A Retrospective Descriptive Study on the Status of Active Tuberculosis among Healthcare Workers in a Tertiary Hospital

The working environment of healthcare workers (HCW) exposes them to sharp injuries. This communication attempts to examine the injury registers, incidence of sharps injuries and blood splash exposures, and the post-exposure prophylaxis status of employees in a tertiary care hospital. Analysis included records form 54 locations of two units of a tertiary hospital attached to a Medical College. Maintenance of the injury register overall was highly satisfactory in both units. Two hundred and nine injuries were recorded from both units of the hospital. The majority of injuries (60.5%) occurred in the age group of 20-30 years with 70% among females. Waste handlers were at increased risk during waste management procedures. Thirty two percent of sharps injury injuries occurred in wards. Of the ward nursing staff, 25.3% received sharps injuries. Post-exposure prophylaxis for Hepatitis B (primary dose) was given to 25 HCWs; 11 received booster doses. The basic regimen for HIV post-exposure prophylaxis was given to 4 HCWs. Awareness about records maintenance, regular documentation, awareness and training, and implementation of appropriate preventive measures can reduce the incidence of injuries. Key words: Sharps, injury register, Health care workers (HCW),Post exposure prophylaxis (PEP)

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Needle-stickSharps injuries among healthcare workers in a Tertiary hospital, Makurdi, Nigeria

Asian Pacific Journal of Health Sciences ◽

10.21276/apjhs.2015.2.3.21 ◽

2015 ◽

Vol 2 (3) ◽

pp. 102-108

Author(s):

Livinus Egwuda ◽

◽

Terhemen Joseph Igbudu

Keyword(s):

Healthcare Workers ◽

Tertiary Hospital

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Occupational Sharp Injury and Splash Exposure among Healthcare Workers in a Tertiary Hospital

Journal of Laboratory Physicians ◽

10.1055/s-0041-1731135 ◽

2021 ◽

Author(s):

Roshan Mathew ◽

Ritin Mohindra ◽

Ankit Sahu ◽

Rachana Bhat ◽

Akshaya Ramaswami ◽

...

Keyword(s):

Emergency Department ◽

Hepatitis B ◽

Healthcare Workers ◽

Hepatitis B Surface Antigen ◽

Tertiary Hospital ◽

Needle Stick Injury ◽

Medical Procedures ◽

Immunodeficiency Virus ◽

History Of ◽

Hepatitis C Virus Antibody

Abstract Background Occupational hazards like sharp injury and splash exposure (SISE) are frequently encountered in health-care settings. The adoption of standard precautions by healthcare workers (HCWs) has led to significant reduction in the incidence of such injuries, still SISE continues to pose a serious threat to certain groups of HCWs. Materials and Methods This was a retrospective study which examined the available records of all patients from January 2015 to August 2019 who self-reported to our emergency department with history of sharp injury and/or splash exposure. Details of the patients, mechanism of injury, the circumstances leading to the injury, status of the source (hepatitis B surface antigen, human immunodeficiency virus, and hepatitis C virus antibody status), and the postexposure prophylaxis given were recorded and analyzed. Data were represented in frequency and percentages. Results During the defined period, a total of 834 HCWs reported with SISE, out of which 44.6% were doctors. Majority of the patients have SISE while performing medical procedures on patients (49.5%), while 19.2% were exposed during segregation of waste. The frequency of needle stick injury during cannulation, sampling, and recapping of needle were higher in emergency department than in wards. More than 80% of HCWs received hepatitis B vaccine and immunoglobulin postexposure. Conclusion There is need for periodical briefings on practices of sharp handling as well as re-emphasizing the use of personal protective equipment while performing procedures.

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Facing COVID-19 Pandemic in a Tertiary Hospital in Milan: Prevalence of Burnout in Nursing Staff Working in Sub-Intensive Care Units

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18136684 ◽

2021 ◽

Vol 18 (13) ◽

pp. 6684

Author(s):

Alberto Bisesti ◽

Andrea Mallardo ◽

Simone Gambazza ◽

Filippo Binda ◽

Alessandro Galazzi ◽

...

Keyword(s):

Intensive Care ◽

Respiratory Failure ◽

Intensive Care Units ◽

Healthcare Workers ◽

Maslach Burnout Inventory ◽

Tertiary Hospital ◽

Personal Accomplishment ◽

Preventive Strategies ◽

Common Condition ◽

Hospital Units

In early March 2020, Italy became the epicenter of the Coronavirus Disease 2019 (COVID-19) pandemic in Europe. A different organization of hospital units was required to take care of patients affected by acute respiratory failure caused by COVID-19. This study aimed to evaluate the prevalence of burnout in two sub-intensive care units (SICUs) of the COVID-19 hub center of the Lombardia region in Milan (Italy). All nurses and healthcare assistants working in the SICUs during June 2020 were included in the study. Burnout was assessed via the Maslach Burnout Inventory questionnaire. One hundred and five (84%) SICU staff participated in the study. The prevalence of high burnout for nurses and healthcare assistants was 61.9% for emotional exhaustion, 47.6% for depersonalization and 34.3% for personal accomplishment. Depersonalization was significantly more frequent in younger nurses (p = 0.009). Nurses were 4.5 times more likely to have burnout than healthcare assistants. Burnout was a common condition among healthcare workers operating in SICUs during the pandemic. Urgent actions are needed, especially for nurses, as well as preventive strategies for future pandemic scenarios.

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Barriers to Physical Distancing among Healthcare Workers on an Academic Hospital Unit During the COVID-19 Pandemic

Infection Control and Hospital Epidemiology ◽

10.1017/ice.2021.154 ◽

2021 ◽

pp. 1-26

Author(s):

Sara C. Keller ◽

Sara Pau ◽

Alejandra B. Salinas ◽

Opeyemi Oladapo-Shittu ◽

Sara E. Cosgrove ◽

...

Keyword(s):

Qualitative Study ◽

Healthcare Workers ◽

Tertiary Hospital ◽

Peer Leaders ◽

Human Factors Engineering ◽

Structured Interviews ◽

Hospital Unit ◽

Positive Behaviors ◽

Cognitive Aids ◽

Close Proximity

Abstract Background: Physical distancing among healthcare workers (HCW) is an essential strategy in preventing HCW-to-HCW transmission of the SARS-CoV-2 virus. Objective: To understand barriers to physical distancing among HCW on an inpatient unit and identify strategies for improvement. Design: Qualitative study including observations and semi-structured interviews over three months. Setting: A non-COVID adult general medical unit in an academic tertiary hospital. Participants: HCWs based on the unit. Methods: We performed a qualitative study in which we (1) observed HCWs activities and proximity to each other on the unit during weekday shifts July-October 2020 and (2) conducted semi-structured interviews of HCWs to understand their experiences with and perspectives of physical distancing in the hospital. Qualitative data were coded based on a human factors engineering model. Results: We completed 25 hours of observations and 20 HCW interviews. High-risk interactions often occurred during handoffs of care at shift changes and patient rounds, where HCWs gathered regularly in close proximity for at least 15 minutes. Identified barriers included spacing and availability of computers, the need to communicate confidential patient information, and the desire to maintain relationships at work. Conclusions: Physical distancing can be improved in hospitals by restructuring computer workstations, work rooms, and breakrooms; applying visible cognitive aids; adapting shift times; and supporting rounds and meetings with virtual conferencing. Additional strategies to promote staff adherence to physical distancing include rewarding positive behaviors, having peer leaders model physical distancing, and encouraging additional safe avenues for social connection at a safe distance.

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A Descriptive Study of Clients’ Perspective on Psychoeducation in a Nigerian Tertiary Hospital

Journal of Psychiatry ◽

10.4172/2378-5756.1000282 ◽

2015 ◽

Vol 18 (4) ◽

Author(s):

Takai MG ◽

Aghukwa Nkereuwem Chikaodiri

Keyword(s):

Descriptive Study ◽

Tertiary Hospital

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Seroprevalence of Antibodies against SARS-CoV-2 Infection among Healthcare Workers at a Tertiary Hospital in Saudi Arabia

10.21203/rs.3.rs-1102731/v1 ◽

2021 ◽

Author(s):

Hayat Mushcab ◽

Jaffar Al-Tawfiq ◽

Mohammed Ghamdi ◽

Amani Babgi ◽

Abdulrazack Amir ◽

...

Keyword(s):

Saudi Arabia ◽

Healthcare Workers ◽

Infection Prevention ◽

Seroconversion Rate ◽

Tertiary Hospital ◽

World Health ◽

Infection Prevention And Control ◽

Healthcare Organizations ◽

And Control ◽

Assessment Questionnaire

Abstract Background The nature of the healthcare workers' jobs standing at the frontline against the coronavirus disease 2019 (COVID-19) puts them at a higher risk of unknowingly contracting the disease and potentially contributing to the spread. This study aims to assess the overall positive seroconversion prevalence of SARS-CoV-2. Methods This is a longitudinal cohort study of healthcare workers at a tertiary hospital serving patients in several districts in the Eastern Province of Saudi Arabia. Participants were recruited between June - December 2020. Each participant had a serology blood test and completed the World Health Organization's risk factors assessment questionnaire. Results This study included 682 participants working in any capacity at a tertiary hospital, representing 15.7% of our population. Only 87 participants tested positive for SARS-CoV-2 antibodies, a prevalence of 12.7% of all participants. Of the 87 participants, 17 participants never tested positive for COVID-19 rt-PCR before the study, a prevalence of 2.9%. Moreover, the improper technique of using alcohol-based hand rub or soap and water after the risk of body fluid exposure and wearing personal protective equipment when indicated were found to be statistically significant to having positive SARS-CoV-2 IgG assay with P=0.02, P=0.03, and CI: 95% respectively. Conclusion Positive seroconversion rate was considerably low during the first wave of COVID-19 amongst our healthcare workers and similar to other healthcare organizations in Saudi Arabia. Seropositivity correlated significantly with adherence to infection prevention and control recommendations.

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The Status and Tendency of Recent Five-year Fungal Cultures as a Diagnostic Measure in a Tertiary Hospital in the Southwestern Daegu Area

Journal of Mycology and Infection ◽

10.17966/kjmm.2015.20.4.93 ◽

2015 ◽

Vol 20 (4) ◽

pp. 93-101

Author(s):

권현정 ◽

박준수 ◽

박경덕 ◽

정현 ◽

김형록 ◽

...

Keyword(s):

Tertiary Hospital ◽

Diagnostic Measure ◽

The Status

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STRATEGI KESANTUNAN POSITIF PENUTUR BAHASA MELAYU KUPANG PADA FACEBOOK [The Possitive Politeness Strategy of Kupang Malay Languages Speaker on Facebook]

TOTOBUANG ◽

10.26499/ttbng.v9i1.297 ◽

2021 ◽

Vol 9 (1) ◽

pp. 155-167

Author(s):

Salimulloh Tegar Sanubarianto ◽

Erwin Syahputra Kembaren

Keyword(s):

Social Media ◽

Content Analysis ◽

Analysis Data ◽

Descriptive Study ◽

Research Data ◽

Analysis Method ◽

Content Analysis Method ◽

The Status ◽

Politeness Strategies ◽

Qualitative Descriptive

This study discusses the positive politeness strategies in Kupang Malay on Facebook social media which are related with the politeness strategy theory by Brown and Levinson. This research is a qualitative descriptive study with content analysis method. The research data were the status posts/comments in the Kupang Malay language on the Facebook which were selected based on the suitability of the research objectives. The selected data are then collected and analyzed according to theory. As a result, there are 12 strategies used by Facebook users in Kupang Malay namely (1) give sympathy to the interlocutor; (2) exaggerating sympathy for the interlocutor; (3) pay special attention to the interlocutor; (4) increase interest in the interlocutor; (5) use markers that show similarities; (6) seek the approval of the interlocutor; (7) avoid conflict with the interlocutor; (8) presupposes the interlocutor; (9) the strategy of making jokes; (10) strategies for making offers and promises; (11) showing a sense of optimism; and (12) trying to involve the interlocutor. Penelitian ini membahas strategi kesantunan positif dalam bahasa Melayu Kupang pada media sosial Facebook yang dikaitkan dengan teori strategi kesantunan yang dikemukakan oleh Brown dan Levinson. Penelitian ini adalah penelitian deskriptif kualitatif dengan metode analisis isi (content analysis). Data penelitian adalah tulisan status/komentar dalam bahasa Melayu Kupang pada Facebook yang dipilih berdasarkan kesesuaian terhadap tujuan penelitian. Data yang dipilih kemudian dikumpulkan dan dianalisis sesuai teori. Hasilnya, ada 12 strategi yang digunakan oleh pengguna Facebook berbahasa Melayu Kupang, dan ada 12 strategi yang ditemukan dalam penggunaanya dalam Facebook, yaitu (1) memberikan simpati pada lawan tutur; (2) melebih-lebihkan simpati pada lawan tutur; (3) memberikan perhatian khusus pada lawan tutur; (4) meningkatkan rasa tertarik pada lawan tutur; (5) menggunakan penanda yang menunjukkan kesamaan; (6) mencari dan mengusahakan persetujuan lawan tutur; (7) menghindari pertentangan dengan lawan tutur; (8) mempresuposisikan lawan tutur; (9) strategi membuat lelucon; (10) strategi membuat penawaran dan janji; (11) menunjukkan rasa optimism; dan (12) berusaha melibatkan lawan tutur.

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