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Submitted: 05 May 2014
Revised: 29 Jun 2014
Accepted: 29 Jun 2014
First published online: 30 Aug 2014
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Avicenna J Clin Microbiol Infect. 2014;1(2): e19949.
doi: 10.17795/ajcmi-19949
  Abstract View: 210
  PDF Download: 169

Research Article

Hepatitis B Vaccination Coverage and Sharp Injuries Among Healthcare Workers in Hamadan, Iran

Seyyed Hamid Hashemi 1, Mojgan Mamani 1 * , Saadat Torabian 2

1 Brucella Research Centre, Department of Infectious Diseases, Hamadan University of Medical Sciences, Hamadan, IR Iran
2 Department of Social Medicines, Hamadan University of Medical Sciences, Hamadan, IR Iran
Corresponding author: Mojgan Mamani, Brucella Research Centre, Department of Infectious Diseases, Farshchian Hospital, Hamadan University of Medical Sciences, Hamadan, IR Iran. Tel: +98-8118274192, Fax: +98-8118276010 Email: mamanimojgan@yahoo.com

Abstract

Background: Hepatitis B virus (HBV) is one of the most common pathogens associated with needle stick and sharp injuries (NSSIs) among healthcare workers.

Objective: The aim of this study was to evaluate HBV vaccination coverage and NSSIs among healthcare workers in Hamadan.

Materials and Methods: This cross-sectional study was performed on teaching hospitals personnel in 2010. A two-part questionnaire was designed for data collection. All participants completed the first part, which concerned demographic data, history of HBV vaccination, and hepatitis B surface antibody (HBsAb) testing. If a history of NSSI during the preceding year was noted, the second part was completed that consisted of data about characteristics of injury including time, place, and method as well as the measures taken after the injuries.

Results: Out of 700 healthcare workers, 585 had a complete course of HBV vaccination and only 45.7% had checked the titer of HBsAb. A total of 294 participants (42%) had positive results for HBsAb titer. The rate of accidental NSSI was 24.1% during the preceding year and 48.5% of NSSIs were during blood sampling or intravenous catheter insertion.

Conclusion: Hepatitis B vaccination of all nonimmune healthcare workers and measuring HBsAb after vaccination can reduce the risk of nosocomial transmission of HBV to medical staff. Furthermore, the risk of blood-borne disease transmission can be reduced by educating medical personnel on effective methods of reducing the risk of NSSIs as well as taking appropriate measures when NSSIs occur.

Keywords: Injuries, Needle stick, Health Personnel, Infection Control, Hepatitis B Vaccines
Copyright © 2014, Hamadan University of Medical Sciences; Published by Safnek. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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