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埃塞俄比亚西北部基层医院医护人员和医疗废物处理人员中乙肝病毒感染的血清流行率及相关因素

Sero-prevalence of hepatitis B virus infection and associated factors among health care workers and medical waste handlers in primary hospitals of North-west Ethiopia.

作者信息

Yizengaw Endalew, Getahun Tamyalew, Geta Mekuanint, Mulu Wondemagegn, Ashagrie Mulat, Hailu Derese, Tedila Shibabaw

机构信息

Department of Medical Laboratory Science, College of Medicine and Health Sciences, Bahir Dar University, PO Box 79, Bahir Dar, Ethiopia.

Addis Alem Hospital, Bahir Dar, Ethiopia.

出版信息

BMC Res Notes. 2018 Jul 3;11(1):437. doi: 10.1186/s13104-018-3538-8.

Abstract

OBJECTIVE

The aim of this cross-sectional study was to determined the sero-prevalence of HBV infection and associated factors among health care workers and medical waste handlers in primary hospitals of North-west Ethiopia.

RESULTS

A total of 388 study participants were included in this study. Of which, 268 (69%) were health care workers and 120 (31%) were medical waste handlers. Males accounted 54.9% and the mean age for all study participants was 28.3 (standard deviation = 6.9). Hepatitis B virus surface antigen (HBsAg) was detected in 2.6% health care workers and 2.5% medical waste handlers and the overall hepatitis B virus infection was 10 (2.6%). High rate of hepatitis B virus infection was detected in single participants and those in the age group of 30-40 years were more infected (6.6%). History of contact with HBV infected case (8.3%) (AOR = 6.8, 95% CI = 1.6-28.5, P = 0.009) and history of jaundice (15.4%) (AOR = 10.5, 95% CI = 2.1-12.2, P = 0.03) were statistically associated factors for HBV infection. More than half (54.4%) of the study participants did not take training on infection and 9 (4.3%) of them were positive for HBsAg (COR = 1.3, 95% CI = 0.0.02-1.02, P = 0.052).

摘要

目的

本横断面研究旨在确定埃塞俄比亚西北部基层医院医护人员和医疗废物处理人员中乙肝病毒(HBV)感染的血清流行率及其相关因素。

结果

本研究共纳入388名研究参与者。其中,268名(69%)为医护人员,120名(31%)为医疗废物处理人员。男性占54.9%,所有研究参与者的平均年龄为28.3岁(标准差=6.9)。医护人员中HBsAg检测阳性率为2.6%,医疗废物处理人员中为2.5%,总体HBV感染率为10例(2.6%)。单身参与者中HBV感染率较高,30 - 40岁年龄组的感染率更高(6.6%)。有接触HBV感染病例史者(8.3%)(调整后比值比[AOR]=6.8,95%可信区间[CI]=1.6 - 28.5,P=0.009)和有黄疸病史者(15.4%)(AOR=10.5,95%CI=2.1 - 12.2,P=0.03)是HBV感染的统计学相关因素。超过一半(54.4%)的研究参与者未接受过感染方面的培训,其中9名(4.3%)HBsAg检测呈阳性(校正比值比[COR]=1.3,95%CI=0.02 - 1.02,P=0.052)。

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