scholarly journals Conhecimentos, atitudes e situação vacinal de graduandos de Medicina sobre Hepatite B

2020 ◽  
Vol 8 (10) ◽  
Author(s):  
Renan Paes de Camargo ◽  
Marina Coimbra da Cruz ◽  
Marlene Cabral Coimbra da Cruz

Introdução: A Hepatite B, devido sua ampla prevalência, representa um problema de saúde pública mundial. O vírus, encontrado em diversos fluidos corporais, apresenta alta transmissibilidade. A preocupação é ainda maior com profissionais da saúde pelo risco ocupacional, sendo os estudantes mais vulneráveis, devido sua inexperiência prática no manejo de materiais contaminados e, por vezes, falta de informações suficientes para sua proteção individual. Objetivo: avaliar o grau de conhecimento e a atitude de estudantes de Medicina quanto a Hepatite B. Material e Método: estudo de inquérito com alunos de Medicina do primeiro e quarto anos. Resultados: Como comportamentos de risco obteve-se como principal por ambas as turmas o não uso do preservativo. Respectivamente, 83,3% e 97,7% dos alunos do primeiro e quarto anos mostraram-se cientes do risco ocupacional da Medicina. A minoria de ambas as turmas havia esquema vacinal completo e apenas 22 alunos afirmaram terem avaliado a positividade de seu Anti-HBs. Todos os quartanistas reconheceram que biossegurança já havia sido abordada, sendo que 59,1% a julgou boa. A maioria dos alunos de ambas as turmas respondeu corretamente quais os equipamentos de proteção individual necessários para proteção contra o vírus, mas 20,5% dos alunos do sétimo período afirmou que o ensinamento para utilização desses equipamentos deveria ser reforçado. Conclusão: faz-se necessário reforçar as orientações referentes aos meios de transmissão do HBV, maior fiscalização quanto ao status vacinal e sorologia, além de incentivar medidas de precaução tanto nos ambientes de trabalho, quanto fora deles.Descritores: Hepatite B; Conhecimento; Riscos Ocupacionais.ReferênciasPinheiro J, Zeitoune RCG. Hepatite B: conhecimento e medidas de biossegurança e a saúde do trabalhador de enfermagem. Esc Anna Nery. 2008;12(2):258-64.Oliveira GLA, Almeida AM, Silva AL, Brandão CMR, Andrade EIG, Cherchiglia ML et al. Antivirais incorporados no Brasil para hepatite B cronica: analise de custo-efetividade. Rev Saúde Pública 2013;47(4):769-80.Barbosa ASAA, Salotti SRA, Silva SMUR. Nível de conhecimento sobre Hepatite B, estado vacinal e medidas de biossegurança de profissionais de enfermagem em um hospital público do interior paulista. R Epidemiol Control Infec. 2017;7(2):107-12.World Health Organization. Media Centre: hepatitis B [Internet]; 2017. Disponível em: http://www.who.int/mediacentre/factsheets/fs204/en/ . Acesso em: 10 dez. 2017.Divisão de Imunização. Vacina contra hepatite B. Rev. Saúde Pública. 2006;40(6):1137-40.Ministério da Saúde (BR), Portal da Saúde: Calendário Nacional de Vacinação 2017 [Internet]. 2017. Brasília: Ministério da Saúde, 2017. Disponível em: http://portalsaude.saude.gov.br/index.php/o-ministerio/principal/leia-mais-o-ministerio/197-secretaria-svs/13600-calendario-nacional-de-vacinacao . Acesso em: 10 dez. 2017.Angelo AR, Queiroga AS, Gonçalves LFF, Santos SD, Sousa CDFS, Soares MSM. Hepatite B: Conhecimento e Prática dos Alunos de Odontologia da UFPB. Pesq Bras Odontoped Clin Integr. 2007;7(3):211-16.Nunes AO, Araújo TM, Santos KOB, Mascarenhas MS, Almeida MMG. Vacinação contra hepatite b em trabalhadores da saúde de um Município da Bahia. Rev. Saúde Col. UEFS, Feira de Santana, 2015;5(1):9-16.Carvalho CMRS, Madeira MZA, Tapety FI, Alves ELM, Martins MCC, Brito JNPO. Aspectos de biossegurança relacionados ao uso do jaleco pelos profissionais de saúde: uma revisão da literatura. Texto contexto - enferm. 2009;18(2):355-60.Marziale MHP. Subnotificação de acidentes com perfurocortantes na enfermagem. Rev bras enferm. 2003;56(2):164-68.Oliveira AC, Gonçalves JA. Incidência de acidentes com material perfurocortante entre alunos de graduação em Ciências da Saúde. Cienc Cuid Saude 2009;8(3):385-92.Simão SAF, Souza V, Borges RAA, Soares CRG, Cortez EA. Fatores associados aos acidentes biológicos entre profissionais de enfermagem. Cogitare Enferm. 2010;15(1):87-91.Silva-Júnior MF, Assis RIF, Gomes CLR, Miclos PV, Sousa HA, Gomes MJ. Conhecimento atual sobre a necessidade de imunização da hepatite B dos acadêmicos da área da saúde de uma universidade brasileira. Arq Odontol. 2014;50(3):131-37.Vieira TB, Pereira R, Santos KF, Leal DBR. Soroconversão após a vacinação para Hepatite B em acadêmicos da área da saúde. Disc Scientia 2006;7(1):13-21.Davis JP. Experience with hepatitis A and B vaccines. Am J Med. 2005;118(10):7-15.Abich DR, Lima GCS, Lissarassa YPS, Mallet EKV, Comparsi B. Imunização contra o vírus da Hepatite B em estudantes da área da saúde. Contexto & Saúde. 2016;16(30):77-84.Souza EP, Teixeira MS. Hepatitis B Vaccination coverage and postvaccination serologic testing among medical students at a publica university in brazil. Rev Inst Med trop S Paulo. 2014;56(4):307-11.Oliveira VC, Guimarães EAA, Costa PM, Lambert CC, Morais PMG, Gontijo TL. Situação vacinal da hepatite B de estudantes da área da saúde. Rev Enf Ref. 2013;serIII(10):119-24.Shimizu HE, Ribeiro EJG. Ocorrência de acidente de trabalho por materiais perfurocortantes e fluidos biológicos em estudantes e trabalhadores da saúde de um hospital escola de Brasília. Rev Esc Enferm USP. 2002;36(4):367-75.Gir E, Caffer Netto J, Malaguti SE, Canini SRMS, Hayashida M, Machado AA. Accidents with biological material and immunization against Hepatitis B among students from the health area. Rev Latino-Am Enfermagem. 2008;16(3):401-6.Garcia LP, Blank VLG. Prevalência de exposições ocupacionais de Cirurgiões-dentistas e auxiliares de consultório dentário a material biológico. Cad Saúde Pública. 2006;22(1):97-108.Ferreira LQ, Oschiro AC, Cruz MCC, Camargo RP, Cruz MC. Hepatite B: conhecimento e atitudes de acadêmicos de Odontologia. Arch Health Invest, 2018;7(7):258-61.Silva Júnior MF, Assis RIF, Sousa HA, Miclos PV, Gomes MJ. Conhecimento dos acadêmicos de odontologia da UFES sobre a necessidade de imunização. Rev Bras Pesq Saúde. 2013;15(4):87-94.Carneiro GGVS, Cangussu MCT. Prevalência presumível, cobertura vacinal, conhecimentos e atitudes relativos à hepatite B em graduandos de Odontologia da Universidade Federal da Bahia. Rev Odontol UNESP. 2009;38(1):7-13.

Author(s):  
Cristina Ribeiro Dias Barroso ◽  
Miguel Guzzo Lima ◽  
Ítalo Bruno do Nascimento Moura ◽  
Camila Boechat Cavalcante de Medeiros ◽  
Caio Mário Villela de Carvalho Júnior ◽  
...  

A imunização vacinal é um dos meios mais eficazes na redução de morbimortalidade por doenças consideradas imunopreveníveis, sendo importante para a biossegurança de estudantes de Medicina. O objetivo deste estudo foi realizar o levantamento epidemiológico referente às imunizações contra hepatite B e tétano de estudantes de Medicina de Volta Redonda, RJ. Foi aplicado um questionário validado em 202 estudantes, sendo os mesmos distribuídos entre o 2º, 6º, 9º e 11º semestres do curso de Medicina de Volta Redonda, regularmente matriculados no ano de 2018. Foi constatado que 38,1% do total de alunos desconheciam sua situação vacinal quanto à vacinação contra hepatite B. O desconhecimento dessa vacinação foi reduzido no decorrer do curso, sendo o valor de 58% dos alunos do segundo semestre contra 11% no décimo primeiro semestre. A porcentagem de alunos com o reforço da vacina contra o tétano desatualizada (última dose há mais de 10 anos) variou de 20% no nono semestre a 11% no sexto e décimo primeiro semestres. Os resultados obtidos são consistentes com a literatura e mostram um notável desconhecimento dos estudantes quanto à atualização das vacinas contra hepatite B e tétano. Faz-se necessário o planejamento de ações de saúde nas instituições médicas de educação, principalmente, através da obrigatoriedade legal de controle do estado de saúde dos estudantes, visando à maximização da cobertura imunológica. Palavras-chave: Vacinação. Cobertura Vacinal. Tétano. Hepatite Viral Humana. AbstractVaccine immunization is one of the most effective means of reducing morbidity and mortality by diseases considered to be immunopreventable and is important for the biosafety of Medicine  students. Objective to carry out the epidemiological survey regarding immunizations against hepatitis B and tetanus of Medicine  students from Volta Redonda, RJ. Methods: A validated questionnaire was applied to 202 students, being distributed among the 2nd, 6th, 9th and 11th semesters of the Medicine course of Volta Redonda, regularly enrolled in 2018. Results: It was found that 38.1% of the total number of students did not know their vaccination status regarding hepatitis B vaccination. The lack of knowledge about this vaccination was reduced during the course, with 58% of the students in the second semester being 11% in the eleventh semester. The percentage of students  with the outdated tetanus booster (last dose for more than 10 years) ranged from 20% in the ninth semester to 11% in the sixth and eleventh semesters. Discussion: Our results are consistent with the literature and show a notable lack of knowledge of the students regarding the update of hepatitis B and tetanus vaccines. Conclusion: It is necessary to plan health actions in medical educational institutions, mainly through the legal obligation to control the students’ health status, aiming at maximizing immunological coverage. Keywords: Vaccination. Vaccination Coverage. Tetanus. Viral Human Hepatitis.


2020 ◽  
Vol 9 ◽  
Author(s):  
Rafaella Do Carmo Ribeiro ◽  
Milena Nunes Alves de Sousa

Objetivo: correlacionar as estratégias de enfrentamento, dimensões de Burnout e qualidade de vida em estudantes de Medicina. Metodologia: pesquisa transversal, descritiva e correlacional. Amostra não probabilística intencional, representada por 76,66% do universo. Aplicaram-se três instrumentos validados: Inventário de1 Estratégias de Coping, Maslach Burnout Inventory - Students Survey e World Health Organization of Life-Bref. Os dados foram analisados a partir de estatística descritiva, Correlações de Pearson e regressão linear múltipla com método Stepwise. Resultados: a estratégia fuga e esquiva teve correlação negativa com os aspectos psicológico e social de qualidade de vida, ao contrário da resolução de problemas e reavaliação positiva que demonstraram correlação positiva. Quanto às dimensões de Burnout, confronto e afastamento mostraram relação positiva com exaustão emocional e descrença. Fuga e esquiva correlacionou-se positivamente apenas com descrença, enquanto resolução de problemas correlacionou-se de forma negativa. Reavaliação positiva associou-se à eficácia profissional positivamente. Conclusão: todas as dimensões da síndrome de Burnout foram afetadas pela utilização das estratégias de enfrentamento e os aspectos da qualidade de vida mais comprometidos por essas estratégias envolveram o psicológico e social dos alunos.Descritores: Adaptação Psicológica. Qualidade de Vida. Burnout. Estudantes de Medicina.


Vaccines ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. 374
Author(s):  
Sheikh Mohammad Fazle Akbar ◽  
Mamun Al Mahtab ◽  
Ferdousi Begum ◽  
Shaikh A. Shahed Hossain ◽  
Sukumar Sarker ◽  
...  

The World Health Organization (WHO) South-East Asia Regional Office (SEARO) covers 11 countries with a combined population of about 2 billion people, making it the most populous of the six WHO regions. In 1992, the WHO advocated including the hepatitis B vaccine in the Expanded Program of Immunization (EPI) and vaccinating all infants and children three times within 1 year of birth (HepB3). Recently, the WHO advocate birth-dose hepatitis B vaccination (HepB-BD) as soon as possible after birth, preferably within 24 hours. In 2016, the SEARO endorsed a regional hepatitis B control goal with a target of hepatitis B surface antigen (HBsAg) seroprevalence of ≤1% among children aged ≥5 years by 2020. Of the 11 SEARO countries, four achieved this target on schedule. Out of these four countries, two countries (Bangladesh and Nepal) have not adopted HepB-BD in EPI program. On the other hand, the coverage of HepB3 is not satisfactory in some SEARO countries, including India which adopted HepB-BD but could not achieve the overall target of SEARO. Thus, it is a point of debate whether emphasis should be placed on proper implementation of HepB3 or whether a new agenda of HepB-BD should be incorporated in developing countries of SEARO. The article discusses strengthening and expanding the Hepatitis B vaccination program in SEARO countries with an emphasis on HepB and HepB-BD programs.


2020 ◽  
Vol 63 (4) ◽  
pp. 7-18 ◽  
Author(s):  
Anamary Súarez Reyes ◽  
Carlos Agustín Villegas Valverde

Characteristics and Specialization of the Immune Response in COVID-19 Abstract The outbreak of coronavirus pneumonia in Wuhan, China, became a pandemic on March 11, 2020. It has caused almost 4 million confirmed cases worldwide, with more than 270,000 deaths. Coronavirus is an enveloped RNA virus of the β-coronavirus genus distributed in birds, humans, and other mammals. The World Health Organization has named the new disease COVID-19. The scientific community is look http://doi.org/10.22201/fm.24484865e.2020.63.4.02 8 8 Revista de la Facultad de Medicina de la UNAM | ing for evidence that can lead to a better understanding of the infection and the immune response (IR), prognostic and therapeutic predictors, effective treatments and vaccines. The objective of this review was to compile updated scientific evidence of the IR to COVID-19, in order to guide professionals with solutions that have a clinical impact. The most important elements involve innate immunity with failures in the interferon system in the early stages of the infection and a sustained increase in proinflammatory interleukins. This can end in a potentially fatal cytokine storm. The infiltration of neutrophils and macrophages at the alveolar level, accompanied by neutrophilia, is very characteristic. Lymphopenia is evident at the adaptive immunity level, that, depending on the degree, can indicate the severity of the disease. Understanding the temporal sequence of the IR is crucial for choosing the appropriate and effective therapies, especially when selecting which type of anti-inflammatory drugs can be used and the frequency of the dosage. Due to the fact that it is difficult to determine when they will be clearly beneficial, not harmful to the IR and not too late, due to the irreversibility of the process. Key words: COVID-19; coronavirus; immune response


Vaccines ◽  
2021 ◽  
Vol 9 (5) ◽  
pp. 510
Author(s):  
Lauren Périères ◽  
Fabienne Marcellin ◽  
Gora Lo ◽  
Camelia Protopopescu ◽  
El Ba ◽  
...  

Detailed knowledge about hepatitis B virus (HBV) vaccination coverage and timeliness for sub-Saharan Africa is scarce. We used data from a community-based cross-sectional survey conducted in 2018–2019 in the area of Niakhar, Senegal, to estimate coverage, timeliness, and factors associated with non-adherence to the World Health Organisation-recommended vaccination schedules in children born in 2016 (year of the birth dose (BD) introduction in Senegal) and 2017–2018. Vaccination status was assessed from vaccination cards, surveillance data, and healthcare post vaccination records. Among 241 children with available data, for 2016 and 2017–2018, respectively, 31.0% and 66.8% received the BD within 24 h of birth (BD schedule), and 24.3% and 53.7% received the BD plus at least two pentavalent vaccine doses within the recommended timeframes (three-dose schedule). In logistic regression models, home birth, dry season birth, and birth in 2016 were all associated with non-adherence to the recommended BD and three-dose schedules. Living over three kilometres from the nearest healthcare post, being the firstborn, and living in an agriculturally poorer household were only associated with non-adherence to the three-dose schedule. The substantial proportion of children not vaccinated according to recommended schedules highlights the importance of considering vaccination timeliness when evaluating vaccination programme effectiveness. Outreach vaccination activities and incentives to bring children born at home to healthcare facilities within 24 h of birth, must be strengthened to improve timely HBV vaccination.


2021 ◽  
Vol 2 (4) ◽  
pp. 113-120
Author(s):  
Athaya Taufiqy

December 2019, COVID-19 was first reported in Wuhan, Hubei Province, China. March 11, 2020, the World Health Organization declared COVID-19 a worldwide pandemic. The COVID-19 pandemic has focused attention on the mental health of the various affected populations, medical students being one of the more vulnerable groups. Therefore, this literature review aims to find out how the mental health of Faculty of Medicine students during the COVID-19 pandemic, so that it can be used as learning material to always maintain mental health stability. The method used in this study is a literature review and literature search which was carried out by collecting several electronic journals such as PubMed, NCBI and Google Scholar. Conducted by reviewing journals related to the mental health of medical faculty students during the COVID-19 pandemic. This study involved 49 library sources from 2018-2020. From 7,143 students, 0.9% of them experienced severe anxiety, 2.7% moderate, and 21.3% experienced mild anxiety. In addition, delay in academic activities is a risk factor for experiencing symptoms of anxiety. 40% of students also experience financial difficulties, in terms of e-learning platforms, this problem is a challenge for medical students because financial and social factors can be an obstacle to the development and implementation of effective online learning programs. Future research is urgently needed to provide a better explanation of the tips needed for students in adapting to the changes that occur in order to lead a mentally healthy life in the midst of the COVID-19 pandemic.


2017 ◽  
Vol 56 (3) ◽  
pp. 179-184 ◽  
Author(s):  
Vuk Marusic ◽  
Ljiljana Markovic-Denic ◽  
Olivera Djuric ◽  
Dragana Protic ◽  
Emilija Dubljanin-Raspopovic

AbstractIntroductionMedical students are mainly exposed to needle stick and sharp object injuries in the course of their clinical activities during studying. They are at high risk due to their undeveloped skills, restricted clinical experience, lack of knowledge and risk perception. The objectives of this study were to determine the prevalence of needle stick injuries of the fourth and final year medical students, and to estimate their knowledge about blood-borne pathogens disease transmission and standard precautions.MethodsThis cross-sectional study was conducted at the Faculty of Medicine, in February 2014. The students were invited to self-administer a questionnaire of 26 closed questions prepared for this study.ResultsThe questionnaire was filled in and returned by 637 students. The prevalence of needle sticks and sharp object injuries was 29.5%. Needle stick injuries were the most common type of accidents, more frequent among the fourth compared to the sixth year students (p=0.002). The majority of accidents occurred in patient rooms (53%) and the emergency department (15%). 54% of participants reported an accident to the responsible person. Students without accidents had a significantly better perception of risk (3.79 vs. 3.35; p<0.05). Out of the total participating students, only 16.6% (106/637) received all three doses of Hepatitis B vaccination, while 16.2% were partially vaccinated.ConclusionsThere is a need for additional theoretical and practical education of our students on blood exposure via accidents, raising the awareness of the necessity of hepatitis B vaccination, and introducing the unique/comprehensive procedure for accident reporting for students and healthcare workers in the entire country.


2021 ◽  
Vol 2 (4) ◽  
pp. 1-8
Author(s):  
Gabriela Mitea ◽  
Marius Daniel Radu ◽  
Ana Maria Ionescu ◽  
Nicoleta Blebea

In infectious diseases, viral hepatitis has an increased incidence, being an important cause of morbidity and mortality, being a "sentinel" indicator of the socio-economic and hygienic-cultural standard of a geographical area. The World Health Organization (WHO) admits the following types of hepatitis viruses: A, B, B + D, C, E, F and G. Among the viral entities recognized by the WHO, a special importance in terms of incidence, evolution over time with the risk of chronicity and the therapeutic options are presented by hepatitis B and C. There is currently an effective vaccine as well as treatment for hepatitis B. There is no vaccine for hepatitis C, but in recent years considerable progress has been made in treating this disease. Also, the introduction of drugs known as direct-acting antivirals makes it possible to cure over 90% of patients within 2-3 months. But in many countries, current drug policies, regulations and prices keep treatment out of the reach of most people with hepatitis. Eradication of viral hepatitis is possible if greater emphasis is placed on prevention, diagnosis and treatment. Vaccination is very important, as it is possible for types A and B of hepatitis. Early diagnosis is also extremely important, given that there are currently very effective drugs that can prevent the development of liver cancer. The WHO also noted that about two million people worldwide become ill each year due to the reuse of syringes and stressed the importance of checking blood donors to see if they are not carriers of hepatitis B or C viruses. Therefore, the purpose of this article is to highlight the pharmacological treatment and the main therapeutic and prevention schemes currently used for patients with these liver diseases. The paper was based on the most popular methods of identification of the latest international information about the treatment of hepatitis (by electronic search using Pubmed, SciFinder, Scirus, GoogleScholar and Web of Science). We also consulted the global literature cited in the hepatitis database of the World Health Organization (WHO) updated frequent from the current literature on this topic.


Author(s):  
Fabiane Silva Pereira ◽  
Bruna Matos Gusmão ◽  
Ana Paula Rocha ◽  
Michelle Bonfim da Silva Fernandes ◽  
Orlene Veloso Dias ◽  
...  

Introdução: A hepatite B é uma doença de caráter mundial, que se tornou um problema de saúde pública. A contaminação pode acontecer em qualquer indivíduo, contudo há grupos que estão mais propensos, por serem mais expostos, como os pacientes em diálise e os profissionais da área da saúde. O objetivo deste estudo foi descrever o estilo de vida e as exposições a material biológico entre os notificados para hepatite B em município de porte médio, entre 2007 a 2015, assim como avaliar o resultado do soro HBsAg entre os anos. Métodos: estudo transversal com dados de notificação de hepatite B arquivados na Vigilância epidemiológica de município do norte de Minas Gerais, Brasil. Análise descritiva e teste de associação Likelihood ratio, com nível de significância p<0,05. Resultados: foram  notificados 132 casos, em que 19,8%  com três ou mais parceiros sexuais 10,7% tiveram contato sexual com algum portador da hepatite B; 29,7% realizaram tratamento odontológico e 18,8% cirurgias. O reagente ao soro HBsAg foi em 90,1% dos casos, sem diferença entre os anos (p>0,05). Conclusão: constataram-se comportamento sexual de risco e utilização de serviços de saúde entre os notificados para hepatite B. Na maioria dos casos, confirmou-se a infecção por meio de marcador sorológico, nos anos avaliados.


2019 ◽  
pp. 57-59
Author(s):  
Rajni Dawar ◽  
Tabassum Yasmin ◽  
Ajay Kumar Jha

Background: India is in the intermediate hepatitis B virus endemicity zone with hepatitis B surface antigen prevalence among the general population ranging from 2% to 8%.Health care professionals are at a high risk of getting .Hep B infection which can be prevented by strategies like vaccination, increasing awareness and following universal precautions. The present study was conducted on medical students (3rd Semester) to evaluate their knowledge regarding HBV and to know their vaccination status. Also along with data collection, students were educated about hepatitis B vaccine and about universal precautions before they start with their clinical postings. Methods: Cross sectional study was carried out on 3rd semester MBBS students (batch 2012-2013). All the students present on the day of data collection were included in the study and interviewed using pretested questionnaire. Data was analyzed using percentages. Results: Most of the students had good knowledge about disease and modes of transmission & prevention. Surprisingly only 56.6 percent were aware of high risk of transmission to health professional and doctors. Main source of information was media (85.4percent).Nearly 82% of the students were immunized and main reason among those unimmunized was unawareness about vaccine availability. Conclusions: It is recommended that Hepatitis B vaccination should be made available for all unimmunized students who enter medical profession. The orientation and sensitization programm should be held to create awareness regarding HBV infection preferably at the time of admission into medical college ,else no later than start of their clinical posting.


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