Standard precautions: occupational exposure and behavior of health care workers in Ethiopia.

<h4>Background</h4>Occupational exposure to blood and body fluids is a serious concern for health care workers, and presents a major risk for the transmission of infections such as HIV and hepatitis viruses. The objective of this study was to investigate occupational exposures and behavi...

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Autores principales: Ayalu A Reda, Shiferaw Fisseha, Bezatu Mengistie, Jean-Michel Vandeweerd
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Publicado: Public Library of Science (PLoS) 2010
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spelling oai:doaj.org-article:40a4967daebd440e9d71b5d677d6a5b92021-11-18T07:01:16ZStandard precautions: occupational exposure and behavior of health care workers in Ethiopia.1932-620310.1371/journal.pone.0014420https://doaj.org/article/40a4967daebd440e9d71b5d677d6a5b92010-12-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/21203449/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Occupational exposure to blood and body fluids is a serious concern for health care workers, and presents a major risk for the transmission of infections such as HIV and hepatitis viruses. The objective of this study was to investigate occupational exposures and behavior of health care workers (HCWs) in eastern Ethiopia.<h4>Methods</h4>We surveyed 475 HCWs working in 10 hospitals and 20 health centers in eastern Ethiopia using a structured questionnaire with a response rate of 84.4%. Descriptive statistics and multivariate analysis using logistic regression were performed.<h4>Results</h4>Life time risks of needle stick (30.5%; 95% CI 26.4-34.6%) and sharps injuries (25.7%; 95% CI 21.8-29.6%) were high. The one year prevalence of needle stick and sharps injury were 17.5% (95% CI 14.1-20.9%) and 13.5% (95% CI 10.4-16.6%) respectively. There was a high prevalence of life time (28.8%; 95% CI = 24.7-32.9%) and one year (20.2%; 95% CI = 16.6-23.8%) exposures to blood and body fluids. Two hundred thirteen (44.8%) HCWs reported that they were dissatisfied by the supply of infection prevention materials. HCWs had sub-optimal practices and unfavorable attitudes related to standard precautions such as needle recapping (46.9%) and discriminatory attitudes (30.5%) toward HIV/AIDS patients.<h4>Conclusion</h4>There was a high level of exposure to blood and body fluids among HCWs. We detected suboptimal practices and behavior that put both patients and HCWs at significant risk of acquiring occupational infections. Health authorities in the study area need to improve the training of HCWs and provision of infection prevention equipment. In addition, regular reporting and assessment of occupational exposures need to be implemented.Ayalu A RedaShiferaw FissehaBezatu MengistieJean-Michel VandeweerdPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 5, Iss 12, p e14420 (2010)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Ayalu A Reda
Shiferaw Fisseha
Bezatu Mengistie
Jean-Michel Vandeweerd
Standard precautions: occupational exposure and behavior of health care workers in Ethiopia.
description <h4>Background</h4>Occupational exposure to blood and body fluids is a serious concern for health care workers, and presents a major risk for the transmission of infections such as HIV and hepatitis viruses. The objective of this study was to investigate occupational exposures and behavior of health care workers (HCWs) in eastern Ethiopia.<h4>Methods</h4>We surveyed 475 HCWs working in 10 hospitals and 20 health centers in eastern Ethiopia using a structured questionnaire with a response rate of 84.4%. Descriptive statistics and multivariate analysis using logistic regression were performed.<h4>Results</h4>Life time risks of needle stick (30.5%; 95% CI 26.4-34.6%) and sharps injuries (25.7%; 95% CI 21.8-29.6%) were high. The one year prevalence of needle stick and sharps injury were 17.5% (95% CI 14.1-20.9%) and 13.5% (95% CI 10.4-16.6%) respectively. There was a high prevalence of life time (28.8%; 95% CI = 24.7-32.9%) and one year (20.2%; 95% CI = 16.6-23.8%) exposures to blood and body fluids. Two hundred thirteen (44.8%) HCWs reported that they were dissatisfied by the supply of infection prevention materials. HCWs had sub-optimal practices and unfavorable attitudes related to standard precautions such as needle recapping (46.9%) and discriminatory attitudes (30.5%) toward HIV/AIDS patients.<h4>Conclusion</h4>There was a high level of exposure to blood and body fluids among HCWs. We detected suboptimal practices and behavior that put both patients and HCWs at significant risk of acquiring occupational infections. Health authorities in the study area need to improve the training of HCWs and provision of infection prevention equipment. In addition, regular reporting and assessment of occupational exposures need to be implemented.
format article
author Ayalu A Reda
Shiferaw Fisseha
Bezatu Mengistie
Jean-Michel Vandeweerd
author_facet Ayalu A Reda
Shiferaw Fisseha
Bezatu Mengistie
Jean-Michel Vandeweerd
author_sort Ayalu A Reda
title Standard precautions: occupational exposure and behavior of health care workers in Ethiopia.
title_short Standard precautions: occupational exposure and behavior of health care workers in Ethiopia.
title_full Standard precautions: occupational exposure and behavior of health care workers in Ethiopia.
title_fullStr Standard precautions: occupational exposure and behavior of health care workers in Ethiopia.
title_full_unstemmed Standard precautions: occupational exposure and behavior of health care workers in Ethiopia.
title_sort standard precautions: occupational exposure and behavior of health care workers in ethiopia.
publisher Public Library of Science (PLoS)
publishDate 2010
url https://doaj.org/article/40a4967daebd440e9d71b5d677d6a5b9
work_keys_str_mv AT ayaluareda standardprecautionsoccupationalexposureandbehaviorofhealthcareworkersinethiopia
AT shiferawfisseha standardprecautionsoccupationalexposureandbehaviorofhealthcareworkersinethiopia
AT bezatumengistie standardprecautionsoccupationalexposureandbehaviorofhealthcareworkersinethiopia
AT jeanmichelvandeweerd standardprecautionsoccupationalexposureandbehaviorofhealthcareworkersinethiopia
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