Background: Emerging of anesthetics opens a new era to medical discipline in relieving patients' pain and stress when undergoing surgery but simultaneously exposes the healthcare personnel working in areas of anesthetics exposure to many adverse health effects including reproductive outcomes effects. Thus, this study aimed to assess the effect of inhalational anesthetics exposure on reproductive outcomes and its predictors among health care personnel in hospitals of Jimma zone public hospitals. Methods: A comparative cross-sectional study was conducted from May 01 to 30, 2021. We approached 483 healthcare personnel in Jimma zone public hospitals to partake in this study. Of this number, we recruited 292 healthcare personnel, comprising 146 exposed healthcare personnel and 146 unexposed healthcare personnel. Structured questionnaires were used to assess the reproductive outcomes. Data were entered into EPI-data version 4.6.1 and exported to SPSS version 24 for analysis. Binary logistic regressions were carried out to identify associated factors with reproductive outcomes. Statistical significance was declared using a p value <0.05. Results: The overall prevalence of bad reproductive outcome status was high (30.8%) and the prevalence was much higher among exposed HCPs (20.9%) when compared to unexposed HCPs (9.9%). Among a total of 292 HCPs the likelihood of occurred bad reproductive outcomes was higher among an exposed group (AOR=3.17, 95% CI: 1.40-7.16) and those who smoke cigarettes (AOR=8.44, 95% CI: 1.93-36.91). The occurrence rate of bad reproductive outcome was higher among 30-45h/week exposure (AOR=11.94, 95% CI: 1.25-24.95) if separately analyzed among exposed and age of couple above 41 years among unexposed (AOR=5.87, 95% CI: 1.56-22.06) were significantly associated with bad reproductive outcomes. Conclusion: Prevalence of bad reproductive outcomes was higher among exposed HCPs. Hence, it requires attention to create awareness about the danger of anesthetics exposure in the study setting, suggesting the need to further minimize the exposure.
Background Postoperative nausea and vomiting (PONV) is the most frequent side effect of anesthesia. It affects 20–30% of all post-operative and 70%-80% of higher-risk patients. Consequently, it is one of the most frequently observed adverse events associated with the provision of anesthesia. Thus, this study is aimed to assess the incidence and associated factors of postoperative nausea and vomiting. Methods This cross-sectional study was conducted using a consecutive sampling method. Regular supervision and follow-up were made. Data was entered into Epi info version 7 software and transported to SPSS version 20 for analysis. The odd ratio and 95% confidence interval were computed. The findings of the study were reported using tables, figures, and narration. Variables that were found to be a candidate (p-value < 0.25) on binary logistic regression were entered into a multiple logistic regression analysis to identify independent predictors of postoperative nausea and vomiting. Results The results of this study indicated that the incidence of postoperative nausea and vomiting was 27.4%. Output of multiple logistic regression revealed that female sex (AOR = 4.065 (2.090–7.906), history of motion sickness (AOR = 2.836 (1.582–5.083), Gynecologic type of surgery (AOR = 3.782 (1.156–12.373), long duration of anesthesia (> 60 min) (AOR = 2.974 (1.491–5.933) and administration of post-operative opioids (AOR = 2.333 (1.221–4.457) were considered as independent predictors of postoperative nausea and vomiting at P-value < 0.05. Conclusion The present finding has shown that the overall incidence of postoperative nausea and vomiting was relatively high. Therefore, prevention of PONV was strongly recommended.
Background Emerging of anesthetic opens a new era to medical discipline in relieving patient’s pain and stress who undergoing surgery but simultaneously exposes the health care personnel working in areas of anesthetic exposure to many adverse health effects including reproductive outcomes effects. Therefore this study aimed to assess the effect of inhalational anesthetics exposure on reproductive outcomes and its predictors among Health care personnel in hospitals of Jimma zone public hospitals. Methods Comparative cross-sectional study was conducted from May 01 to 30, 2021. We approached 483 health care personnel in Jimma zone public hospitals to partake in this study. Of this number, we recruited 292 Health care personnel, comprising 146 exposed health care personnel and 146 unexposed Health care personnel. Structured questionnaires were used to assess the reproductive outcomes. Data were entered into EPI-data version 4.6.1 and exported to SPSS version 24 for analysis. Binary logistic regressions were carried out to identify associated factors with reproductive outcomes. Statistical significance was declared using a p value< 0.05. Results. The overall prevalence of bad reproductive outcome status was high (30.8%) and the prevalence was much higher among exposed HCPs, (20.9%) when compared to unexposed HCPs (9.9%)). Among a total of 292 HCPs, the likelihood of occurred bad reproductive outcomes was higher among an exposed group (AOR=3.17, 95%CI: 1.40-7.16); smoke cigarettes (AOR=8.44, 95%CI: 1.93-36.91). The occurrence rate of bad reproductive outcome was higher among 30-45h/week exposure (AOR=11.94; 95%CI: 1.25-24.95) if separately analyzed among exposed and age of couple above41years among unexposed (AOR=5.87, 95%CI: 1.56-22.06) were significantly associated with bad reproductive outcomes. Conclusion Prevalence of bad reproductive outcomes was higher among exposed HCPs. Hence, it requires attention through creating awareness about the danger of anesthetics exposure in the study setting suggesting the need to further minimize the exposure.
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