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
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Hepatitis B vaccine uptake among healthcare workers in a referral hospital, Accra.
Gloria Akosua Ansa,Kenneth Ofori,Ekua Essumanma Houphouet,Afua Asabea Amoabeng,Jerry Selase Sifa,Christian Kofi Amenuveve,Gifty Harriet Odame +6 more
TL;DR: The lack of hepatitis B vaccination among some HCWs at the University of Ghana Hospital, Legon (UGHL) puts them at risk of contracting hepatitis B infection.
Journal ArticleDOI
Post exposure prophylaxis of HIV transmission after occupational injuries in Queen Elizabeth Central Hospital, Blantyre, Malawi, 2003 - 2008
G C van der Maaten,Moffat J. Nyirenda,MJ Beadsworth,A Chitani,Theresa J. Allain,J.J. van Oosterhout +5 more
TL;DR: Prevention efforts for occupational injuries should be increased and specifically target HCWs in training positions, and measures to improve quality of the PEP programme include effective publicity campaigns, compulsory Hepatitis B vaccination and active tracing of HCWs who default follow up after PEP.
Journal ArticleDOI
Inadequacies in hospital waste and sewerage management in chattogram, Bangladesh: Exploring environmental and occupational health hazards
Batool Behnam,Shafiqua Nawrin Oishi,Sayed Mohammad Nazim Uddin,Nazifa Rafa,Sayed Mohammad Nasiruddin,Akm Moniruzzaman Mollah,Ma Hongzhi +6 more
TL;DR: This study evaluated the Knowledge, Attitude, and Practice of doctors and nurses in a private and a public hospital in Chattogram city via a structured questionnaire survey and investigated the quality of the wastewater and tested it for the presence of resistant enteric pathogens.
Journal ArticleDOI
Sharps injuries among emergency department nurses in one tertiary care hospital in Ghana
TL;DR: The high incidence of sharps injuries indicates an urgent and pressing need for policy and educational interventions to address the infectious disease risk to this group of emergency department staff.
Journal ArticleDOI
The risk of HCV infection among health-care workers and its association with extrahepatic manifestations (Review).
Adriana Garozzo,Luca Falzone,Venerando Rapisarda,Andrea Marconi,Diana Cinà,Concettina Fenga,Demetrios A. Spandidos,Massimo Libra +7 more
TL;DR: The compliance of the protection procedures, included in the current regulation for HCWs, is the most important issue to reduce the risk of pathogen infections that in turn may produce reduction of infection-associated malignancies.
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.
Journal ArticleDOI
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.