Occupational exposure of health care workers to blood and body fluids in West Shewa Zone, Oromia, Ethiopia, 2018: A cross-sectional study

Author(s):  
Tesfaye Solomon ◽  
Dejene Lemessa

Abstract Background: Health care workers are susceptible to acquiring blood and body fluids borne infections due to their occupations involving contact with patients and their body fluids, although studies conducted in Ethiopia are scarce. Therefore, the aim of this study was to investigate the magnitude of exposure to blood and body fluids among health care workers in governmental health facilities in West Shewa Zone, Ethiopia.Materials and methods: A facility-based cross-sectional study was conducted from May 19 to June 25, 2018. A total of 381 health care workers were selected by simple random sampling from 31 sampled governmental health facilities using proportional to size allocation. Data were collected through self-administered questionnaires, entered into Epi-info version 7, and analyzed by SPSS version 21. Adjusted odds ratio (AOR) with 95% confidence intervals (CI) calculated for variables retained in the multivariable logistic regression and significance declared at p<0.05.Results: Of 377 health care workers who participated, the study found that 233 (61.2%) were exposed to blood and body fluids in their lifetime. Previous needle stick injury (AOR=0.30; 95%CI: 0.12-0.75), type of health facility (AOR=0.42; 95%CI: 0.26-0.68), handwashing practice (AOR=0.15; 95%CI: 0.07, 0.31), and perceiving at risk (AOR=0.16; 95%CI: 0.03, 0.98) were protective factors whereas long work experience (AOR=1.47; 95%CI: 1.13-1.93) was a risk factor for the exposure.Conclusions: Exposures to blood and body fluids during patient care were common among health care workers in the study area. Therefore, health care workers especially those newly hired and working in hospitals should pay due attention to their occupation's safety and regularly practice hand washing during critical times.

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Dejene Lemessa ◽  
Tesfaye Solomon

Background. Health-care workers are susceptible to acquiring blood and body fluids borne infections due to their occupations involving contact with patients and their body fluids, although studies conducted in Ethiopia are scarce. Therefore, the aim of this study was to investigate the magnitude of exposure to blood and body fluids among health-care workers in governmental health facilities in West Shewa Zone, Ethiopia. Materials and Methods. A facility-based cross-sectional study was conducted from May 19 to June 25, 2018. A total of 381 health-care workers were selected by simple random sampling from 31 sampled governmental health facilities using proportional to size allocation. Data were collected through self-administered questionnaires, entered into Epi Info version 7, and analyzed by SPSS version 21. Adjusted odds ratio (AOR) with 95% confidence intervals (CI) calculated for variables retained in the multivariable logistic regression and significance declared at p < 0.05 . Results. Of 377 health-care workers who participated, the study found that 233 (61.2%) were exposed to blood and body fluids in their lifetime. Previous needlestick injury (AOR = 0.30; 95% CI: 0.12–0.75), type of health facility (AOR = 0.42; 95% CI: 0.26–0.68), handwashing practice (AOR = 0.15; 95% CI: 0.07, 0.31), and perceiving at risk (AOR = 0.16; 95% CI: 0.03, 0.98) were protective factors, whereas long work experience (AOR = 1.47; 95% CI: 1.13–1.93) was a risk factor for the exposure. Conclusions. Exposures to blood and body fluids during patient care were common among health-care workers in the study area. Therefore, health-care workers especially those newly hired and working in hospitals should pay due attention to their occupation’s safety and regularly practice handwashing during critical times.


2021 ◽  
Author(s):  
Tesfaye Solomon ◽  
Dejene Lemessa

Abstract Background: Health care workers are at risk of occupational exposure to blood and body fluids even though very few studies were conducted in Ethiopia. Therefore, this study was aimed to investigate the magnitude of exposure to blood and body fluids among health care workers in governmental health facilities in West Shewa Zone, Ethiopia.Materials & Methods: A facility-based cross-sectional study was conducted in June 2018. A total of 381 health care workers were selected by simple random sampling from 31 sampled governmental health facilities using proportional to size allocation. Data were collected through self-administered questionnaires, entered into Epi-info version 7, and analyzed by SPSS version 21. Adjusted Odds Ratio (AOR) with 95% Confidence Interval (CI) computed for variables maintained in the final model of multivariable logistic regression and statistical significance declared at P<0.05.Results: A total of 377 (98.9%) health care workers participated. The study had shown that 233 (61.2%) of health care workers were exposed to blood and body fluids in their lifetime. Previous needle stick injury (AOR=0.30; 95%CI: 0.12-0.75), place of work (AOR=0.42; 95%CI: 0.26-0.68), and work experience (AOR=1.47; 95%CI: 1.13-1.93) were significantly associated factors with exposure to blood and body fluids.Conclusions: Exposures to blood and body fluids during patient care were common among health care workers in the study area. Therefore, health care workers should give due attention to their occupation's safety. Vaccination and in-service training on standard precautions should be provided and monitored for newly recruited health care workers by the health facilities.


Author(s):  
P. K. Kubai ◽  
M. P. Ndiba ◽  
L. K. Ikiara ◽  
C. K. Karani

Worldwide Corona virus outbreak has cause panic and enormous health and economic effects due to inadequate or lack of appropriate information about COVID -19. Aims: The aim of the study was to determine the Level of knowledge and Preparedness to Corona Virus (COVID –19) Pandemic among Health Workers in Igembe South, Meru County, Kenya. Study Design: This was cross-sectional study was conducted to determine their Knowledge and Preparedness among HCWs on COVID-19 pandemic. Place and Duration of Study: The study was conducted in Igembe South Health Facilities between March and June 2020. Methodology: A facility based cross-sectional study was conducted in Igembe South Sub County of Meru County from March 2020 to June 2020 among 87 Health Care Workers to determine their Knowledge and Preparedness on COVID-19 pandemic. Data was collected using structured Likert’s Scale questionnaire. Descriptive analysis was performed to obtain frequencies and distribution of the variables. Results: The results shows that eight seven (87) health care workers with mean age of 34± 9 (SD) years with a minimum age of 19 years and maximum age of 60 years were recruited responded to the questions of the study. Among the 87 participants, 51 (58.6%) had at least a bachelor's degree, 30 (34.5%) participants had a diploma and 6 (6.9%) participants had a certificate. About 32 (36.8%) of the participants were nurses. Other professional disciplines included nutritionists, records officers, supporting staff, social workers among others. Majority of the facilities acknowledged receiving Ministry of Health guidelines and protocols on COVID-19 case management. Regarding knowledge of COVID -19 Almost half (48.3%) of the participants somewhat agreed that health care workers had knowledge of Corona Virus Pandemic, however, most of the respondents (50.6%) strongly disagreed that they are equipped with adequate Knowledge to manage severe Corona Case compared to (8%) respondents who strongly agreed that Corona Virus Incubation period is an average of 7 days and maximum of 14 days. Conclusion: The study concludes that knowledge and preparedness level on COVID - 19 was above average, however, there is need for continuous professional development (CPD) training and support supervision for HCWs to ensure maintenance of appropriate practices during the COVID-19 pandemic. The study further concludes that those with knowledge and are conversant with their respective areas of practice are at less risk, considering that inadequate knowledge is not only a risk factor for poor delivery of WHO approved COVID -19 guidelines met to prevent the spread of COVID -19, but also increases the occupational risk to health care workers.


2010 ◽  
Vol 40 (2) ◽  
pp. 111-113 ◽  
Author(s):  
Moges Tadesse ◽  
Takele Tadesse

Accidental needlestick injuries sustained by health-care workers are a common occupational hazard and a public health issue in health-care settings. An analytical cross-sectional study was conducted and 30.9% of health-care workers had experienced at least one needlestick injury in the previous year.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yuchen Ying ◽  
Liemin Ruan ◽  
Fanqian Kong ◽  
Binbin Zhu ◽  
Yunxin Ji ◽  
...  

An amendment to this paper has been published and can be accessed via the original article.


Author(s):  
Sushma I. ◽  
Nivin Simon ◽  
A. J. S. Pravin ◽  
M. K. Padmaprasad ◽  
M. Vijayabharathi ◽  
...  

<p class="abstract"><strong>Background: </strong>Mask induced dermatitis is common among health care workers now because of the obligatory use of facemask for a longer period during COVID-19, the clinical features vary. Very few studies could be conducted due to the COVID induced constraints. Studies regarding reactions to face masks in health workers published to date are limited and hence we decided to do this study. The objective of this study was to find out the clinical presentations of mask induced dermatitis due to long term use of facemask on healthcare workers during COVID-19 pandemic.</p><p class="abstract"><strong>Methods:</strong> A cross sectional study was conducted among 40 healthcare workers attend our OPD with face mask for 6 months. After getting informed written consent clinical evaluation was made by history and dermatologic examination.<strong></strong></p><p class="abstract"><strong>Results:</strong> Total 40 health care professionals between the age group of 21-50 years (17 females and 23 males) came to our OPD with complaints of itching and dryness with signs of erythema, scaling, papules for 6 months duration. Out of them, 15 (37.5%) patients had exacerbation of pre-existing dermatoses like atopic dermatitis, seborrheic dermatitis, chronic urticaria, acne. 10 patients (25%) had irritant contact dermatitis 7 patients (17.5%) had sweat-induced dermatitis, 4 patients (10%) had dermatitis due to sponge strip at the nasal bridge, 4 patients (10%) had dermatitis due to vehement use of ear loop involving retroauricular region.</p><p class="abstract"><strong>Conclusions:</strong> This study showed that wearing face masks results in the development and aggravation of other skin diseases due to various causes. Itch can induce scratching and thus lead to inappropriate use of face masks, which could compromise their function.</p>


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