Hepatitis B vaccination in correctional health care workers

Gershon, Robyn R.M.; Mitchell, Clifford S.; Sherman, Martin F.; Vlahov, David; Lears, Mary Kathleen; Felknor, Sarah A.; Lubelczyk, Rebecca A.

doi:10.1016/j.ajic.2005.04.245

Cited by 25 publications

(23 citation statements)

References 20 publications

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“…An unsurprising but very important finding was the rate of underreporting of needlesticks and other exposure incidents. Similar to numerous studies of RNs in hospital and correctional settings, this population of RNs also had very high underreporting rates 22,35) . The reasons given for this paralleled those given by other RNs, namely that reporting was too time consuming, being fearful of getting into trouble and wanting to keep the information confidential.…”

Section: Discussionmentioning

confidence: 54%

“…Using a PAR framework, results were shared with infection control practitioners and employee health nurses recruited from PEF and NYSNA 35) . The teams explored the data and developed a list of specific recommendations for improvement, which were presented to senior leadership at the two collaborating organizations and more widely to state-wide leaders.…”

Section: Discussionmentioning

confidence: 99%

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Non-Hospital Based Registered Nurses and the Risk of Bloodborne Pathogen Exposure

et al. 2007

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The aim of this study was to assess the risk of blood and body fluid exposure among nonhospital based registered nurses (RNs) employed in New York State. The study population was mainly unionized public sector workers, employed in state institutions. A self-administered questionnaire was completed by a random stratified sample of members of the New York State Nurses Association and registered nurse members of the New York State Public Employees Federation. Results were reviewed by participatory action research (PAR) teams to identify opportunities for improvement. Nine percent of respondents reported at least one needlestick injury in the 12-month period prior to the study. The percutaneous injury (PI) rate was 13.8 per 100 person years. Underreporting was common; 49% of all PIs were never formally reported and 70% never received any post-exposure care. Primary reasons for not reporting included: time constraints, fear, and lack of information on reporting. Significant correlates of needlestick injuries included tenure, patient load, hours worked, lack of compliance with standard precautions, handling needles and other sharps, poor safety climate, and inadequate training and availability of safety devices (p<0.05). PAR teams identified several risk reduction strategies, with an emphasis on safety devices. Non-hospital based RNs are at risk for bloodborne exposure at rates comparable to hospital based RNs; underreporting is an important obstacle to infection prevention, and primary and secondary risk management strategies appeared to be poorly implemented. Intervention research is warranted to evaluate improved risk reduction practices tailored to this population of RNs.

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Section: Discussionmentioning

confidence: 54%

Section: Discussionmentioning

confidence: 99%

Non-Hospital Based Registered Nurses and the Risk of Bloodborne Pathogen Exposure

et al. 2007

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“…Some researchers argue that healthcare wastes have greater risks than domestic waste (GERSHON et al, 2005;TOOHER et al, 2005), but others maintain that the risks are similar (BORG, 2007;COSTA E SILVA et al, 2011;CUSSIOL et al, 2006;FERREIRA et al, 1999;MÜHLICH et al, 2003;ZANON, 2002). Healthcare wastes and domestic wastes both demand a secure management system because of some dangerous characteristics, including biological and accident hazards, especially the presence of body fluids mixed in the wastes.…”

Section: Discussionmentioning

confidence: 99%

Seroprevalence of hepatitis B and C among domestic and healthcare waste handlers in Belo Horizonte, Brazil

et al. 2016

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Infection with the hepatitis B and C viruses may occur through parenteral contact associated with infected body fluids, including injury with infected sharps. Collectors of domestic or healthcare wastes are potentially exposed to these infections. The aim of this paper is to investigate the risk factors associated with the prevalence of hepatitis B and C (HBV and HCV) infection of domestic and healthcare waste workers in Belo Horizonte, Brazil. A cross-sectional study of hepatitis B and C infection was conducted from November 2014 to January 2015, through blood sample collection and interviews about socio-demographic factors with 61 workers exposed to healthcare waste ("exposed") and 461 exposed only to domestic wastes ("unexposed"). The prevalence of Anti-HCV antibodies was 3.3% in "exposed" workers and 0.9% in "unexposed", and of AntiHBc was 9.8% and 5.6% in "exposed" and "unexposed" workers, respectively. Only 207 (44.9%) of those exposed to domestic waste and 45 (73.8%) of those handling healthcare waste were higher among healthcare waste workers compared to domestic waste workers, probably because of needlestick accidents due to deficient sharps management systems. Immunization against hepatitis B and screening test to ensure the success of vaccination should be a condition for recruitment for both groups of waste workers.

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“…W badaniu przeprowadzonym w USA przez Gershon i wsp. wśród personelu medycznego jednostek penitencjarnych z 3 stanów wykazano, że w ostatnim półroczu 11% przynajmniej raz zakłuło się igłą [16]. Współczynnik skaleczeń dla personelu medycznego zatrudnionego w tych jednostkach i mającego bezpośredni kontakt z pacjentami wynosił 42 na 100 osobolat [17].…”

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HBV, HCV, and HIV infection prevalence among prison staff in the light of occupational risk factors

Gańczak¹,

Szych²

2017

Med Pr

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StreszczenieWstęp: Celem pracy jest ocena zawodowych czynników ryzyka wśród personelu więziennego: częstości, okoliczności ekspozycji na krew i stosowanych metod prewencji, oraz oszacowanie występowania zakażeń wirusem zapalenia wątroby typu B (hepatitis B virus -HBV) i typu C (hepatitis C virus -HCV) oraz ludzkim wirusem niedoboru odporności (human immunodeficiency virus -HIV). Materiał i metody: Badanie ankietowe połączone z wykonaniem testów immunoenzymatycznych (enzyme-linked immunosorbent assay -ELISA) III generacji zostało przeprowadzone w okresie czerwiec-lipiec 2015 r. w Zakładzie Karnym w Goleniowie. Wyniki: Zwrotność ankiet wynosiła 38%. W badaniu wzięło udział 87 osób (w wieku 22-64 lata, mediana: 34 lata). Męż-czyźni stanowili 88,5% badanych. Strażnicy więzienni stanowili 87,4% uczestników badania. Przynajmniej 1 ekspozycji zawodowej na krew w czasie kariery zawodowej doznało 28,7% respondentów, w roku poprzedzającym badanie 8% uległo skaleczeniu, dla strażników więziennych były to skaleczenia igłą ze światłem lub ostrzem żyletki podczas przeszukiwania celi lub rewizji osobistej. W szkoleniach dotyczących zakażeń zawodowych uczestniczyło 85,1% respondentów. Realizacja szczepień przeciwko HBV wynosiła 83,9%. Rękawic ochronnych używało 75,9% badanych, ochrony oczu -28,7%, 9,2% respondentów zawsze używało rękawic i okularów ochronnych. Najczęstszym powodem niestosowania (79,7%) środków ochrony była ich niedostępność. Większość eksponowanych (81,3%) nie zgłosiła skaleczenia odpowiednim służbom. Rozpowszechnienie występowania całkowitych przeciwciał anty-HBc (hepatitis B core antygen -antygen rdzeniowy wirusa zapalenia wątroby typu B), anty-HCV i anty-HIV wynosiło odpowiednio: 2,3%, 1,1% i 0%. Wnioski: Personel więzienny jest narażony na ekspozycje zawodowe na krew. Zgłaszanie tych incydentów jest rzadkie, podobnie jak stosowanie rękawic i okularów ochronnych, co stwarza zagrożenie zakażeniem krwiopochodnym. Częstość występowania przeciwciał anty-HCV jest podobna jak w populacji ogólnej, natomiast przeciwciał całkowi-tych anty-HBc -niższa, prawdopodobnie z powodu powszechnych szczepień przeciwko HBV, jednak mała zwrotność ankiet nie pozwala na precyzyjną ocenę prewalencji. Med. Pr. 2017;68(4):507-516 Słowa kluczowe: HIV, HCV, HBV, zakażenia krwiopochodne, zakażenia zawodowe, personel więzienny Abstract Background: Objectives of the study: to assess the occupational risk for blood-borne infections (BBIs) among prison staff (number/circumstances of blood exposures and preventive methods used), and to estimate the prevalence of hepatitis B virus (HBV), hepatitis C virus (HCV) and human immunodeficiency virus (HIV). Material and Methods: The survey, which included serological testing with the use of 3-generation enzyme-linked immunosorbent assays (ELISA) was completed on active staff at a correctional facility in Goleniów, Poland, between June-July 2015. Results: Response rate was 38%, 87 participants (aged 22-64 years, median: 34 years) agreed to participate. There were 88.5% males, correctional officers com...

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Hepatitis B vaccination in correctional health care workers

Cited by 25 publications

References 20 publications

Non-Hospital Based Registered Nurses and the Risk of Bloodborne Pathogen Exposure

Non-Hospital Based Registered Nurses and the Risk of Bloodborne Pathogen Exposure

Seroprevalence of hepatitis B and C among domestic and healthcare waste handlers in Belo Horizonte, Brazil

HBV, HCV, and HIV infection prevalence among prison staff in the light of occupational risk factors

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