Accidental Exposure to Blood: Case Reporting and Management of Healthcare workers in the Biyem-assi District Hospital in 2016
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 6th September to 20th 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 184.108.40.206.
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
Keywords: Accidental- Exposure, Healthcare -workers, HIV, HBV, HCV.
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