Management of Health Care Workers Remotely Vaccinated for Hepatitis B Who Sustain Significant Blood and Body Fluid Exposures

1988 ◽  
Vol 9 (10) ◽  
pp. 462-464 ◽  
Author(s):  
Michael B. Snyder
Keyword(s):  
Health Care ◽  
Hepatitis B ◽  
Mucous Membrane ◽  
Health Care Workers ◽  
Body Fluid ◽  
Hepatitis B Vaccination ◽  
Recombinant Hepatitis ◽  
Care Workers ◽  
Hepatitis B Vaccines ◽  
Duration Of Protection

The availability of both plasma-derived and recombinant hepatitis B vaccines has given hospitals and other health care institutions the possibility of significantly reducing a major infectious hazard in the workplace. With the increasing use and acceptance of these vaccines, many employees who have a significant blood or body fluid exposure (percutaneous or mucous membrane) have already completed hepatitis B vaccination. Concerns have arisen over the duration of protection of vaccination, as it has been over five years since the introduction of the plasma-derived vaccine.

Risk of Exposure, Perception and Vaccination Status of Chronic Viral Hepatitis among Health Care Workers in Benue State, North Central Nigeria

2021 ◽  
Vol 2 (1) ◽  
pp. 57-62
Author(s):  
A S Obekpa ◽  
A O Malu ◽  
R Bello ◽  
M Duguru
Keyword(s):  
Health Care ◽  
Hepatitis B ◽  
Viral Hepatitis ◽  
Health Care Workers ◽  
Hepatitis B Vaccine ◽  
Hepatitis B Vaccination ◽  
Care Workers ◽  
Risk Of Exposure ◽  
Needle Prick ◽  
Needle Prick Injury

Health care workers are high-risk group for contracting hepatitis B and C virus infections. Hepatitis B and C can be contracted in the hospital setting by needle prick injury, contact with blood (and body fluids) and during invasive medical procedures. This study aims to assess the risk of exposure, the concern or perception of healthcare workers about getting infected (with HBV and/or HCV) from the workplace and the level of HBV vaccination uptake among them. The study was carried out during a capacity building workshop organized for health care workers from all the Local Government Areas in Benue State. A self-administered questionnaire was distributed to 168 participants in attendance, after obtaining verbal consent. One hundred and thirty-eight (138) questionnaires were properly filled and returned, 115 (83.3%) have had needle prick injury, 127 (92%) have had blood spilling on them and 118 (85.5%) have been involved in the management of hepatitis patients. One hundred and nineteen (86.2%) were afraid of contracting hepatitis infection from their place of work, 133 (96.4%) were aware of hepatitis B vaccine for adult, 87 (63%) had received at least one dose of hepatitis B vaccine but only 56 (40.6%) received the complete three doses. Health care workers in Benue State are aware of the risk of contracting viral hepatitis at their workplace and are concerned about this risk. However, the uptake of hepatitis B vaccination among them remains poor.

Hepatitis B vaccination status and associated factors among health care workers in Burkina Faso

2013 ◽  
Vol 23 (1) ◽  
pp. 72-77 ◽  
Author(s):  
H.G. Ouédraogo ◽  
S. Kouanda ◽  
S. Tiendrébeogo ◽  
G.A. Konseimbo ◽  
C.E. Yetta ◽  
...  
Keyword(s):  
Health Care ◽  
Hepatitis B ◽  
Burkina Faso ◽  
Health Care Workers ◽  
Associated Factors ◽  
Vaccination Status ◽  
Hepatitis B Vaccination ◽  
Care Workers

scholarly journals Hepatitis B Virus Vaccination Status and Anti Hepatitis B Surface Antibody Titer among the Health Care Workers of a Hemodialysis Unit

2020 ◽  
Vol 9 (2) ◽  
pp. 23-27
Author(s):  
Shailendra Shrestha ◽  
Pratap Roy
Keyword(s):  
Health Care ◽  
Hepatitis B ◽  
Antibody Titer ◽  
Health Care Workers ◽  
Vaccination Status ◽  
Hepatitis B Vaccination ◽  
Hemodialysis Unit ◽  
Care Workers ◽  
B Virus ◽  
Surface Antibody

Background: Health care workers are in high risk of getting infected with hepatitis B virus. A large proportion of them do not receive a 3-dose series of hepatitis B vaccination and have anti hepatitis B surface antibody titer  <10 mIU/ml. Materials and Methods: Health care workers of the hemodialysis unit were included from March 2019 to March 2020 and were interviewed about hepatitis B vaccination status. Serum samples of the participants were analyzed for anti hepatitis B surface antibody titer. Participants with antibody titer of <10mIU/ml were given a 3-dose series of hepatitis B vaccination and antibody titer was again measured 1-2 months after the last dose. Results: Among 30 participants, 19 (63.3%) had 3-dose series of hepatitis B vaccination, and all of them had anti hepatitis B antibody titer of >10 mIU/ml. Remaining 11 participants (36.7%), with either partial (6) or no hepatitis B vaccination (5), had antibody titer of <10mIU/ml. The mean ranks of antibody titer was significantly associated with the hepatitis B vaccination status (P<0.001). All 11 participants with antibody titer of <10 mIU/ml received a 3-dose series of hepatitis B vaccine and all of them achieved antibody titer >10 mIU/ml. Conclusion: Our study shows that a large proportion of health care workers of hemodialysis unit were either partially or not vaccinated with hepatitis B vaccination and were having anti hepatitis B antibody titer of <10 mIU/ml. However, with complete 3-dose series of hepatitis B vaccination all of them achieved a protective antibody titer of ≥10 mIU/ml.

scholarly journals Occupational exposures to blood and body fluids among health care workers at university hospitals

2013 ◽  
Vol 141 (11-12) ◽  
pp. 789-793 ◽  
Author(s):  
Ljiljana Markovic-Denic ◽  
Milos Brankovic ◽  
Natasa Maksimovic ◽  
Bojan Jovanovic ◽  
Ivana Petrovic ◽  
...  
Keyword(s):  
Health Care ◽  
Hepatitis B ◽  
Health Care Workers ◽  
Body Fluid ◽  
Occupational Exposures ◽  
Body Fluids ◽  
Medical Attention ◽  
Needlestick Injuries ◽  
University Hospitals ◽  
Care Workers

Introduction. Occupational exposure to blood and body fluids is a serious concern of health care workers and presents a major risk of transmission of infections such as human immuno-deficiency virus (HIV), hepatitis B virus (HBV), and hepatitis C virus (HCV). Objective. The aim of this study was to determine the frequency and circumstances of occupational blood and body fluid exposures among health care workers. Methods. Cross-sectional study was conducted in three university hospitals in Belgrade. Anonymous questionnaire was used containing data about demographic characteristics, self-reported blood and body fluid exposures and circumstances of percutaneous injuries. Results. Questionnaire was filled in and returned by 216 health care workers (78.2% of nurses and 21.8% of doctors). 60.6% of participants-health care workers had sustained at least one needlestick injury during their professional practice; 25.9% of them in the last 12 months. Of occupational groups, nurses had higher risk to experience needlestick injuries than doctors (p=0.05). The majority of the exposures occurred in the operating theatre (p=0.001). Among factors contributing to the occurrence of needlestick injuries, recapping needles (p=0.003) and decontamination/cleaning instruments after surgery (p=0.001) were more frequent among nurses, while use of a needle before intervention was common among doctors (p=0.004). Only 41.2% of health care workers had reported their injuries to a supervisor in order to obtain medical attention. 50.2% of health care workers were vaccinated with three doses of hepatitis B vaccine. Conclusion. There is a high rate of needlestick injuries in the daily hospital routine. Implementation of safety devices would lead to improvement in health and safety of medical staff.

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