Knowledge, Attitude, and Practice of Iranian Surgeons About Blood-Borne Diseases

Mohammadpour, Mehrdad; Marashi, Seyed Ali; Kabir, Ali; Taghipour, Hamid Reza; Faghihi-Kashani, Amir Hossein; Ghoddoosi, Iraj; Alavian, Seyed Moayed

doi:10.1016/j.jss.2007.12.803

Cited by 29 publications

(33 citation statements)

References 27 publications

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“…Similar low to moderate levels of knowledge have also been reported elsewhere [25-27]. Several studies indicate the fact that incomplete health care provider knowledge of blood transmission may jeopardise the effectiveness of prevention and control programs for HBV and HCV [28-30].…”

Section: Discussionsupporting

confidence: 67%

Seroprevalence of hepatitis B and C virus infections among health students and health care workers in the Najran region, southwestern Saudi Arabia: The need for national guidelines for health students

et al. 2014

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BackgroundThe objectives of the study were to study the seroprevalence of hepatitis B virus (HBV) and hepatitis C virus (HCV) infections among health college students (HS) and health care workers (HCWs) in the Najran Region of south-western Saudi Arabia and to study the students’ knowledge of occupational exposure to blood-borne viral infections.MethodsA cross-sectional study of a representative sample of 300 HS and 300 HCWs was conducted.ResultsAn overall seroprevalence of HBV of 1.7% and 8.7% was found among HS and HCWs, respectively. Two-thirds of HS (66.7%, 200) and 23.3% (70) of HCWs lack anti-HBs and are susceptible to HBV infection. An overall seroprevalence of HCV of 0% and 0.3% was found among the HS and HCWs, respectively. The present study indicates poor knowledge among HS and moderate knowledge among HCWs regarding occupationally transmitted blood-borne diseases, safe injection practices, and standard precautions to prevent occupationally transmitted blood-borne infections.ConclusionIt is mandatory to develop a structured program to raise awareness among HS, and current health colleges’ curricula should be upgraded to address these issues early. The HS should be considered new recruits to health services in terms of their initial screening for blood-borne infections and vaccination against HBV. The development of a novel continuing medical education and pre-employment awareness program for HCWs is recommended to address the following: blood-borne diseases transmitted occupationally, standard precautions to prevent occupationally transmitted blood borne infections, and safe injection practices.

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Section: Discussionsupporting

confidence: 67%

Seroprevalence of hepatitis B and C virus infections among health students and health care workers in the Najran region, southwestern Saudi Arabia: The need for national guidelines for health students

et al. 2014

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“…The hepatitis B vaccination status in HCWs who are at an increased risk of exposure to bloodborne infections have also been found to be suboptimal. For instance, the results from a study on Iranian surgeons showed that hepatitis B vaccination was complete in about 76% of surgeons, but only 56.8% of them had checked their Hepatitis B surface antigen antibody (anti-HBs) levels (27). When planning infection control protocols, the long-term efficacy of the hepatitis B vaccination in HCWs should be considered.…”

Section: Discussionmentioning

confidence: 99%

Occupational Exposure to Blood and Other Body Fluids Among Healthcare Workers in Three Teaching Hospitals, Southeast Iran

et al. 2016

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Background: Healthcare workers (HCWs) regularly face the risk of exposure to sharp injuries and splashes as an occupational hazard, which presents a major risk for acquiring blood-borne infectious agents. Objectives: This study aimed to determine the occurrence of needlestick injuries (NSIs) and other high-risk occupational exposures to blood and body fluids (BBFs) among HCWs in three teaching hospitals affiliated with the Zahedan University of Medical Sciences. Patients and Methods: A cross-sectional study was carried out from March 2013 to December 2014. Information on self-reported incidents, circumstances surrounding occupational exposure, and post-exposure management were collected from an ongoing surveillance system. Descriptive statistics and chi square tests were used for data analysis. Results: A total of 236 incidents of occupational exposure were registered during the study period. Nurses (82, 34.7%) were most frequently exposed to BBFs, followed by physicians (57, 24.2%). Two hundred and nineteen (92.8%) of the personnel sustained NSIs, and 17 (7.2%) had splashes to mucus membranes. The incidents were most frequently reported from the internal medicine ward (19.1%) followed by the operating theater (17.1%). Subjects with splashes to mucus membranes were more likely to postpone seeking medical advice following exposure, as compared with needlestick cases (23.5% versus 5%, P < 0.016). A significantly greater proportion of pediatric and emergency department staff were found to delay post-exposure measures (P < 0.040). Conclusions:The relatively high prevalence of percutaneous injuries and splashes in this study emphasized the importance of improved prevention strategies, better hospital surveillance for occupational exposure, and enhanced training of healthcare workers.

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“…Future education and awareness training should focus on an understanding of the effectiveness of the hospital's protocols. Moghimi et al [18] reported that that surgeons' with proper knowledge of risk of seroconversion had safer practices. Reda et al [19] asserted the positive effect of work experience on reducing the frequency of needlestick injuries.…”

Section: Discussionmentioning

confidence: 99%

Blood and Body Fluid Exposure Related Knowledge, Attitude and Practices of Hospital Based Health Care Providers in United Arab Emirates

Zaidi

Griffiths

Beshyah

et al. 2012

Safety and Health at Work

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ObjectivesKnowledge, attitudes, and practices of healthcare providers related to occupational exposure to bloodborne pathogens were assessed in a tertiary-care hospital in Middle East.MethodsA cross-sectional study was undertaken using a self-administered questionnaire based on 3 paired (infectivity known vs. not known-suspected) case studies. Only 17 out of 230 respondents had an exposure in the 12 months prior to the survey and of these, only 2 had complied fully with the hospital's exposure reporting policy.ResultsIn the paired case studies, the theoretical responses of participating health professionals showed a greater preference for initiating self-directed treatment with antivirals or immunisation rather than complying with the hospital protocol, when the patient was known to be infected. The differences in practice when exposed to a patient with suspected blood pathogens compared to patient known to be infected was statistically significant (p < 0.001) in all 3 paired cases. Failure to test an infected patient's blood meant that an adequate risk assessment and appropriate secondary prevention could not be performed, and reflected the unwillingness to report the occupational exposure.ConclusionTherefore, the study demonstrated that healthcare providers opted to treat themselves when exposed to patient with infectious disease, rather than comply with the hospital reporting and assessment protocol.

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Knowledge, Attitude, and Practice of Iranian Surgeons About Blood-Borne Diseases

Cited by 29 publications

References 27 publications

Seroprevalence of hepatitis B and C virus infections among health students and health care workers in the Najran region, southwestern Saudi Arabia: The need for national guidelines for health students

Seroprevalence of hepatitis B and C virus infections among health students and health care workers in the Najran region, southwestern Saudi Arabia: The need for national guidelines for health students

Occupational Exposure to Blood and Other Body Fluids Among Healthcare Workers in Three Teaching Hospitals, Southeast Iran

Blood and Body Fluid Exposure Related Knowledge, Attitude and Practices of Hospital Based Health Care Providers in United Arab Emirates

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