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ORIGINAL ARTICLE
Year : 2017  |  Volume : 34  |  Issue : 1  |  Page : 49-57

Determinants of behavior of health care workers at Mansoura National Hospital toward needlestick injuries and hepatitis B virus infection


Department of Public Health and Community Medicine, Faculty of Medicine, Mansoura University, Mansoura, Egypt

Correspondence Address:
A M Abdel Hamied
5th Floor, El Zahraa Tower, 35 El Emam El Gazaly Street, New Toriel, Mansoura City 35111, El Dakahlia Governorate
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1110-208X.206903

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Background Needlestick injuries (NSIs) are among the hazards and problems that can expose health care workers (HCWs) to infections. WHO estimates that 40% of cases of hepatitis B virus (HBV) infections among HCWs are a result of NSIs. Aim Aim of this was to illustrate the behavior of HCWs at Mansoura National Hospital toward NSIs and HBV infection. Materials and methods A cross-sectional study was conducted on 203 total hospital staff (99 males and 104 females) who fulfilled the inclusion criteria to participate in the study. Results It was found that 37.9% of HCWs at Mansoura National Hospital were previously exposed to NSIs (included 64.9% of paramedicals and 44.1% of physicians); and 67.5% knew about the risk of NSIs. HCWs who were in routine close contacts with patients knew that diseases transmitted by NSIs included HBV (81.3%); 57.1% knew that HBV is more infectious than HIV; 63.4% knew about the existence of a vaccine to prevent HBV; 62.5, 49.1, and 55.4%, respectively, knew that wearing gloves, wearing eye protection, and hospital disinfection were protective measures against hepatitis B (HB) infection; 35.7% agreed that HB vaccine should be taken before working in the hospital. Regarding hospital staff, 76.8% of HCWs knew that HBV may be transmitted (included all physicians and 71.9% of paramedicals), 32% did not know the degree of vaccine protection, and 47.3% suggested that the vaccine gives relative protection. Also, 23.6% of HCWs were vaccinated against HB (included 48.5% of physicians), 53.7% washed their hands after patient contact, 18.7% used gloves, and 4.9% used eye protection. Conclusion There was a gap in knowledge, attitude, and behavior among HCWs regarding NSIs and risk of contracting HBV, and this gap can be reduced by provision of health education sessions at preplacement medical examination and then periodically.


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