use and institutional trust were positively associated with the feeling that becoming infected with COVID-19 was within their control. Female HCWs were more likely than males to report a WHO-5 score below 50 points (aOR 1.5 (95% confidence interval (CI) 1.2-1.8).ConclusionsIn Europe, the COVID-19 pandemic has had a differential impact on those providing direct COVID-19 patient care, junior staff and women. Health facilities must be aware of these differential impacts, build trust and provide tailored support for this vital workforce during the current COVID-19 pandemic.

scholarly journals Effectiveness of health care workers and peer engagement in promoting access to health services among population at higher risk for HIV in Tanzania (KPHEALTH): study protocol for a quasi experimental trial

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Elia John Mmbaga ◽  
Germana Henry Leyna ◽  
Melkizedeck Thomas Leshabari ◽  
Britt Tersbøl ◽  
Theis Lange ◽  
...  
Keyword(s):  
Health Care ◽  
General Population ◽  
Hiv Infection ◽  
Health Care Workers ◽  
Healthcare Workers ◽  
Infection Rates ◽  
Care Workers ◽  
Quasi Experimental ◽  
Peer Engagement ◽  
Improve Access

Abstract Background While there are indications of declining HIV infection rates in the general population globally, Tanzania included, men who have sex with men (MSM), female sex workers (FSW) and people who inject drugs (PWID), now called Key Populations (KP) for HIV epidemic have 2–20 times higher infections rates and contributes up to 30% of new HIV infection. Tanzania have developed a Comprehensive Guideline for HIV prevention among key population (CHIP) to address the epidemic among KPs. However, these populations are stigmatized and discriminated calling for innovative approaches to improve access to CHIP. This project seeks to test the effectiveness of healthcare workers and peer-to-peer engagement in promoting access to CHIP among HIV at risk populations in Tanzania. Methods A quasi-experimental design involving Dar es Salaam City as an intervention region and Tanga as a control region will be done. Using respondent driven sampling, 1800 at risk population (900 from Intervention site and 900 from control site) will be recruited at baseline to identify pull and push factors for health services access. Stakeholder’s consultation will be done to improve training contents for CHIP among health care workers and peers. Effectiveness of healthcare workers training and peer engagement will be tested using a quasi-experimental design. Discussion The results are expected to co-create service provision and improve access to services among KPs as a human right, reverse HIV infection rates among KPs and the general population, and improve social and economic wellbeing of Tanzanian. Trial registration Retrospectively registered on 28th August, 2019 with International Standard Randomized Clinical Trial Number (ISRCTN11126469).

PROCEDURES TO PROTECT HEALTH-CARE WORKERS FROM HIV INFECTION: CATEGORY I (HEALTH-CARE) WORKERS

AIHAJ ◽  
1991 ◽  
Vol 52 (2) ◽  
pp. A-100-A-103 ◽  
Author(s):  
James M. Crutcher ◽  
Steven H. Lamm ◽  
T.A. Hall
Keyword(s):  
Health Care ◽  
Hiv Infection ◽  
Health Care Workers ◽  
Care Workers

Occupational HIV Infection and Health Care Workers in the Tropics

1991 ◽  
Vol 21 (1) ◽  
pp. 28-31 ◽  
Author(s):  
Hans Veeken ◽  
Jos Verbeek ◽  
Hans Houweling ◽  
Frank Cobelens
Keyword(s):  
Health Care ◽  
Hiv Infection ◽  
Health Care Workers ◽  
Care Workers ◽  
The Tropics

POST-EXPOSURE PROPHYLAXIS AGAINST HIV INFECTION IN HEALTH CARE WORKERS

The Lancet ◽  
1988 ◽  
Vol 331 (8583) ◽  
pp. 481 ◽  
Author(s):  
P.R. Meylan ◽  
P. Francioli ◽  
H. Decrey ◽  
J.Ph. Chave ◽  
M.P. Glauser
Keyword(s):  
Health Care ◽  
Hiv Infection ◽  
Health Care Workers ◽  
Post Exposure Prophylaxis ◽  
Post Exposure ◽  
Care Workers ◽  
Exposure Prophylaxis

Oral health-care workers and HIV infection control practices in Nigeria

2005 ◽  
Vol 35 (3) ◽  
pp. 147-150 ◽  
Author(s):  
E O Ogunbodede ◽  
M O Folayan ◽  
M A Adedigba
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Infection Control ◽  
Hiv Infection ◽  
Health Care Workers ◽  
Oral Health Care ◽  
Oral Manifestations ◽  
First Case ◽  
Care Workers ◽  
Hiv Aids

The first case of HIV infection was reported in Nigeria in1986. Since then, the prevalence has risen from less than 0.1% in 1987 to 5.8% in 2002, and an estimated 3.6 million Nigerians now live with HIV/AIDS. More than 40 oral manifestations of HIV infection have been recorded and between 70% and 90% of persons with HIV infection will have at least one oral manifestation at sometime during the course of their disease. Oral health-care workers (OHCWS) are expected to play active roles in the prevention and control of HIV/AIDS. In this study, a one-day workshop was organized for 64 oral health workers in Ile-Ife, Nigeria, focusing on the epidemiology of HIV/AIDS, the oral manifestations, control and prevention of HIV in a dental environment, oral care of the infected patient and the ethical, legal and social aspects of HIV/AIDS. Participants' knowledge and practices of infection control were assessed with an infection control checklist administered pre- and post-workshop. Sixty (90.8%) respondents believed that HIV/AIDS was not yet a problem in Nigeria, and 58 (90.6%) believed that drugs have been developed which can cure HIV infection and AIDS. The men complied more with waste disposal regulations than women ( P=0.010). Twenty-nine of 58 (50.0%) did not discard gloves which were torn, cut or punctured. Seven (12.1%) did not change gloves between patients' treatment. Conscious efforts should be made to train OHCWS on all aspects of HIV/AIDS prevention and care. It must never be assumed that adequate information will be acquired through tangential sources.

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