Occupational exposure to HIV among healthcare workers in PMTCT sites in Port Harcourt, Nigeria
Open Access
- 6 April 2020
- journal article
- research article
- Published by Springer Science and Business Media LLC in BMC Public Health
- Vol. 20 (1), 1-8
- https://doi.org/10.1186/s12889-020-08528-5
Abstract
Rivers State is among the states with high HIV prevalence in Nigeria. Occupational exposure to HIV through blood or body fluids of HIV/AIDS patients is a recognised risk factor of HIV infections among healthcare workers. We identified the determinants of occupational exposures to HIV among healthcare workers in Prevention of Maternal to Child Transmission (PMTCT) sites within Port Harcourt metropolis in Rivers State. A descriptive cross-sectional study was conducted and multi-stage sampling technique was used to select 341 healthcare providers from 22 public and 22 private health facilities in PMTCT sites in Port Harcourt metropolis. The data collected were analysed using descriptive statistics, Chi-square and logistic regression models (p-value = 0.05). Respondents’ mean age was 35.9 ± SD8.4 years, 270 (80.1%) and 171(50.7%) were females, and from public health facilities respectively. Prevalence of occupational exposure of healthcare workers to HIV in the past 12 months was 153 (45.0%), and 96 (63.3%) experienced such exposure more than once. Contacts with potentially infectious body fluid accounted for the largest proportion 51 (33.3%); followed by needle stick prick 49 (32.6%). About 189 (56.1%) had safety information at their disposal and this serves as a reminder on safety precautions. The likelihood of occupational exposure was significantly higher among doctors (AOR = 2.22, 95% C.I = 1.16–4.25,) but lower among environmental health workers (AOR = 0.10, 95% C.I = 0.02–0.46,) than nurses/midwives when other factors were included in the model. Occupational exposure to blood and body fluids remains a frequent occurrence among healthcare workers; highest among doctors in PMTCT sites in the study area. Provision of protective safety materials, training and enforcement of adherence to universal precaution strategies are highly recommended.Keywords
Other Versions
This publication has 25 references indexed in Scilit:
- Occupational HIV risk for health care workers: risk factor and the risk of infection in the course of professional activitiesTherapeutics and Clinical Risk Management, 2016
- Influencing factors on use of standard precautions against occupational exposures to blood and body fluids among nurses in China.2015
- Knowledge of occupational exposure to HIV: a cross sectional study of healthcare workers in Tumbi and Dodoma hospitals, Tanzania.BMC Health Services Research, 2015
- A mediation approach to understanding socio-economic inequalities in maternal health-seeking behaviours in EgyptBMC Health Services Research, 2015
- Occupational Injuries Prone to Infectious Risks amongst Healthcare Personnel in Kuwait: A Retrospective StudyMedical Principles and Practice, 2014
- Knowledge, Attitude, and Practices Regarding Occupational HIV Exposure and Protection among Health Care Workers in ChinaJournal of the International Association of Providers of AIDS Care (JIAPAC), 2014
- Assessment of Prevalence and Determinants of Occupational Exposure to HIV Infection among Healthcare Workers in Selected Health Institutions in Debre Berhan Town, North Shoa Zone, Amhara Region, Ethiopia, 2014AIDS Research and Treatment, 2014
- Occupational Exposure to Blood and Body Fluids among Health-Care Workers in SerbiaMedical Principles and Practice, 2014
- Occupational Exposure, Risk Perception and Access to Prophylaxis for HIV/AIDS Infection among Health Care Workers in Northern NigeriaBritish Journal of Medicine and Medical Research, 2013
- Standard Precautions: Occupational Exposure and Behavior of Health Care Workers in EthiopiaPLOS ONE, 2010