AWARENESS AND KNOWLEDGE OF VIRAL HEPATITIS PREVENTION AND TRANSMISSION IN HEALTHCARE WORKERS

MF JAMIL; AMI KHAN; N YOUSAF; HDA KHAN; K MALIK; S YOUSAF

doi:10.54112/bcsrj.v2024i1.667

Authors

MF JAMIL Department of Community Medicine, Nishtar Medical College and University (NMU & H) Multan, Pakistan
AMI KHAN Department of Community Medicine, Nishtar Medical College and University (NMU & H) Multan, Pakistan
N YOUSAF Department of Biochemistry, CIMS Multan, Pakistan
HDA KHAN Department of Community Medicine, Nishtar Medical College and University (NMU & H) Multan, Pakistan
K MALIK 1. Department of Community Medicine, Nishtar Medical College and University (NMU & H) Multan, Pakistan
S YOUSAF Department of Community Medicine, Nishtar Medical College and University (NMU & H) Multan, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v2024i1.667

Keywords:

Hepatitis B, Health care workers, Prevention, Transmission

Abstract

The objective of this study was to evaluate the knowledge and awareness of healthcare workers about the prevention and transmission of hepatitis B virus. The study was conducted in Nishtar Medical Hospital, Multan, from January 2023 to September 2023 and included 300 healthcare workers, such as doctors and nurses. The participants were asked to fill out a 50-question questionnaire designed to test their knowledge about hepatitis B. The questionnaire was in English, but assistance was provided if needed. The questions were related to the virus, behaviors, and medical practices when treating infected patients, and it took an average of 30 minutes to complete. The results showed that 74% of the healthcare workers knew the consequences and possible complications of acquiring HBV infection. Between 69% and 80% of the respondents answered correctly about the transmission routes. However, only 24% of the HCWs knew the age distribution of the infections and that neonates were at the highest risk of developing it through mother-to-child transmission. Respondents answered wrongly about transmission through food and cutlery with the infected (69%), through sneezing and coughing (81%), prevention of infection by thorough cleaning (50%), and not sharing food and cutlery with the infected (55%). Only half of the workers knew about disposing of needles and syringes correctly. The average knowledge score was 24 ± 5 with a median score of 24 (10-33). Respondents performed the worst when answering questions about CHB monitoring and treatment. In conclusion, this study found that the awareness and knowledge about hepatitis B prevention and transmission among healthcare workers in Pakistan is poor. Therefore, it is recommended to make training programs mandatory for professionals to improve disease management.

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References

Abbas, M., Rafique, S., and Asam, Z.-U.-Z. (2023). Occupational health and safety rights of hospital workers about needle stick injury exposure in Pakistan. International Journal of Human Rights in Healthcare.

Abidi, T. F., Ahsan, S. J., and Fatima, N. (2018). Hepatitis B vaccination coverage and immunization status among health care workers in Punjab and Islamabad, Pakistan. South Asian Journal of Emergency Medicine 1, 16-16.

Akazong, E., Tume, C., Njouom, R., Ayong, L., Fondoh, V., and Kuiate, J.-R. (2020). Knowledge, attitude, and prevalence of hepatitis B virus among healthcare workers: a cross-sectional, hospital-based study in Bamenda Health District, NWR, Cameroon. BMJ open 10.

Auta, A., Adewuyi, E. O., Kureh, G. T., Onoviran, N., and Adeloye, D. (2018). Hepatitis B vaccination coverage among health-care workers in Africa: a systematic review and meta-analysis. Vaccine 36, 4851-4860.

Basireddy, P., Avileli, S., Beldono, N., and Gundela, S. L. (2018). Evaluation of immune response to hepatitis B vaccine in healthcare workers at a tertiary care hospital. Indian journal of medical microbiology 36, 397-400.

Butt, A. S., and Ahmed, F. (2018). Management of chronic hepatitis B: knowledge and practices of physicians in Pakistan. Journal of clinical and experimental hepatology 8, 342-351.

Childs, L., Roesel, S., and Tohme, R. A. (2018). Status and progress of hepatitis B control through vaccination in the South-East Asia Region, 1992–2015. Vaccine 36, 6-14.

Gul, F., Savul, S., Aamir, R., Zehra, T., Mujtaba, H., and Sadiq, F. (2022). Knowledge and awareness of Hepatitis B, Hepatitis C, and HIV among pregnant women in Pakistan. The Journal of Infection in Developing Countries 16, 1512-1516.

Ishimaru, T., Wada, K., Hoang, H. T. X., Bui, A. T. M., Nguyen, H. D., Le, H., and Smith, D. R. (2017). Nurses’ willingness to care for patients infected with HIV or Hepatitis B/C in Vietnam. Environmental health and preventive medicine 22, 1-7.

Khan, M. A., Khilji, M. F., Rauf, A., Janjua, M. I., and Altintas, K. H. (2019). Hepatitis B and C related knowledge, attitudes and practices of health care workers in Azad Kashmir, Pakistan–A potentially disastrous area.

Liu, Y., Ma, C., Jia, H., Xu, E., Zhou, Y., Zhang, Z., Lu, L., Rodewald, L., and Hao, L. (2018). Knowledge, attitudes, and practices regarding hepatitis B vaccination among hospital-based doctors and nurses in China: Results of a multi-site survey. Vaccine 36, 2307-2313.

Maqsood, S., Iqbal, S., Zakar, R., Zakar, M. Z., and Fischer, F. (2021). Determinants of overall knowledge and health behaviours in relation to hepatitis B and C among ever-married women in Pakistan: evidence based on Demographic and Health Survey 2017–18. BMC Public Health 21, 2328.

Maucort‐Boulch, D., de Martel, C., Franceschi, S., and Plummer, M. (2018). Fraction and incidence of liver cancer attributable to hepatitis B and C viruses worldwide. International journal of cancer 142, 2471-2477.

Mehmood, S., Raza, H., Abid, F., Saeed, N., Rehman, H. M., Javed, S., and Khan, M. S. (2020). National prevalence rate of hepatitis B and C in Pakistan and its risk factors. Journal of Public Health 28, 751-764.

Mursy, S. M.-e. M., and Mohamed, S. O. O. (2019). Knowledge, attitude, and practice towards Hepatitis B infection among nurses and midwives in two maternity hospitals in Khartoum, Sudan. BMC public health 19, 1-7.

Musroor, R., and Saleem, S. (2020). Prevalence and perception of needle stick injury among health care professionals at a tertiary care hospital, Karachi, Pakistan. American Journal of Infection Control 48, S31.

Mustafa, A. S. M., Ahmed, A. S. M., Alamin, T. A. A., Shaheen, M. T. H., Hilali, A. M. M. A., Fadul, M. H. M. A., Abdelsalam, A. A. A., Abdelrahim, M. A. S., and Elsheikh, M. N. M. A. (2018). Knowledge, attitude and practice of hepatitis (B) among healthcare workers in relation to their vaccination status in Khartoum, Sudan, 2015: a cross-sectional study. Sudan Journal of Medical Sciences 13, 22-32.

Prüss‐Üstün, A., Rapiti, E., and Hutin, Y. (2005). Estimation of the global burden of disease attributable to contaminated sharps injuries among health‐care workers. American journal of industrial medicine 48, 482-490.

Qin, Y.-L., Li, B., Zhou, Y.-S., Zhang, X., Li, L., Song, B., Liu, P., Yuan, Y., Zhao, Z.-P., and Jiao, J. (2018). Prevalence and associated knowledge of hepatitis B infection among healthcare workers in Freetown, Sierra Leone. BMC infectious diseases 18, 1-8.

Razavi-Shearer, D., Gamkrelidze, I., Nguyen, M. H., Chen, D.-S., Van Damme, P., Abbas, Z., Abdulla, M., Abou Rached, A., Adda, D., and Aho, I. (2018). Global prevalence, treatment, and prevention of hepatitis B virus infection in 2016: a modelling study. The lancet Gastroenterology & hepatology 3, 383-403.

Samo, A. A., Laghari, Z. A., Baig, N. M., and Khoso, G. M. (2021). Prevalence and risk factors associated with hepatitis B and C in Nawabshah, Sindh, Pakistan. The American journal of tropical medicine and hygiene 104, 1101.

Shao, E. R., Mboya, I. B., Gunda, D. W., Ruhangisa, F. G., Temu, E. M., Nkwama, M. L., Pyuza, J. J., Kilonzo, K. G., Lyamuya, F. S., and Maro, V. P. (2018). Seroprevalence of hepatitis B virus infection and associated factors among healthcare workers in northern Tanzania. BMC infectious diseases 18, 1-10.

Shrestha, D. B., Khadka, M., Khadka, M., Subedi, P., Pokharel, S., and Thapa, B. B. (2020). Hepatitis B vaccination status and knowledge, attitude, and practice regarding Hepatitis B among preclinical medical students of a medical college in Nepal. PloS one 15, e0242658.

Soomar, S. M., Siddiqui, A. R., Azam, S. I., and Shah, M. (2021). Determinants of hepatitis B vaccination status in health care workers of two secondary care hospitals of Sindh, Pakistan: A cross-sectional study. Human vaccines & immunotherapeutics 17, 5579-5584.

Waheed, U., Abdella, Y. E., e Saba, N., Arshad, M., Wazeer, A., Farooq, A., Usman, J., Arshad, A., and Zaheer, H. A. (2019). Evaluation of screening effectiveness of hepatitis B surface antigen and anti-HCV rapid test kits in Pakistan. Journal of Laboratory Physicians 11, 369-372.