Abstract:

Introduction: Accidental Exposure to Blood and body fluids (AEB) is one of the most important risks among Healthcare workers (HCW), and is less reported in some settings. They are exposed to many blood borne pathogens including HIV, Hepatitis C virus, and Hepatitis B virus. The objective of this study was to assess the quality of the case reporting, the post-exposure management and to address some suggestions for the HCW protection in the Biyem-assi District Hospital (BDH).

Method: We obtained an administrative authorization, we conducted a cross sectional hospital-based study from 6^th September to 20^th October 2016. We used the register of all the reported Accidental injuries, a convenience sampling in the different HCW groups in contact with patients, and addressed a questionnaire to assess their knowledge, their immunization status against HBV. We performed a descriptive analysis of data using Epi info version 7.1.1.14.

Results: There is a good knowledge of the definition of the AEB. Only injuries with the HIV positive patients were reported, no hepatitis test and Anti-Hbs titer were performed on the victims. Less information is known about the outcome after the post-exposure prophylaxis, 48.84% of the HCW have not received a vaccination against Hepatitis B. 83.72% of the participants do not have any Health insurance.

Conclusion: AEB is less reported in the BDH. 48.84% of HCW are not vaccinated against the HBV. There is a need for Sensitization for a complete case -reporting, follow-up after injuries; Strong regulations for a mandatory immunization among HCW.

Keywords: Accidental- Exposure, Healthcare -workers, HIV, HBV, HCV.

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