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 ◽  
...  

<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>

2012 ◽  
Vol 60 (10) ◽  
pp. 419-422 ◽  
Author(s):  
HamidReza Naderi ◽  
Fereshte Sheybani ◽  
Amin Bojdi ◽  
Irandokht Mostafavi ◽  
Nasrin Khosravi

2020 ◽  
Author(s):  
Biniyam Sahiledengle ◽  
Yohannes Tekalegn ◽  
Demelash Woldeyohannes ◽  
Bruce John Edward Quisido

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.


2012 ◽  
Vol 60 (10) ◽  
pp. 419-422 ◽  
Author(s):  
HamidReza Naderi ◽  
Fereshte Sheybani ◽  
Amin Bojdi ◽  
Irandokht Mostafavi ◽  
Nasrin Khosravi

2014 ◽  
Vol 24 (1) ◽  
pp. 36-41 ◽  
Author(s):  
Ljiljana Markovic-Denic ◽  
Natasa Maksimovic ◽  
Vuk Marusic ◽  
Jelena Vucicevic ◽  
Irena Ostric ◽  
...  

2005 ◽  
Vol 33 (1) ◽  
pp. 48-52 ◽  
Author(s):  
Alpay Azap ◽  
Önder Ergönül ◽  
Kemal O. Memikoğlu ◽  
Aypegül Yeşilkaya ◽  
Adalet Altunsoy ◽  
...  

Nephron ◽  
1995 ◽  
Vol 70 (2) ◽  
pp. 180-184 ◽  
Author(s):  
Giuseppe Ippolito ◽  
Nicola Petrosillo ◽  
Vincenzo Puro ◽  
Claudio Arici ◽  
Janine Jagger

2013 ◽  
Vol 141 (11-12) ◽  
pp. 789-793 ◽  
Author(s):  
Ljiljana Markovic-Denic ◽  
Milos Brankovic ◽  
Natasa Maksimovic ◽  
Bojan Jovanovic ◽  
Ivana Petrovic ◽  
...  

Introduction. Occupational exposure to blood and body fluids is a serious concern of health care workers and presents a major risk of transmission of infections such as human immuno-deficiency virus (HIV), hepatitis B virus (HBV), and hepatitis C virus (HCV). Objective. The aim of this study was to determine the frequency and circumstances of occupational blood and body fluid exposures among health care workers. Methods. Cross-sectional study was conducted in three university hospitals in Belgrade. Anonymous questionnaire was used containing data about demographic characteristics, self-reported blood and body fluid exposures and circumstances of percutaneous injuries. Results. Questionnaire was filled in and returned by 216 health care workers (78.2% of nurses and 21.8% of doctors). 60.6% of participants-health care workers had sustained at least one needlestick injury during their professional practice; 25.9% of them in the last 12 months. Of occupational groups, nurses had higher risk to experience needlestick injuries than doctors (p=0.05). The majority of the exposures occurred in the operating theatre (p=0.001). Among factors contributing to the occurrence of needlestick injuries, recapping needles (p=0.003) and decontamination/cleaning instruments after surgery (p=0.001) were more frequent among nurses, while use of a needle before intervention was common among doctors (p=0.004). Only 41.2% of health care workers had reported their injuries to a supervisor in order to obtain medical attention. 50.2% of health care workers were vaccinated with three doses of hepatitis B vaccine. Conclusion. There is a high rate of needlestick injuries in the daily hospital routine. Implementation of safety devices would lead to improvement in health and safety of medical staff.


2017 ◽  
Vol 13 (2) ◽  
Author(s):  
Manal Mohamed Anwar ◽  
Doaa Ahmed ◽  
Mostafa Sheemy ◽  
Mohamed El-Tayeb

Health care workers (HCWs) are at high risk of exposure to Hepatitis B & C virus transmission due to injuries and frequency of exposure. We aimed to assess seroprevalence of hepatitis B and C infection among nurses and housekeepers in Beni-Suef university hospital, and to identify possible risk factors. A cross sectional study was conducted from March to July 2016 using a self-administered questionnaire. A blood sample was withdrawn from each participant and was tested for hepatitis B surface antigen (HBsAg) and anti-HCV antibodies. ELISA seropositivity to HCV was confirmed by PCR. The study involved 175/255 participants with a response rate of 68.5%. Nurses constituted 76% and 24% were housekeepers. Overall prevalence of HCV seropositivity was 4.6%; detected by “ELISA". Confirmatory PCR testing revealed positivity in 75% (6/8) of them. Cut injuries was a risk factor for HCV positivity (OR 4.388, 95% CI 0.859 - 22.4, P= 0.05). Previous training and use of gloves was a protective factor (OR 0.135, 95% CI .016- 1.118, P= 0.03 and OR 0.241, 95% CI 0.055- 1.04, P= 0.04 respectively). None of the participants were found to be HBV seropositive. Practices and behaviours posing risk for HCWs included needle stick injury (NSI) and cut injuries. Focus on improving safety training programs to HCWs and provision of infection prevention equipment is needed. In addition regular reporting, follow up and assessment of occupational exposures should be in place.


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