Awareness regarding hepatitis B and it’s vaccination status among medical students, doctors and paramedics studying & working at DHQ Teaching Hospital, Sahiwal

2020 ◽  
Vol 13 (4) ◽  
pp. 150-154
Author(s):  
Rana Aamir Diwan ◽  
Khalil Ahmad ◽  
Fahad Mukhtar Hashmi ◽  
Muhammad Arslan ◽  
Muhammad Nabeel Bhatti

ABSTRACT Introduction: Hepatitis B is a risk factor for Health Care Workers (HCW) and medical students attending wards at hospital. Hepatitis B vaccine has been recommended since 1982 for use by HCWs to prevent HBV infection. The aim of this study was to evaluate the vaccination coverage among HCWs and medical students, their level of knowledge regarding vaccination as well as and their beliefs regarding Hepatitis B vaccine at a Teaching District Headquarter (DHQ) Hospital of Punjab, Pakistan. Subjects and Methods:  This cross sectional descriptive study based on a questionnaire-based survey was carried out at DHQ Teaching Hospital, Sahiwal, Pakistan from 01-04-2019 to 31-07-2019. Doctors, medical students and paramedical staff involved in active physical care of the patients were included in the study. Results: A total of 300 participants were provided questionnaire including consent, out of which 285 participants responded. There were 127 doctors (44.56%), 86 medical students (30.18%) and 72 paramedics (25.26%). 132 (46.31%) participants were fully vaccinated, 9.12% had received 2 doses of vaccine, 8.77% received only one dose whereas 35.43% were unvaccinated. Out of unvaccinated individuals, 32.35% reasoned lack of time being the main cause followed by other reasons including lack of need, lack of awareness and accessibility. Conclusion: This study showed that vaccination coverage among HCWs was alarmingly low along with lesser knowledge of vaccination and infection. Therefore, HCWs and medical students are at an increased risk of acquiring Hepatitis B infection.

Author(s):  
Dilawar Khan ◽  
Hassan Abdullah Shakeel ◽  
Hamza Maqsood ◽  
Hafiz Muhammad Ahmar Aziz ◽  
Muhammad Jahantab Qazi ◽  
...  

Background: Hepatitis B virus (HBV) infection causes significant morbidity and mortality worldwide. Occupational exposure of health care workers and medical students increase their risk of acquiring HBV infection, and many authorities recommend vaccination. However, significant proportions of health care workers do not receive HBV immunization, and remain at increased risk to HBV infection. The present study was conducted on medical students to evaluate their knowledge regarding HBV and to know their vaccination status.Methods: This cross sectional, randomized, observational study was done at Nishtar medical university, Multan from November 2017 to July 2018. A pre-structured and tested questionnaire was given to 150 medical students from first year to final year. Out of these students 75 were males and 75 were females. The students were also interviewed about age, gender, year of study, screening before vaccination, history of vaccination, completion of all 3 doses and reasons for not getting vaccinated.Results: Out of 150 participants, 117 (78%) were vaccinated against HBV. In the vaccinated group, 90 (77%) completed all the three doses of their vaccination schedule and remaining 27 (23%) students were incompletely vaccinated. Rate of vaccine uptake was higher in females; 63 (84%) than in males: 53 (71%). Reasons of not being vaccinated were lack of knowledge about consequences (15.5%), casual behaviour (36%), not knowing from where to get vaccine (12%), fear of injection (10%), busy in studies (10%) and financial problems (8%). Prior screening was done in 74 (63%) students before the vaccination.Conclusions: Despite the availability and accessibility of a cost-effective hepatitis B vaccine since mid80's, the vaccination coverage among medical students is low. Health education needs to be improved in all medical students. The orientation and awareness programmes should be held to create awareness regarding HBV infection.


Hepatology ◽  
1998 ◽  
Vol 28 (4) ◽  
pp. 1166-1166 ◽  
Author(s):  
Rui Tato Marinho ◽  
Fernando Ramalho ◽  
Jos� Velosa

2019 ◽  
Vol 134 (6) ◽  
pp. 651-659 ◽  
Author(s):  
Ruth Koepke ◽  
Danielle N. Sill ◽  
Wajiha Z. Akhtar ◽  
Kailynn P. Mitchell ◽  
Sheila M. Guilfoyle ◽  
...  

Objectives: Despite recommendations for vaccination against hepatitis A virus (HAV) and hepatitis B virus (HBV) for all adults at increased risk of infection, several US states have reported increases in HAV and HBV infections among persons who inject drugs. We investigated hepatitis A and hepatitis B vaccination coverage among a sample of persons who reported injecting drugs and had evidence of hepatitis C virus (HCV) infection. Methods: We searched the Wisconsin Immunization Registry for the vaccination records of persons who underwent HCV testing at syringe services programs from January 1 through August 31, 2018, and were reported to the Wisconsin Division of Public Health as having positive HCV antibody test results and a history of injection drug use. We calculated the percentage of persons who were vaccinated according to national recommendations. Results: Of 215 persons reported, 204 (94.9%) had a client record in the Wisconsin Immunization Registry. Of these 204 persons, 66 (32.4%) had received ≥1 dose of hepatitis A vaccine, 46 (22.5%) had received 2 doses of hepatitis A vaccine, and 115 (56.4%) had received 3 doses of hepatitis B vaccine. Hepatitis B vaccine coverage decreased with increasing age, from 88.0% (22 of 25) among adults aged 20-24 to 30.3% (10 of 33) among adults aged 35-39. Conclusions: These findings suggest that most persons who inject drugs in Wisconsin are susceptible to HAV infection and that most persons aged ≥35 who inject drugs are susceptible to HBV infection. In addition to routine vaccination of children, targeted hepatitis vaccination programs should focus on adults who inject drugs to help prevent future infections.


Author(s):  
Vani Srinivas ◽  
Tess Shajan ◽  
Sudheesh Muthuthodiyil Karippankunnath ◽  
Theertha Pradeep Reshmi ◽  
Vidhu Victor ◽  
...  

Background: Hepatitis B is one of the most important blood borne infection, the health care workers may acquire while providing care to the patients. The overall aim of this study was to estimate the Hepatitis B vaccine coverage and its determinants among health care workers.Methods: This cross-sectional study was done in a rural tertiary care hospital in Palakkad district, of Kerala. We particularly looked for self-reported hepatitis B vaccination coverage and its determinants, using self-administered pretested questionnaire in 410 health workers. We calculated the proportions and looked for association between the various independent variables and dependent variables for vaccination coverage.Results: Out of 410 study participants, 119 (29%) of them were males and 291 (71%) of them were females. The mean age of the participant was 31.3 years and the range was between 19 to 70 years. 365 (89%) were vaccinated with atleast one dose of Hepatitis B Vaccine. Of these 306 (74.6%) had received all the 3 doses of vaccine, as per schedule. Gender and years of experience was not associated with the Hepatitis B vaccination status. However, variables like educational status, professional background was associated with hepatitis B vaccine coverage.Conclusions: The coverage of hepatitis B vaccine was high. Among those with incomplete vaccination few of them were waiting for completing the vaccination schedule in near future. Good hospital policies like vaccinating the new medical students and new employees were the main factors responsible for high vaccination coverage among the health care workers in our study.


2017 ◽  
Vol 24 (08) ◽  
pp. 1167-1169
Author(s):  
Nahdia Ashraf ◽  
Muhammad Usman Hussain ◽  
Iqra Qamar ◽  
Muhammad Ashraf

Introduction: The doctors and paramedical staff are at high risk of developingHepatitis B, infection. Hepatitis B vaccine is mandatory for medical students prior to admissionin medical colleges. After completion of vaccination determination of anti HBS is not in practice.All over the world some people remain non responders and don’t develop adequate antibodytitre essential for protection against hepatitis B virus. This study is therefore designed to estimatethe anti HBs titre among the medical students, who have completed three doses of hepatitisB vaccine. Objectives: To determine the serum anti HBs antibodies among the outgoing finalyear MBBS students who have received complete 03 doses of hepatitis B vaccine. StudyDesign: Descriptive cross sectional study. Place and Duration: This study was conductedfrom November 2010 to December 2015 at Biochemistry department Punjab Medical College incollaboration with Nawaz Medicare Hospital Faisalabad. Material and Methods: Two hundredand fifty nine female medical (MBBS) students from outgoing classes during the period ofNovember 2010 to December 2015 were enrolled in this study. All subjects were at the ageof 22-24 years at the time of sampling. Each received 03 doses of injection Engerix B, 10mcg/0.5ml each in a schedule of 0, 01, 06 months since the last 05 years. The blood sampleswere allowed to clot and serum was separated. The anti HBs and HBsAg were determined by3rd generation ELISA method. Results: A total 259 female medical students from outgoing finalyear MBBS classes were enrolled in this study. Among these subjects 48 (18.5%) had serumanti HBs levels < 10 IU/L, 77 subjects (29.7%) have levels 10-20 IU/L, 116 subjects (44.8 %)have serum levels 21-100 IU/L, while 18 subjects (10%) have > 100 IU/L serum anti HBs levels.Conclusion: The incidence of non responders and poor responders is higher among thevaccinees in this study as compared to foreign studies after five years of Hepatitis B vaccination.


Author(s):  
Christy Vijay ◽  
Allen Joe ◽  
Naveen Ramesh

Background: Health care workers (HCW) especially doctors and nurses are at an increased risk of accidental needle stick injuries (NSI) due to the occupational environment in which they work. Hence the HCWs are at a higher risk of acquiring blood borne pathogens such as HIV, hepatitis B and C and other diseases. This study was done to assess knowledge regarding NSI and practice regarding disposal of needles and sharps among interns and postgraduate students.Methods: This study was a cross-sectional study done among 110 interns and postgraduates medical students working in various departments of a tertiary health care centre in Bangalore. A self-administered questionnaire was used to collect the data regarding knowledge, practices and preventive measures among HCWs in their work place.Results: Among the 110, 55 (50%) were from intern category and 55 (50%) were from the postgraduate category and 47 (42.7%) were male and 63 (57.3%) were female students. The prevalence of NSI was found to be 36.3%. Female participants and post graduates had better knowledge. Female participants and interns had better practice.Conclusions: The Knowledge among the medical students (interns and postgraduates) was inadequate, indicating the need for awareness programs to reduce the burden of NSI among HCWs. 


Author(s):  
Jan Homolak ◽  
Deni Tomljanovic ◽  
Milan Milosevic ◽  
Domagoj Vrazic ◽  
Mario Zivkovic ◽  
...  

Introduction: Dental health care workers, particularly dental medicine students (DMS), are at an increased risk of hepatitis B virus (HBV) and hepatitis C virus (HCV) infection. The aim of our study was to assess the level of knowledge on HBV and HCV, estimate needlestick injury (NSI) prevalence and reporting practice in DMS at the University of Zagreb and analyze how enrolment in obligatory and supplemental courses affects knowledge and needlestick injury reporting practice. Materials and methods: The knowledge was assessed by our questionnaires based on Centers for Disease Control general handouts. Additional information was collected to examine the prevalence and reporting practice of NSI. Data was analyzed by descriptive statistical analysis, independent-samples t-tests, proportion analyses and combined factor analyses of categorical and quantitative variables in SPSS and R. Results: In total, 206 students participated. The overall level of HBV and HCV-related knowledge was poor with average scores being 61.90% and 51.35% respectively. Moreover, students enrolled in the first year demonstrated significantly lower levels of knowledge in comparison with their older peers. Of all participants 18.2% sustained a needlestick injury, and majority of them (78.95%) never reported the injury. Conclusion: In conclusion, DMS have low levels of knowledge on important occupational pathogens and poor NSI reporting practice. Moreover, formal education in the current form failed to significantly improve competence of students and theoretical knowledge translates poorly into more conscientious injury reporting practice. We should look for a better way to increase student awareness and level of knowledge on this topic.


Author(s):  
M Isabel Galán ◽  
María Velasco ◽  
M Luisa Casas ◽  
M José Goyanes ◽  
Gil Rodríguez-Caravaca ◽  
...  

ABSTRACTBackgroundHealth-care workers (HCW) are at increased risk for SARS-CoV-2 infection, but few studies have evaluated prevalence of antibodies against SARS-CoV-2 among them.ObjectiveTo determine the seroprevalence against SARS-CoV-2 in all HCW.MethodsCross-sectional study (April 14th- 27th, 2020) of all HCW at Hospital Universitario Fundación Alcorcón, a second level teaching hospital in Madrid, Spain. SARS-CoV-2 IgG was measured by ELISA. HCW were classified by professional category, working area, and risk for SARS-CoV-2 exposure.ResultsAmong 2919 HCW, 2590 (90.5%) were evaluated. Mean age was 43.8 years (SD 11.1) and 73.9% were females. Globally, 818 (31.6%) workers were IgG positive, with no differences for age, sex or previous diseases. Among them, 48.5% did not report previous symptoms. Seropositivity was more frequent in high (33.1%) and medium (33.8%) than in low-risk areas (25.8%, p = 0.007), but no difference was found for hospitalization areas attending COVID-19 and non-COVID-19 patients (35.5 vs 38.3% p = NS). HCW with a previous SARS-CoV2 PCR positive test were IgG seropositive in 90.8%. By multivariate logistic regression analysis, seropositivity was associated with being physicians (OR 2.37, CI95% 1.61–3.49), nurses (OR 1.67, CI95% 1.14–2.46), or nurse- assistants (OR 1.84, CI95% 1.24–2.73), HCW working at COVID-19 hospitalization areas (OR 1.71, CI95% 1.22–2.40), non-COVID-19 hospitalization areas (OR 1.88, CI95% 1.30–2.73), and at the Emergency Room (OR 1.51, CI95% 1.01–2.27)ConclusionsSeroprevalence uncovered a high rate of infection previously unnoticed among HCW. Patients not suspected of having COVID-19 as well as asymptomatic HCW may be a relevant source for nosocomial SARS-CoV-2 transmission.


2014 ◽  
Vol 56 (4) ◽  
pp. 307-311 ◽  
Author(s):  
Eduardo Pernambuco de Souza ◽  
Marcelo de Souza Teixeira

The aim of this cross-sectional study was to determine the hepatitis B vaccination coverage among medical students at a public university in Rio de Janeiro, Brazil, and their compliance with the postvaccination serologic testing recommendations. Of the total of 858 students, 675 (78.7%) participated in the study. Among the participants, 48.9% (95% CI: 45.1% to 52.7%) were vaccinated against hepatitis B (received ≥ 3 doses of the vaccine), 31.6% were not (received 0, 1 or 2 doses), and 19.6% did not know their vaccination status. Hepatitis B vaccination coverage increased from 26.0% among first-year students to 70.6% among sixth-year students while the prevalence of unknown vaccination status decreased from 39.7% among first-year students to 2.4% among sixth-year students. The frequency of unvaccinated students ranged from 23.7% among fifth-year students to 34.4% among first-year students. Only 34.8% of the vaccinated students performed the anti-HBs testing after vaccination. Among these medical students, we found a low adherence to the hepatitis B vaccination and to the postvaccination serologic testing. A comprehensive hepatitis B immunization program should be offered to students at this medical school.


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