scholarly journals Occupational Exposures to Blood and Body Fluids among Healthcare Workers in Ethiopia: A Systematic Review and Meta-Analysis

Author(s):  
Biniyam Sahiledengle ◽  
Yohannes Tekalegn ◽  
Demelash Woldeyohannes ◽  
Bruce John Edward Quisido

Background: Occupational exposure to blood and body fluids is a major risk factor for the transmission of blood-borne infections to healthcare workers. There are several primary studies in Ethiopia yet they might not be at the national level to quantify the extent of occupational blood and body fluid exposures among the healthcare workers. This systematic review and meta-analysis aimed to estimate the pooled prevalence of occupational blood and body fluid exposure of health-care workers in Ethiopia. Methods: PubMed, Science Direct, Hinari, Google Scholar, and the Cochrane library were systematically searched; withal, the references of appended articles were also checked for further possible sources. The Cochrane Q test statistics and I2 tests were used to assess the heterogeneity of the included studies. A random-effects meta-analysis model was used to estimate the lifetime and 12-month prevalence of occupational exposure to blood and body fluids among health-care workers in Ethiopia. Results: Of the 641 articles identified through the database search, 37 studies were included in the final analysis. The estimated pooled lifetime and 12-month prevalence on occupational exposure to blood and body fluids among healthcare workers were found to be at 54.15% (95% confidence interval (CI): 47.54,60.75) and 44.24% (95%CI: 36.98,51.51), respectively. The study identified a variation in healthcare workers whom were exposed to blood and body fluids across Ethiopian regions. Conclusion: The finding of the present study revealed that there was a high level of annual and lifetime exposures to blood and body fluids among the healthcare workers of Ethiopia.

2020 ◽  
Vol 25 (1) ◽  
Author(s):  
Biniyam Sahiledengle ◽  
Yohannes Tekalegn ◽  
Demelash Woldeyohannes ◽  
Bruce John Edward Quisido

Abstract Background Occupational exposure to blood and body fluids is a major risk factor for the transmission of blood-borne infections to healthcare workers. There are several primary studies in Ethiopia yet they might not be at the national level to quantify the extent of occupational blood and body fluid exposures (splash of blood or other body fluids into the eyes, nose, or mouth) or blood contact with non-intact skin among the healthcare workers. This systematic review and meta-analysis aimed to estimate the pooled prevalence of occupational blood and body fluid exposure of healthcare workers in Ethiopia. Methods PubMed, Science Direct, Hinari, Google Scholar, and the Cochrane library were systematically searched; withal, the references of appended articles were also checked for further possible sources. The Cochrane Q test statistics and I2 tests were used to assess the heterogeneity of the included studies. A random-effects meta-analysis model was used to estimate the lifetime and 12-month prevalence of occupational exposure to blood and body fluids among healthcare workers in Ethiopia. Results Of the 641 articles identified through the database search, 36 studies were included in the final analysis. The estimated pooled lifetime and 12-month prevalence on occupational exposure to blood and body fluids among healthcare workers were found to be at 54.95% (95% confidence interval (CI), 48.25–61.65) and 44.24% (95% CI, 36.98-51.51), respectively. The study identified a variation in healthcare workers who were exposed to blood and body fluids across Ethiopian regions. Conclusion The finding of the present study revealed that there was a high level of annual and lifetime exposures to blood and body fluids among healthcare workers in Ethiopia.


2017 ◽  
Vol 95 (12) ◽  
pp. 831-841F ◽  
Author(s):  
Asa Auta ◽  
Emmanuel O Adewuyi ◽  
Amom Tor-Anyiin ◽  
David Aziz ◽  
Esther Ogbole ◽  
...  

2013 ◽  
Vol 141 (11-12) ◽  
pp. 789-793 ◽  
Author(s):  
Ljiljana Markovic-Denic ◽  
Milos Brankovic ◽  
Natasa Maksimovic ◽  
Bojan Jovanovic ◽  
Ivana Petrovic ◽  
...  

Introduction. Occupational exposure to blood and body fluids is a serious concern of health care workers and presents a major risk of transmission of infections such as human immuno-deficiency virus (HIV), hepatitis B virus (HBV), and hepatitis C virus (HCV). Objective. The aim of this study was to determine the frequency and circumstances of occupational blood and body fluid exposures among health care workers. Methods. Cross-sectional study was conducted in three university hospitals in Belgrade. Anonymous questionnaire was used containing data about demographic characteristics, self-reported blood and body fluid exposures and circumstances of percutaneous injuries. Results. Questionnaire was filled in and returned by 216 health care workers (78.2% of nurses and 21.8% of doctors). 60.6% of participants-health care workers had sustained at least one needlestick injury during their professional practice; 25.9% of them in the last 12 months. Of occupational groups, nurses had higher risk to experience needlestick injuries than doctors (p=0.05). The majority of the exposures occurred in the operating theatre (p=0.001). Among factors contributing to the occurrence of needlestick injuries, recapping needles (p=0.003) and decontamination/cleaning instruments after surgery (p=0.001) were more frequent among nurses, while use of a needle before intervention was common among doctors (p=0.004). Only 41.2% of health care workers had reported their injuries to a supervisor in order to obtain medical attention. 50.2% of health care workers were vaccinated with three doses of hepatitis B vaccine. Conclusion. There is a high rate of needlestick injuries in the daily hospital routine. Implementation of safety devices would lead to improvement in health and safety of medical staff.


2016 ◽  
Vol 9 (4) ◽  
pp. 156
Author(s):  
Xiubin Tao ◽  
Hui Peng ◽  
Lihua Qian ◽  
Yan Li ◽  
Qun Wu ◽  
...  

<p>Health care workers (HCWs) are exposed to blood and body fluids (BBF) due to occupational accidents. However, few studies have investigated the prevalence of occupational exposure in Chinese HCWs thus far. There is a clearly a critical need to characterize its epidemiology more fully in China so that effective prevention programs can be implemented. We conducted a retrospective study at a university hospital in China, giving an epidemiological analysis on these exposed HCWs whose pathogens of BBF from patients were positive [human immunodeficiency virus (HIV) / hepatitis B (HBV) / hepatitis C (HCV)]. From July 1st 2011 to June 30th 2014, a total of 155 occupational exposures to positive BBF were reported, with an incidence of 16.64 (/1000 person-years). Percutaneous injuries were the most common type of exposure episodes (89.03%). The most common type of exposed blood-borne pathogens was HBV (83.87%), and the majority of the respondents were nursing students, with an incidence of 34.22 (/1000 person-years). More effective preventive strategies on HCWs’ BBF occupational exposure should be implemented in China, especially for nursing students.</p>


2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Razieh Behzadmehr ◽  
Abbas Balouchi ◽  
Mehran Hesaraki ◽  
Farshid Alazmani Noodeh ◽  
Hosein Rafiemanesh ◽  
...  

Abstract Objectives Health care workers (HCWs) are exposed to needle needles daily. Despite individual studies, there is no statistics on the prevalence of unreported needle stick injuries (NSIs) have been reported. This study was performed to determine the prevalence and causes of unreported NSIs among HCWs. Content In present systematic review and meta-analysis study, three international databases (Web of Science, Scopus, PubMed) were searched from January 1, 2000 to December 31, 2018. The random model was used to determine the prevalence of unreported needle stick among HCWs. Summary and outlook Forty-one studies performed on 19,635 health care workers entered the final stage. Based-on random effect model, pooled prevalence of unreported needle stick injuries was 59.9% (95% CI: 52.0, 67.7; I2=98.9%). The most common cause of unreported NSIs was: They were not worried about NSIs (n=12). The high prevalence of unreported needle sticks injuries indicates the urgency and necessity of paying attention to strategies to improve reporting among health workers.


2014 ◽  
Vol 24 (1) ◽  
pp. 36-41 ◽  
Author(s):  
Ljiljana Markovic-Denic ◽  
Natasa Maksimovic ◽  
Vuk Marusic ◽  
Jelena Vucicevic ◽  
Irena Ostric ◽  
...  

2005 ◽  
Vol 33 (1) ◽  
pp. 48-52 ◽  
Author(s):  
Alpay Azap ◽  
Önder Ergönül ◽  
Kemal O. Memikoğlu ◽  
Aypegül Yeşilkaya ◽  
Adalet Altunsoy ◽  
...  

Nephron ◽  
1995 ◽  
Vol 70 (2) ◽  
pp. 180-184 ◽  
Author(s):  
Giuseppe Ippolito ◽  
Nicola Petrosillo ◽  
Vincenzo Puro ◽  
Claudio Arici ◽  
Janine Jagger

2020 ◽  
Author(s):  
Khaiwal Ravindra ◽  
Vivek Singh Malik ◽  
Bijaya K Padhi ◽  
Sonu Goel ◽  
Madhu Gupta

AbstractObjectiveWorldwide countries are experiencing viral load in their population, leading to potential infectivity of asymptomatic COVID-19. Current systematic review and meta-analysis aimed to investigate the role of asymptomatic infection worldwide reported in family-cluster, adults, children, health care workers, and travelers.DesignOnline literature search (PubMed, Google Scholar, medRixv, and BioRixv) was accomplished using standard Boolean operators, studies published till 07th June 2020.SettingStudies were included from case reports, short communication, and retrospective to cover sufficient asymptomatic COVID-19 transmission reported.ParticipantsFamilial-clusters, adults, children, health care workers, and travelers.ResultsWe observed asymptomatic transmission among familial-cluster, adults, children, health care workers, and travelers with a proportion of 32% 37%, 26%, 6%, and 32%, respectively. This study observed an overall proportion of 31% (95%CI: 0.19-0.44) with heterogeneity of I2 (97.28%, p=<0.001) among all asymptomatic populations mentioned in this study. Among children and healthcare workers, this study showed no heterogeneity; to overcome the interpretation from a fixed model, the random effect model was also applied to estimate the average distribution across studies included in the meta-analysis.ConclusionWe found and suggest the rigorous epidemiological history, early isolation, social distancing, and increased quarantine period (at least 28 days) after screening asymptomatic cases as well as their close contacts for chest CT scan even after their negative nucleic acid testing to minimize the spread among the community. This systematic review and meta-analysis support asymptomatic COVID-19 transmission between person to person depending on the variation of virus incubation period among individuals. Children especially, school-going aged <18 years, need to be monitored and prevention strategy, e.g., chest CT and social distancing required to prevent the community transmission of COVID-19 in asymptomatic mode.Strengths and limitations of this studyExamine the possibility of asymptomatic COVID-19 transmission in the community at different levels.Supports contact tracing, social distancing, early isolation, and increased quarantine period to minimize the risk of virus spread.Supports chest CT scan and viral nucleic acid testing to identify the asymptomatic cases in the community.Supports rigorous epidemiological history with multiple detection methods.A higher proportion of asymptomatic incidence was seen, suggests monitoring, and maintaining social distancing.


Sign in / Sign up

Export Citation Format

Share Document