scholarly journals Conditional Probabilities of HBV markers among Health Care Workers in Public Hospitals in White Nile State, Sudan; 2013

2016 ◽  
Vol 9 (5) ◽  
pp. 10
Author(s):  
Taha Ahmed Elmukashfi ◽  
Siham Ahmed Balla ◽  
Abdelgadir Ali Bashir ◽  
Asma Abdelaal Abdalla ◽  
Mawahib Ahmed Abu Elgasim ◽  
...  

<p><strong>BACKGROUND:</strong> Health-care workers are having highest probability of being infected with HBV.<strong></strong></p><p><strong>OBJECTIVE: </strong>To determine conditional probability of sero-prevalence of hepatitis B virus markers among health care workers in White Nile State, Sudan.</p><p><strong>METHODS:</strong> A cross sectional study design with analytical approach was used.  Three hundred eighty five health care workers were selected randomly. An interview was carried using a pre-tested questionnaire and five ml venous blood samples were consented.  Blood samples were tested for Anti-HB core total, HBsAg and HBeAg. Conditional probabilities of being a carrier and highly infective were calculated regarding departments, occupation of HCWs, marital status and working duration in hospital.</p><p><strong>RESULTS:</strong> Out of the total study population, 230 (59.7%) were positive for anti-HB core total. Out of 230 HCWs, 62 (27.1%) were positive for HBsAg. Out of 62 HCWs, 29 (46.8%) were positive for HBeAg. In overall, 16% of study population was carriers and 7.5% were highly infective. HCWs in surgical and Obstetrics &amp; gynaecology had 0.50 conditional probability of being carriers and highly infective. Laboratory technicians had 0.64 conditional probability of being carriers and highly infective. HCWs with working duration in hospitals up to 5 years had 0.63 probability of being carriers and highly infective.</p><p><strong>CONCLUSION:</strong> Prevalence and conditional probabilities of HBV markers among health care worker in White Nile State were high. HCWs in Surgical and Obstetrics &amp; gynaecology, Laboratory technicians and HCWs with working duration up to 5 years are carriers and highly infective. Periodical screening and vaccination of HCWs are recommended.</p>

2016 ◽  
Vol 14 (9) ◽  
pp. 1-17
Author(s):  
Mawahib Elgasim ◽  
Taha Elmukashfi ◽  
Asma Abdalla ◽  
Siham Balla ◽  
Zeinab Swareldahab ◽  
...  

Author(s):  
Aya Mostafa ◽  
Sahar Kandil ◽  
Manal H El-Sayed ◽  
Samia Girgis ◽  
Hala Hafez ◽  
...  

Abstract Background The scale of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection among health care workers (HCWs), particularly in resource-limited settings, remains unclear. To address this concern, universal (non-symptom-based) screening of HCWs was piloted to determine the proportion of SARS-CoV-2 infection and the associated epidemiological and clinical risk factors at a large public health care facility in Egypt. Methods Baseline voluntary screening of 4040 HCWs took place between 22 April and 14 May 2020 at 12 hospitals and medical centres in Cairo. Epidemiological and clinical data were collected using an online survey. All participants were tested for SARS-CoV-2 using reverse transcription polymerase chain reaction (RT-PCR) and rapid IgM and IgG serological tests. Results Of the 4040 HCWs screened, 170 [4.2%; 95% confidence interval (CI): 3.6-4.9] tested positive for SARS-CoV-2 by either of the three tests (i.e. infected); 125/170 (73.5%) tested PCR-positive. Most infected HCWs were nurses (97/170, 57.5%). Median age of infected HCWs was 31.5 [interquartile range (IQR): 27.0–41.3] years. Of infected HCWs, 78 (45.9%) reported contact with a suspected case and 47 (27.6%) reported face-to-face contact within 2 m with a confirmed case. The proportion of infection among symptomatic HCWs (n = 54/616) was 8.8% (95% CI: 6.7-11.3); 6/54 (11.1%) had fever ≥38°C and 7/54 (13.0%) reported severe symptoms. Most infected HCWs were asymptomatic (116/170, 68.2%). The proportion of infection among asymptomatic HCWs (n = 116/3424) was 3.4% (95% CI: 2.8-4.0). Conclusions The high rate of asymptomatic infections among HCWs reinforces the need for expanding universal regular testing. The infection rate among symptomatic HCWs in this study is comparable with the national rate detected through symptom-based testing. This suggests that infections among HCWs may reflect community rather than nosocomial transmission during the early phase of the COVID-19 epidemic in Egypt.


2020 ◽  
pp. 387-394
Author(s):  
Liese C.C. Pruitt ◽  
Stella Odedina ◽  
Imaria Anetor ◽  
Tolulope Mumuni ◽  
Helen Oduntan ◽  
...  

PURPOSE Breast cancer is the most common cancer among women, and in low- to middle-income countries late-stage diagnosis contributes to significant mortality. Previous research at the University College Hospital, a tertiary hospital in Ibadan, Nigeria, on social factors contributing to late diagnosis revealed that many patients received inappropriate initial treatment. METHODS The level of breast cancer knowledge among health practitioners at various levels of the health system was assessed. We developed a tool tailored to local needs to assess knowledge of symptoms, risk factors, treatments, and cultural beliefs. The recruitment included doctors, nurses, and pharmacists in public hospitals, physicians and pharmacists in private practice, nurses and health care workers from primary health care centers, community birth attendants, and students in a health care field from state schools. RESULTS A total of 1,061 questionnaires were distributed, and 725 providers responded (68%). Seventy-eight percent were female, and > 90% were Yoruba, the dominant local ethnic group. The majority were Christian, and 18% were Muslim. Median knowledge score was 31 out of 56, and the differences in scores between health care worker types were statistically significant ( P < .001). Nearly 60% of the participants believed breast cancer is always deadly. More than 40% of participants believed that keeping money in the bra causes breast cancer, and approximately 10% believed that breast cancer is caused by a spiritual attack. CONCLUSION Our questionnaire revealed that, even at the tertiary care level, significant gaps in knowledge exist, and knowledge of breast cancer is unacceptably low at the level of community providers. In addition to efforts aimed at strengthening health systems, greater knowledge among community health care workers has the potential to reduce delays in diagnosis for Nigerian patients with breast cancer.


2020 ◽  
Vol 2020 ◽  
pp. 1-6 ◽  
Author(s):  
Ruqayyah B. Al Anazi ◽  
Saeed M. AlQahtani ◽  
Amal E. Mohamad ◽  
Sabry M. Hammad ◽  
Hossam Khleif

Background. Violence against health-care workers (HCWs) showed increasing worldwide concern. No previous studies addressed violence against HCWs in the Northern region, Saudi Arabia. Objectives. To determine the prevalence of violence against HCWs in public hospitals and primary health-care centers in Arar city, KSA, and to identify its associated factors. Methods. A cross-sectional study was conducted on 352 HCWs in the Ministry of Health (MOH) facilities in Arar city from 1st October to 31st December 2018. Consented HCWs completed a structured self-administered questionnaire which was modified from the WHO questionnaire for violence. Results. Out of 352 health-care workers, 171 (48.6%) reported exposure to violence during work in the past year. The verbal violence was the most common form experienced (83%). Physicians were the main exposed group (59%). Being non-Saudi HCWs, older with longer duration of experience, working in hospitals, working in the emergency room, and working in evening or night shifts were significantly associated with more exposure to violence. The unmet demand for the patient and deficient staff number were the leading reasons for aggression. Only 16.4% of assaulted HCWs reported the violent acts to the higher health affairs authority with the most frequent reasons for nonreporting were their perception that it was useless and their fear of negative consequences. Conclusions. Violence against HCWs in Arar city, KSA, is a prevalent problem. Improving health security system and increasing staffing and their training on proper dealing with violence are highly recommended. Also, enforcing rules and regulations is an important demand to control and prevent violence against HCWs.


2007 ◽  
Vol 186 (4) ◽  
pp. 185-186 ◽  
Author(s):  
Ann L Bull ◽  
Noleen Bennett ◽  
Helen C Pitcher ◽  
Philip L Russo ◽  
Michael J Richards

Author(s):  
Rami Saadeh ◽  
Nancy Abdulrahim ◽  
Mahmoud Alfaqih ◽  
Yousef Khader

Materials and methods: Three municipalities in Jordan were randomly selected, one from each region: north, south and central of Jordan. A total of: four public hospitals, three private hospitals, one university hospital, 40 health centers and 40 private clinics were included in the study. Healthcare workers in the selected facilities were randomly approached using a self– administered questionnaire to collect data. Distributions of attitude by gender, job title, and physician’s specialty were used to describe participants’ attitude toward surrogacy. Results: Responses of 382 participants were reported, of whom, 230 (60.2%) were females. Three in every four participants didn’t support legalizing surrogacy in Jordan. Majority reported negative attitude toward commercial surrogacy (85.1%) and noncommercial surrogacy (76.4%). Religious considerations were the main reason (71.1%) for the attitude toward surrogacy. Most items describing attitude toward surrogacy were significantly distributed across different job titles: nurses, medical doctors, and other healthcare workers (p < 0.05). Conclusion: Negative attitude among health care workers toward surrogacy was mainly driven by religious beliefs. However, there are core cultural changes in the community which might alter the attitude toward surrogacy in the future.


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