Standard Precautions: Occupational Exposure and Behavior of Health Care Workers in Ethiopia
Open Access
- 23 December 2010
- journal article
- research article
- Published by Public Library of Science (PLoS) in PLOS ONE
- Vol. 5 (12), e14420
- https://doi.org/10.1371/journal.pone.0014420
Abstract
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. 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. 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. 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.This publication has 37 references indexed in Scilit:
- Sharps injuries among health care workers in the United Arab EmiratesOccupational Medicine, 2010
- Epidemiology of needlestick injuries among health-care workers in Awassa City, Southern EthiopiaTropical Doctor, 2010
- Healthcare workers and health care-associated infections: knowledge, attitudes, and behavior in emergency departments in ItalyBMC Infectious Diseases, 2010
- Occupational exposure to blood and body fluids among health care workers in a general hospital, ChinaAmerican Journal of Industrial Medicine, 2008
- Salaries and incomes of health workers in sub-Saharan AfricaThe Lancet, 2008
- Hepatitis B virus infection among people attending the voluntary counselling and testing centre and anti-retroviral therapy clinic of St Paul's General Specialised Hospital, Addis Ababa, EthiopiaSexually Transmitted Infections, 2008
- Discriminatory Attitudes and Practices by Health Workers toward Patients with HIV/AIDS in NigeriaPLoS Medicine, 2005
- Higher prevalence of anti‐HCV antibodies among HIV‐positive compared to HIV‐negative inhabitants of Addis Ababa, EthiopiaJournal of Medical Virology, 2002
- Knowledge, attitudes and practices of nursing staff in a rural hospital of Cameroon: how much does the health care provider know about the human immunodeficiency virus/acquired immune deficiency syndrome?International Nursing Review, 2001
- A comparison of observed and self-reported compliance with universal precautions among emergency department personnel at a minnesota public teaching hospital: Implications for assessing infection control programsAnnals of Emergency Medicine, 1992