Journal ArticleDOI
Estimation of the global burden of disease attributable to contaminated sharps injuries among health‐care workers
TLDR
Occupational exposures to percutaneous injuries are substantial source of infections with bloodborne pathogens among health-care workers (HCWs).Abstract:
Background The global burden of hepatitis B (HBV), hepatitis C (HCV), and human immunodeficiency virus (HIV) infection due to percutaneous injuries among health care workers (HCWs) is estimated. Methods The incidence of infections attributable to percutaneous injuries in 14 geographical regions on the basis of the probability of injury, the prevalence of infection, the susceptibility of the worker, and the percutaneous transmission potential are modeled. The model also provides the attributable fractions of infection in HCWs. Results Overall, 16,000 HCV, 66,000 HBV, and 1,000 HIVinfections may have occurred in the year 2000 worldwide among HCWs due to their occupational exposure to percutaneous injuries. The fraction of infections with HCV, HBV, and HIV in HCWs attributabletooccupationalexposuretopercutaneousinjuriesfractionreaches39%,37%, and 4.4% respectively. Conclusions Occupational exposures to percutaneous injuries are substantial source of infections with bloodborne pathogens among health-care workers (HCWs). These infections are highly preventable and should be eliminated. Am. J. Ind. Med. 48:482–490, 2005. 2005 Wiley-Liss, Inc.read more
Citations
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Journal ArticleDOI
Needlestick and Sharps Injuries Among Nurses at a Teaching Hospital in China.
TL;DR: Logistic regression analysis suggests that age and work department were independent risk factors for NSIs, and programs must be developed to prevent injuries caused by needlesticks and sharps.
Journal ArticleDOI
Post exposure prophylaxis following occupational exposure to HIV: a survey of health care workers in Mbeya, Tanzania, 2009-2010
TL;DR: Despite the observed rate of occupational exposure to HCWs in Tanzania, use of PEP is still low and effective prevention from HIV infection at work places is required through proper training of HCWs on PEP with emphasis on timely reporting of exposures.
Journal ArticleDOI
Prevalence of needlestick injury among healthcare workers in Ethiopia: a systematic review and meta-analysis
TL;DR: The pooled prevalence of needlestick injuries among Ethiopian healthcare workers was high and efforts should be implemented to reduce the occurrence of injuries.
Journal ArticleDOI
Practices of healthcare workers regarding infection prevention in bale zone hospitals, Southeast Ethiopia
TL;DR: Good knowledge towards infection prevention, working in departments, availability of personal protective equipment, and water at work place were found to have statistically significant association with self-reported good infection prevention practices.
Journal ArticleDOI
Is Universal HBV Vaccination of Healthcare Workers a Relevant Strategy in Developing Endemic Countries? The Case of a University Hospital in Niger
G. Pellissier,Yazdan Yazdanpanah,Yazdan Yazdanpanah,Eric Adehossi,William Tosini,Boubacar Madougou,Kaza Ibrahima,Isabelle Lolom,Sylvie Legac,Elisabeth Rouveix,Karen Champenois,Christian Rabaud,Elisabeth Bouvet +12 more
TL;DR: The very small proportion of HCW susceptible to HBV infection in this study and other studies suggests that in a global approach to prevent occupational infection by bloodborne pathogens, a universal hepatitis B vaccination of HCWs is not priority in these settings.
References
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Journal Article
Updated U.S. Public Health Service guidelines for the management of occupational exposures to HIV and recommendations for postexposure prophylaxis.
TL;DR: In this paper, the U.S. Public Health Service (USPS) recommended HIV post-exposure prophylaxis (PEP) regimens have been changed.
Journal ArticleDOI
The role of parenteral antischistosomal therapy in the spread of hepatitis C virus in Egypt
Christina Frank,Mostafa K. Mohamed,G. Thomas Strickland,Daniel Lavanchy,Ray R. Arthur,Laurence S. Magder,Taha El Khoby,Yehia Abdel-Wahab,El Said Aly Ohn,Wagida A. Anwar,Ismail Sallam +10 more
TL;DR: The data suggest that PAT had a major role in the spread of HCV throughout Egypt, and this intensive transmission established a large reservoir of chronic HCV infection, responsible for the high prevalence ofHCV infection and current high rates of transmission.
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A case-control study of HIV seroconversion in health care workers after percutaneous exposure. Centers for Disease Control and Prevention Needlestick Surveillance Group.
Denise M. Cardo,David H. Culver,Carol A. Ciesielski,Pamela U. Srivastava,Ruthanne Marcus,Dominique Abiteboul,Julia Heptonstall,Giuseppe Ippolito,Florence Lot,Penny S. McKibben,David M. Bell +10 more
TL;DR: A case–control study of health care workers with occupational, percutaneous exposure to HIV-infected blood showed that significant risk factors for seroconversion were deep injury, injury with a device that was visibly contaminated with the source patient's blood, and a procedure inv...
Journal ArticleDOI
Prevention of perinatally transmitted hepatitis b virus infections with hepatitis b immune globulin and hepatitis b vaccine
R. Palmer Beasley,R. Palmer Beasley,George Chin-Yun Lee,George Chin-Yun Lee,Cheng Hsiung Roan,Cheng Hsiung Roan,Lu-Yu Hwang,Lu-Yu Hwang,Chung Chi Lan,Chung Chi Lan,Fu Yuan Huang,Fu Yuan Huang,Chiung Lin Chen,Chiung Lin Chen +13 more
TL;DR: With HBIG coverage from birth, the timing of the start of vaccination does not seem to be of importance within the first month of life, but to maximise compliance and minimise costs hepatitis B vaccination should be initiated during the confinement.