scholarly journals Occupational exposure to HIV among healthcare workers in PMTCT sites in Port Harcourt, Nigeria

2019 ◽  
Author(s):  
Ndubuisi . Akpuh ◽  
Ajayi Ikeoluwapo ◽  
Adebowale Ayo ◽  
Idris H Suleiman ◽  
Patrick Nguku ◽  
...  
Keyword(s):  
Occupational Exposure ◽  
Healthcare Workers ◽  
Safety Information ◽  
Occupational Exposures ◽  
Body Fluids ◽  
Health Facilities ◽  
P Value ◽  
Public Facility ◽  
Port Harcourt ◽  
Rivers State

Abstract Background: Rivers State is among the states with high HIV prevalence in Nigeria. Occupational exposure to HIV through blood or body fluids of HIV/AIDS patients is a recognised risk factor of HIV infections among healthcare workers. We identified the determinants of occupational exposures to HIV among healthcare workers in Prevention of Maternal to Child Transmission (PMTCT) sites within Port Harcourt metropolis in Rivers State. Methods: A descriptive cross-sectional study was conducted and multi-stage sampling technique was used to select 341 healthcare providers from 22 public and 22 private health facilities in PMTCT sites in the Port Harcourt metropolis. Data were analysed using descriptive statistics, Chi-square and logistic regression models (p-value = 0.05). Results: Respondents’ mean age was 35.9±SD8.4 years, 270 (80.1%) and 171(50.7%) were females and from public health facilities respectively. Prevalence of occupational exposure of healthcare workers to HIV in the past 12 months was 153 (45.0%) and 96 (63.3%) experienced such exposure more than once. Contact with potentially infectious body fluid accounted for the largest proportion 51 (33.3%) followed by needle stick prick 49 (32.6%). About 189 (56.1%) had safety information at their disposal that serves as a reminder on safety precautions. The likelihood of occupational exposure was significantly higher among doctors (AOR=2.22, 95% C.I=1.16-4.25,) but lower among environmental health workers (AOR=0.10, 95% C.I=0.02-0.46,) than nurses/midwives when other factors were included in the model. Conclusion: Occupational exposure to blood and body fluids remains a frequent occurrence among healthcare workers, highest among doctors in PMTCT sites in the study area. Provision of protective safety materials, training and enforcement of adherence to universal precaution strategies is highly recommended. Key Words: Occupational exposure, HIV, healthcare workers, private facility, public facility, PMTCT, Port Harcourt, Rivers State, Nigeria

scholarly journals Occupational exposure to HIV among healthcare workers in PMTCT sites in Port Harcourt, Nigeria

2020 ◽  
Author(s):  
Ndubuisi . Akpuh ◽  
Ajayi Ikeoluwapo ◽  
Adebowale Ayo ◽  
Idris H Suleiman ◽  
Patrick Nguku ◽  
...  
Keyword(s):  
Occupational Exposure ◽  
Healthcare Workers ◽  
Health Workers ◽  
Safety Information ◽  
Occupational Exposures ◽  
Body Fluids ◽  
Health Facilities ◽  
P Value ◽  
Port Harcourt ◽  
Rivers State

Abstract Background Rivers State is among the states with high HIV prevalence in Nigeria. Occupational exposure to HIV through blood or body fluids of HIV/AIDS patients is a recognised risk factor of HIV infections among healthcare workers. We identified the determinants of occupational exposures to HIV among healthcare workers in Prevention of Maternal to Child Transmission (PMTCT) sites within Port Harcourt metropolis in Rivers State. Methods A descriptive cross-sectional study was conducted and multi-stage sampling technique was used to select 341 healthcare providers from 22 public and 22 private health facilities in PMTCT sites in Port Harcourt metropolis. The data collected were analysed using descriptive statistics, Chi-square and logistic regression models (p-value = 0.05). Results Respondents’ mean age was 35.9±SD8.4 years, 270 (80.1%) and 171(50.7%) were females, and from public health facilities respectively. Prevalence of occupational exposure of healthcare workers to HIV in the past 12 months was 153 (45.0%), and 96 (63.3%) experienced such exposure more than once. Contacts with potentially infectious body fluid accounted for the largest proportion 51 (33.3%); followed by needle stick prick 49 (32.6%). About 189 (56.1%) had safety information at their disposal and this serves as a reminder on safety precautions. The likelihood of occupational exposure was significantly higher among doctors (AOR=2.22, 95% C.I=1.16-4.25,) but lower among environmental health workers (AOR=0.10, 95% C.I=0.02-0.46,) than nurses/midwives when other factors were included in the model. Conclusion Occupational exposure to blood and body fluids remains a frequent occurrence among healthcare workers; highest among doctors in PMTCT sites in the study area. Provision of protective safety materials, training and enforcement of adherence to universal precaution strategies are highly recommended.

scholarly journals Occupational exposure to HIV among healthcare workers in PMTCT sites in Port Harcourt, Nigeria

2020 ◽  
Author(s):  
Ndubuisi . Akpuh ◽  
Ajayi Ikeoluwapo ◽  
Adebowale Ayo ◽  
Idris H Suleiman ◽  
Patrick Nguku ◽  
...  
Keyword(s):  
Occupational Exposure ◽  
Healthcare Workers ◽  
Health Workers ◽  
Safety Information ◽  
Occupational Exposures ◽  
Body Fluids ◽  
Health Facilities ◽  
P Value ◽  
Port Harcourt ◽  
Rivers State

Abstract Background Rivers State is among the states with high HIV prevalence in Nigeria. Occupational exposure to HIV through blood or body fluids of HIV/AIDS patients is a recognised risk factor of HIV infections among healthcare workers. We identified the determinants of occupational exposures to HIV among healthcare workers in Prevention of Maternal to Child Transmission (PMTCT) sites within Port Harcourt metropolis in Rivers State. Methods A descriptive cross-sectional study was conducted and multi-stage sampling technique was used to select 341 healthcare providers from 22 public and 22 private health facilities in PMTCT sites in Port Harcourt metropolis. The data collected were analysed using descriptive statistics, Chi-square and logistic regression models ( p-value = 0.05 ). Results Respondents’ mean age was 35.9±SD8.4 years, 270 (80.1%) and 171(50.7%) were females, and from public health facilities respectively. Prevalence of occupational exposure of healthcare workers to HIV in the past 12 months was 153 (45.0%), and 96 (63.3%) experienced such exposure more than once. Contacts with potentially infectious body fluid accounted for the largest proportion 51 (33.3%); followed by needle stick prick 49 (32.6%). About 189 (56.1%) had safety information at their disposal and this serves as a reminder on safety precautions. The likelihood of occupational exposure was significantly higher among doctors (AOR=2.22, 95% C.I=1.16-4.25,) but lower among environmental health workers (AOR=0.10, 95% C.I=0.02-0.46,) than nurses/midwives when other factors were included in the model. Conclusion Occupational exposure to blood and body fluids remains a frequent occurrence among healthcare workers; highest among doctors in PMTCT sites in the study area. Provision of protective safety materials, training and enforcement of adherence to universal precaution strategies are highly recommended.

scholarly journals Occupational Exposure to HIV among Health CareWorkers in PMTCT sites in Port Harcourt, Nigeria, 2017

2019 ◽  
Author(s):  
Akpuh Ndubuisi ◽  
Adebowale Ayo ◽  
Ajayi IkeOluwapo ◽  
Idris Suleiman H ◽  
Mahmood Dalhat ◽  
...  
Keyword(s):  
Occupational Exposure ◽  
Healthcare Workers ◽  
Health Workers ◽  
Safety Information ◽  
Occupational Exposures ◽  
Body Fluids ◽  
Health Facilities ◽  
P Value ◽  
Port Harcourt ◽  
Rivers State

Abstract Background Rivers State is one of the states with high HIV prevalence rate in Nigeria. Occupational exposure to pathogen infecting blood and or body fluids of HIV/AIDS patients is attributable to HIV infections among healthcare workers. We identified the determinants of occupational exposures to HIV among healthcare workers in PMTCT sites within Port Harcourt metropolis in Rivers State. Methods Adescriptive cross-sectional study was conducted and multi-stage sampling technique was used to select 341 healthcare providers from 22 public and 22 private health facilities in PMTCT sites in the Port Harcourt metropolis. Data were analysed using descriptive statistics, Chi-square and logistic regression models (p-value = 0.05). Results Respondents’ mean age was 35.9±SD8.4 years, 270 (80.1%) and 171(50.7%) were females and from public health facilities respectively. Prevalence of occupational exposure of healthcare workers to HIV in the past 12 months was 153 (45.0%) and 96 (63.3%) experienced such exposure more than once. Contact with potentially infectious body fluid accounted for the largest proportion 51 (33.3%) followed by needle stick prick 49 (32.6%). About 189 (56.1%) had safety information at their disposal that serves as areminder on safety precautions. The likelihood of occupational exposure was significantly higher among doctors (AOR=2.22, 95% C. I=1.16-4.25,) but lower among Environmental health workers (AOR=0.10, 95% C. I=0.02-0.46,) than Nurses/Midwives when other factors were included in the model. Conclusion Occupational exposure to blood and body fluids remains a frequent occurrence among healthcare workers in PMTCT sites in the study area. Adherence to universal precaution strategies should target all health care workers.

scholarly journals Occupational exposures to blood and body fluids among healthcare workers in Ethiopia: a systematic review and meta-analysis

2020 ◽  
Vol 25 (1) ◽  
Author(s):  
Biniyam Sahiledengle ◽  
Yohannes Tekalegn ◽  
Demelash Woldeyohannes ◽  
Bruce John Edward Quisido
Keyword(s):  
Systematic Review ◽  
Occupational Exposure ◽  
Body Fluid ◽  
Healthcare Workers ◽  
Meta Analysis ◽  
National Level ◽  
Occupational Exposures ◽  
Body Fluids ◽  
Cochrane Library ◽  
Analysis Model

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.

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

2020 ◽  
Author(s):  
Biniyam Sahiledengle ◽  
Yohannes Tekalegn ◽  
Demelash Woldeyohannes ◽  
Bruce John Edward Quisido
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Occupational Exposure ◽  
Health Care Workers ◽  
Body Fluid ◽  
Healthcare Workers ◽  
Meta Analysis ◽  
Occupational Exposures ◽  
Body Fluids ◽  
Care Workers

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.

scholarly journals Occupational Exposure to Blood and Body Fluids among Interns in a Tertiary Hospital in Port Harcourt, Nigeria

OALib ◽  
2018 ◽  
Vol 05 (04) ◽  
pp. 1-9
Author(s):  
Nsirimobu Ichendu Paul ◽  
Tamunopreye Jaja ◽  
Peace Ibo Opara
Keyword(s):  
Occupational Exposure ◽  
Tertiary Hospital ◽  
Body Fluids ◽  
Port Harcourt

scholarly journals Prevalence of occupational exposure and its influence on job satisfaction among Chinese healthcare workers: a large-sample, cross-sectional study

BMJ Open ◽  
2020 ◽  
Vol 10 (4) ◽  
pp. e031953
Author(s):  
Yu Shi ◽  
Haifeng Xue ◽  
Yuanshuo Ma ◽  
Licheng Wang ◽  
Tian Gao ◽  
...  
Keyword(s):  
Job Satisfaction ◽  
Occupational Exposure ◽  
Work Environment ◽  
Healthcare Workers ◽  
Linear Regression Analysis ◽  
Occupational Exposures ◽  
Working Environment ◽  
Cross Sectional ◽  
Stress Symptoms ◽  
The Relationship

ObjectivesThis study had three objectives: (1) describe the prevalence of occupational exposure among Chinese medical personnel in detail, (2) verify the partial mediating role of work environment satisfaction in the relationship between occupational exposure and job satisfaction, and (3) examine if stress symptoms moderate the relationship between occupational exposure and job satisfaction.DesignA large cross-sectional online survey was conducted in July 2018 in China.SettingA survey was conducted in 54 cities across 14 provinces of China.ParticipantsA total of 12 784 questionnaires were distributed, and 9924 healthcare workers (HCWs) completed valid questionnaires. The response rate was 77.63%.Outcome measuresA confidential questionnaire was distributed to HCWs. The relationships among and the mechanisms of the variables were explored using descriptive statistical analyses, Pearson’s correlation coefficient and multiple linear regression analysis.ResultsThe most common occupational exposures among HCWs in the past 12 months were psychosocial and organisational hazards (85.93%). Overall, physicians (93.7%) and nurses (89.2%) were the main victims of occupational exposure. Occupational exposure correlated negatively with work environment satisfaction and job satisfaction, and positively with stress symptoms. Moreover, work environment satisfaction fully mediated the relationship between occupational exposure and job satisfaction, and stress symptoms moderated the relationship between occupational exposure and job satisfaction.ConclusionThe incidence of occupational exposure among HCWs is generally high. The high frequency of psychosocial and organisational hazards among physicians and nurses should be taken seriously and dealt with in a timely manner by hospital managers. The negative impact of occupational exposure on job satisfaction must be buffered by measures to reduce stress symptoms and enhance working environment satisfaction, ultimately improving the overall quality of life of HCWs and promoting comprehensive development of the medical team.

scholarly journals Occupational Exposure to Positive Blood and Body Fluids among Health Care Workers in a Chinese University Hospital: A Three Years Retrospective Study

2016 ◽  
Vol 9 (4) ◽  
pp. 156
Author(s):  
Xiubin Tao ◽  
Hui Peng ◽  
Lihua Qian ◽  
Yan Li ◽  
Qun Wu ◽  
...  
Keyword(s):  
Health Care ◽  
Retrospective Study ◽  
Nursing Students ◽  
Occupational Exposure ◽  
Health Care Workers ◽  
Occupational Exposures ◽  
Body Fluids ◽  
Common Type ◽  
University Hospital ◽  
Care Workers

<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>

scholarly journals Detection of hepatitis C virus among HIV patients in Port Harcourt, Rivers State

2021 ◽  
Vol 21 (3) ◽  
pp. 1010-1015
Author(s):  
Glory Barinuaka Baeka ◽  
Julius Kola Oloke ◽  
Oluyinka Oladele Opaleye
Keyword(s):  
Hepatitis C Virus ◽  
Hepatitis C ◽  
Mean Value ◽  
Cd4 Count ◽  
P Value ◽  
Infected People ◽  
Port Harcourt ◽  
Hcv Antibody ◽  
Rivers State ◽  
Age Range

Background: Hepatitis C virus (HCV) a major human pathogen infecting millions of individuals worldwide, thereby in- creasing the risks for chronic liver diseases and has been discovered that HIV/HCV co-infected patients have a greater risk. Objective: To determine the prevalence of HCV infection among HIV infected people in Port Harcourt, Rivers State. Methodology: The patients were from the ages of 18 and above attending the antiretroviral clinic for over 6 months. The mean age of the participants was 36.91±8.38. Data were gotten from the 550 patients using a modified questionnaire and 5mls of blood samples were collected through venepuncture into EDTA bottles and spun at 3000rpm for 10 minutes sepa- rating the plasma from the whole blood. The CD4+ count was gotten from the patients’ file and the samples kept at -700C till analized. HCV antibody was detected using a commercially available third generation kit manufactured by Melsin Medical Co and statistical analysis was done using a Stata version 16. P value was determined using ANOVA. Result: Total number positive to the HCV antibody was 24(4.4%) of which 8(33.3%) were males, while 16(66.7%) were females. Prevalence (29.2%) was among patients in the 31–35 age range. The CD4+ count ranged from 22-864 cells/µl with a mean value of 303.08±194. Conclusion: From this study HIV/HCV co-infection occurs among HIV infected people in Port Harcourt. The CD4+ count was discovered to be low and was not age, nor gender dependent. HIV infected people should therefore be routinely screened for HCV. Keywords: Serology; HCV; HIV; CD4+ Count.

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