Access to occupational postexposure prophylaxis for primary health care workers in rural Africa: A cross-sectional study

Baets, Anniek J. De; Sifovo, Sibongile; Pazvakavambwa, Isidore E.

doi:10.1016/j.ajic.2007.04.279

Cited by 7 publications

(4 citation statements)

References 18 publications

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“…Ou seja, o indivíduo acidentado não procurou assistência médica e não notificou o acidente. Em consequência disso, não foi submetido ao protocolo de acompanhamento sorológico proposto pelo Ministério da Saúde, ou seja, exames sorológicos para HIV, Hepatite B e C no dia do acidente, três meses, seis meses e um ano após a sua ocorrência (12)(13) .…”

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“…Esta relação, em outros estudos, pôde ser evidenciada ao se analisar a relação entre uso o de equipamento de proteção individual (EPI) e a ocorrência de acidentes, de 73,0% dos acidentes com exposição a sangue, 20,8% dos traba-lhadores informaram que não estavam usando o EPI no momento do acidente. Os autores relacionaram este achado à crença do trabalhador de que, de acordo com o procedimento realizado, ele acreditava não possuir risco de exposição aos líquidos corporais humanos, provavelmente em função de sua "habilidade e destreza (13,(16)(17)18) . E, na análise da regressão logística multivariada, não foi possível identificar nenhuma variável estatisticamente associada a ocorrência de acidente com exposição a material biológico (p<0,05; IC95%).…”

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Fatores determinantes e condutas pós-acidente com material biológico entre profisisonais do atentimento pré-hospitalar

Paiva

Oliveira

2011

Rev. Bras. Enferm.

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This transversal study was carried out with a multiprofessional team in the pre-hospital care in Minas Gerais, Brazil. It aimed to estimate the incidence of occupational accidents by exposure to biological material and post-accidents conductsta. Descriptive analysis and logistic regression were used. Incidence of accidents was 19.8%: 39,1% perforating-cutting materials and 56.5% body fluids. Doctors (33.3%) and drivers (24.0%) were most involved. Inadequate subsequent measures were highly prevalent: no medical assessment (69.6%), no work accident communication issued (91.3%), no measures (52.2%) and no serological follow-up (52.2%). Variables associated with accidents were: age >31 years old (OR = 3,02; IC95%: 1,25 - 7,33; p = 0,014) and working in basic support units (OR = 5,36; IC95%: 1,51 19,08; p = 0,010). The implementation of post-accidents protocols is suggested in order to reduce accidents and under-notification, and increase post-accident follow-up.

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Fatores determinantes e condutas pós-acidente com material biológico entre profisisonais do atentimento pré-hospitalar

Paiva

Oliveira

2011

Rev. Bras. Enferm.

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“…HIV seroprevalence surveys provide a way of indirectly assessing the risk of occupationally acquired HIV infection. In prospective studies of HCWs, the average risk of HIV transmission after a percutaneous exposure to HIV-infected blood was estimated to be approximately 0.3% and approximately 0.09% after a mucosal membrane exposure [4][5][6][7] and every year there are approximately 3 million percutaneous exposures among health care workers worldwide [8][9][10]. In the health care setting, blood-borne pathogen transmission occurs predominantly by percutaneous or mucosal exposure of workers to the blood or body fluids of infected patients.…”

Section: Introductionmentioning

confidence: 99%

Occupational Exposure, Risk Perception and Access to Prophylaxis for HIV/AIDS Infection among Health Care Workers in Northern Nigeria

Amoran¹

2013

BJMMR

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Introduction: This study was designed to describe occupational exposure, risk perception and access to prophylaxis for HIV/AIDS among the health care workers in Northern Nigeria. Methods: This study is an analytical cross-sectional study. Multistage sampling technique was used to obtain a representative sample and a structured selfadministered questionnaire was used to collect relevant information. Results: A total of 421 health care workers were interviewed, 5.2% reported percutaneous exposure to HIV infected blood or body fluids in the workplace in the last 6 months. Predictors of risk perception were working in public facilities [OR=2.28, C.I=1.26-4.15], male gender [OR=3.42, C.I=1.59-7.36] and training on infection control [OR=1.94, C.I=1.13-3.34]. Significantly more males [OR=2.33, C.I=1.12-4.94], those in public facilities [OR=5.85, C.I=1.97-19.48], urban facilities [OR=24.99, C.I=3.67-491.82] and those in tertiary facilities [[OR=17.96, C.I=6.04-59.99] reported a greater access to prophylaxis medication. Conclusion: The study concludes that male health care workers that are young, working in public facilities and have insufficient knowledge about HIV/AIDS have a high risk perception for HIV/AIDS while those in urban and public facilities especially tertiary facilities reported a ready access to prophylaxis medication. Uneven distribution of medication and other health care resources in Northern Nigeria and similar populations

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“…These recommendations are largely based on guidelines for the epidemiologic treatment of suspected sexual contacts [414][415][416][417]. These recommendations are largely based on guidelines for the epidemiologic treatment of suspected sexual contacts [414][415][416][417].…”

Section: Postexposure Prophylaxismentioning

confidence: 99%

Syphilis

Kollmann¹,

Dobson²

2011

Infectious Diseases of the Fetus and Newborn

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Access to occupational postexposure prophylaxis for primary health care workers in rural Africa: A cross-sectional study

Cited by 7 publications

References 18 publications

Fatores determinantes e condutas pós-acidente com material biológico entre profisisonais do atentimento pré-hospitalar

Fatores determinantes e condutas pós-acidente com material biológico entre profisisonais do atentimento pré-hospitalar

Occupational Exposure, Risk Perception and Access to Prophylaxis for HIV/AIDS Infection among Health Care Workers in Northern Nigeria

Syphilis

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