scholarly journals Knowledge attitude and practice on prevention of hepatitis B infection among medical students of a tertiary care centre in Tamil Nadu, India

Author(s):  
Vasantha Mallika M. C. ◽  
Sivaanusuya S.

Background: Hepatitis B infection is a serious global public health problem. About two billion people are infected with hepatitis B Virus (HBV) all over the world. The prevalence of HBV infection in India is 4%(2%-8%) with more prevalence among health care workers. Medical students represent a group that is at high-risk for acquiring and spreading hepatitis B infection. Despite increasing prevalence of HBV infection, there is paucity of knowledge, attitude and practice on HBV among medical students. Objective of the study was to assess the knowledge, attitude and practices on prevention of hepatitis B infection among medical students of Sree Mookambika Institute of Medical Sciences, Kulasekharam.Methods: A cross sectional study was conducted among 205 MBBS students using a pretested self-administered questionnaire for assessing the knowledge, attitude, and practice on prevention of HBV infection after obtaining informed consent from the participants.Results: Among 205 MBBS students, correct response towards Knowledge, Attitude, and Practices were given by 77.07%, 77.56%, and 76.59% respectively, 79.5% of the students were fully vaccinated; 20.5% were partially vaccinated against Hepatitis B Virus infection.Conclusions: The medical students are at a very high risk of contracting HBV infection during their training period in view of low HBV vaccine uptake rate and high chance of accidental exposure to blood infected with HBV. Creating awareness among medical students on various aspects of Hepatitis B infection through health education programs before their exposure in medical colleges and subjecting them to active immunization against HBV are mandatory to control the spread of Hepatitis B viral infection.

2020 ◽  
Vol 2020 ◽  
pp. 1-10 ◽  
Author(s):  
Teklay Gebrecherkos ◽  
Getu Girmay ◽  
Mulualem Lemma ◽  
Markos Negash

Background. Hepatitis B virus (HBV) infection remains a serious public health concern worldwide. Mother-to-child transmission (MTCT) is the major mode in endemic areas, including Ethiopia, where little is known about pregnant women’s knowledge, attitudes, and practice towards HBV infection and MTCT. Therefore, the study is aimed at determining the knowledge, attitude, and practice towards HBV among pregnant women attending antenatal care. Method. A cross-sectional study was conducted from February to April 2018, at the University of Gondar Comprehensive Specialized Hospital. A total of 354 pregnant women were selected by systematic random sampling and included in this study. KAP of participants on HBV MTCT was assessed using a structured questionnaire. Data was analyzed using SPSS version 22 software. Result. The total response rate was 100% (354/354). Out of the 354 participants, 73.4% were within the poor knowledge. Only 18.9% of the respondents know HBV can be transmitted from mother to child during pregnancy. Less than half (43.8) of the participants think that they will never be infected with HBV, and 47.7% of them go to traditional healers when they have symptoms of HBV. Majority of the respondents (85.87%) had never screened for HBV, and only 28.5% of the participants believed that hepatitis B can cause liver cancer. In multivariable analysis, residence, income, and educational level were associated with mean score knowledge and attitude. Conclusions. Knowledge about HBV among pregnant women was found to be poor, and their attitude and practice were also limited. Therefore, extensive health education program should be given to the pregnant women to increase their awareness towards HBV infection. All pregnant women should be screened for HBV as part of ANC follow-up.


2019 ◽  
Author(s):  
Tigabu Birhan Kassa ◽  
Getasew Mulat Bantie ◽  
Achenef Motbainor Begosew

Abstract Background: Hepatitis B virus (HBV) infection is a huge public health problem. Among health professionals, medical and health sciences college students are risk groups. Objective: The objective of the study was to determine the knowledge, attitude, and practices towards Hepatitis B virus prevention and associated factors among private Medical, and Health Science’s College students in Bahir Dar city, North West Ethiopia. Methods: An institution-based cross-sectional study was conducted from May 1st – 30th /2017. All the available four private Medical and Health Sciences Colleges in Bahir Dar city were considered and included in the study to select 390 students using a systematic sampling technique. A pre-tested structured questionnaire, which has socio-demographic, knowledge, attitude and practice sections, was used to collect the data. Data were coded, entered and cleaned using Epi data version 3.1 and exported to SPSS version 21.0 software for analysis. Bivariate logistic regression analysis was used to identify potential variable for multivariable logistic regression and those variables with 0.2 and less P-value entered in the next logistic regression model to identify the possible factors associated with knowledge, attitude, and practice towards Hepatitis B virus prevention. Significance level was set at P-value less than 0.05. Results: The age of the respondents ranged from 18-48 years with the mean (±SD) age of 23.74(3.48). About eighty-four, percent (83.8%) of respondents had good knowledge, whereas 44.6% had a favorable attitude and 32.6% had a good practice. Being unmarried (AOR=2.34, 95% CI: 1.32-4.15), age category 20-24 (AOR=11.5, 95% C.I: 2.60-51.5), and ≥ 25 (AOR=11.6, 95% CI: 2.47-54.4) was associated to knowledge, whereas study year (AOR=1.59, 95% CI: 1.01,2.51) and practice (AOR=2.95, 95% CI: 1.89, 4.58) were significantly associated to attitudes; and good knowledge (AOR=2.07, 95% C.I: 1.06, 4.04) and favorable attitude (AOR=2.79, 95% CI: 1.79,4.34) were significantly associated with practice, respectively. Conclusion: The overall knowledge status of the respondents about Hepatitis B virus prevention was good. But their attitudes and practices were unfavorable and not good respectively.


Vaccine ◽  
2017 ◽  
Vol 35 (7) ◽  
pp. 1064-1070 ◽  
Author(s):  
Yuting Wang ◽  
Taoyang Chen ◽  
Ling-ling Lu ◽  
Minjie Wang ◽  
Dongmei Wang ◽  
...  

Author(s):  
Ashmaki A. Acchammachary ◽  
Milind Ubale ◽  
Deepali D. Belurkar ◽  
Poorva P. Bhave ◽  
Aniruddha Arjun Malgaonkar ◽  
...  

Background: Medical students are at risk of acquiring hepatitis B virus infection due to occupational contact with patients’ blood or other body fluids. This study was conducted to determine knowledge of hepatitis B virus infection and anti-HBS antibody titer amongst medical students.Methods: This cross-sectional observational study was conducted on medical students who satisfied the intake criteria and gave written informed consent to participate in the study. After Institutional Ethics Committee clearance, written informed consent was obtained and a structured, pre-validated questionnaire (pre-test) was administered to the participants. After an educational session, an identical questionnaire was administered (post-test). For determining anti-HBs titer (vaccinated participants) and HBsAg (non-vaccinated participants), blood was aseptically collected by cubital venepuncture. HBsAg and anti-HBs antibody levels were determined by immuno-chromatographic assay and enzyme-linked immunosorbent assay, respectively.Results: 140 healthy, HBsAg-negative medical students (79 males; 61 females) participated in the present study. There was increased median correct response in the post-test with increased minimum and first quartile. 91 (65%) who were vaccinated against Hepatitis B were enrolled for anti-HBs titer estimation. There was no significant gender difference in mean antibody titer. 19 (20.9%) had inadequate levels of anti-HBS antibodies. 50% seroconversion was seen after single dose of hepatitis B vaccine.Conclusions: It is essential to delve into the logistic aspects of evaluating all medical students for hepatitis B infection, procuring and offering free vaccination and assessing anti-HBS titer of vaccinated individuals.


2021 ◽  
Vol Volume 14 ◽  
pp. 3177-3186
Author(s):  
Rohullah Roien ◽  
Sayed Hamid Mousavi ◽  
Akihiko Ozaki ◽  
Sayed Abulqasem Baqeri ◽  
Sayed Mohammad Reza Hosseini ◽  
...  

2002 ◽  
Vol 23 (6) ◽  
pp. 306-312 ◽  
Author(s):  
Ingrid J. B. Spijkerman ◽  
Leen-Jan van Doorn ◽  
Maria H. W. Janssen ◽  
Clementine J. Wijkmans ◽  
Marijke A. J. Bilkert-Mooiman ◽  
...  

Objective:We investigated cases of acute hepatitis B in The Netherlands that were linked to the same general surgeon who was infected with hepatitis B virus (HBV).Design:A retrospective cohort study was conducted of 1,564 patients operated on by the surgeon. Patients were tested for serologic HBV markers. A case–control study was performed to identify risk factors.Results:The surgeon tested positive for hepatitis B surface antigen (HBsAg) and hepatitis B e antigen (HBeAg) with a high viral load. He was a known nonresponder after HBV vaccination and had apparently been infected for more than 10 years. Forty-nine patients (3.1%) were positive for HBV markers. Transmission of HBV from the surgeon was confirmed in 8 patients, probable in 2, and possible in 18. In the remaining 21 patients, the surgeon was not implicated. Two patients had a chronic HBV infection. One case of secondary transmission from a patient to his wife was identified. HBV DNA sequences from the surgeon were completely identical to sequences from 7 of the 28 patients and from the case of secondary transmission. The duration of the operation and the occurrence of complications during or after surgery were identified as independent risk factors. Although the risk of HBV infection during high-risk procedures was 7 times higher than that during low-risk procedures, at least 8 (28.6%) of the 28 patients were infected during low-risk procedures.Conclusions:Transmission of HBV from surgeons to patients at a low rate can remain unnoticed for a long period of time. Prevention requires a more stringent strategy for vaccination and testing of surgeons and optimization of infectious disease surveillance. Policies allowing HBV-infected surgeons to perform presumably low-risk procedures should be reconsidered.


2020 ◽  
Vol 2 (2) ◽  
Author(s):  
Subash Bhattarai ◽  
Merina Gyawali ◽  
Subash Sapkota ◽  
Dipesh Karki ◽  
Sudip Lamsal

Background: Hepatitis B vaccine is the single most effective and safest strategy for the prevention of the disease among health care workers (HCW), trainees and medical students. There is scanty information on knowledge, attitude and practice (KAP) regarding Hepatitis B vaccination among medical students who are likely to get exposed in the future as they start practicing. This study was undertaken to understand the knowledge, attitude and practice of hepatitis B vaccination among clinical medical students of Manipal College of Medical sciences at Pokhara, Nepal.Methods: Two hundred and four medical students were enrolled for an observational, cross-sectional study at Manipal College of Medical sciences at Pokhara, Nepal after obtaining ethical clearance from Institutional Review Committee. Answers to pre-tested questionnaire were collected. Knowledge, attitude and practice regarding Hepatitis B vaccination were studied. Results: All participants demonstrated good knowledge and positive attitude towards Hepatitis B infection and vaccination. However majority had poor practice towards it. Only 47.1% were completely vaccinated. The most common reason for non vaccination was that many thought they will vaccinate in internship or when they start practicing.Conclusion: Despite good knowledge and positive attitude towards Hepatitis B infection and vaccination, low rates of vaccination and poor practice was observed among HCW indicating the necessity of encouragement for vaccination and proper practices among them. All medical students should be immunized against Hepatitis B during their medical school. Regular Hepatitis B vaccination, educational and awareness programs must be conducted in coordination and with active participation of the medical students.Keywords: Attitude; Hepatitis B; knowledge; Medical students; Practice; Vaccination


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