乌干达中部瓦基索地区医疗保健提供者对乙型肝炎暴露后预防的认识。
Awareness of hepatitis B post-exposure prophylaxis among healthcare providers in Wakiso district, Central Uganda.
机构信息
Department of Disease Control and Environmental Health, School of Public Health, College of Health Science, Makerere University, Kampala, Uganda.
Center of Excellence for Maternal New-Born Child Health Care, School of Public Health, College of Health Science, Makerere University, Kampala, Uganda.
出版信息
PLoS One. 2022 Jun 23;17(6):e0270181. doi: 10.1371/journal.pone.0270181. eCollection 2022.
BACKGROUND
Healthcare providers (HCPs) are at an elevated occupational health risk of hepatitis B virus infections. Post-exposure prophylaxis (PEP) is one of the measures recommended to avert this risk. However, there is limited evidence of HCPs' awareness of hepatitis B PEP. Therefore, this study aimed to establish awareness of hepatitis B PEP among HCPs in Wakiso, a peri-urban district that surrounds Uganda's capital, Kampala.
METHODS
A total of 306 HCPs, selected from 55 healthcare facilities (HCFs) were interviewed using a validated structured questionnaire. The data were collected and entered using the Kobo Collect mobile application. Multivariable binary logistic regression was used to establish the factors associated with awareness of hepatitis B PEP.
RESULTS
Of the 306 HCPs, 93 (30.4%) had ever heard about hepatitis B PEP and 16 (5.2%) had ever attended training where they were taught about hepatitis B PEP. Only 10.8% were aware of any hepatitis B PEP options, with 19 (6.2%) and 14 (4.6%) mentioning hepatitis B immunoglobulin (HBIG) and hepatitis B vaccine, respectively as PEP options. Individuals working in the maternity department were less likely to be aware of hepatitis B PEP (AOR = 0.10, 95% CI = 0.02-0.53). There was a positive association between working in a healthcare facility in an urban setting and awareness of hepatitis B PEP (AOR = 5.48, 95% CI = 1.42-21.20). Hepatitis B screening and vaccination were not associated with awareness of PEP.
CONCLUSIONS
Only one-tenth of the HCPs were aware of any hepatitis B PEP option. Awareness of hepatitis B PEP is associated with the main department of work and working in a healthcare facility in an urban setting. This study suggests a need to sensitise HCPs, especially those in rural HCFs and maternity wards on hepatitis B PEP. The use of innovative strategies such as e-communication channels, including mobile text messaging might be paramount in bridging the awareness gap.
背景
医疗保健提供者（HCPs）面临着乙型肝炎病毒感染的职业健康风险增加。暴露后预防（PEP）是避免这种风险的措施之一。然而，关于 HCPs 对乙型肝炎 PEP 的认识，证据有限。因此，本研究旨在确定乌干达首都坎帕拉周边城乡结合部瓦基索地区 HCPs 对乙型肝炎 PEP 的认识。
方法
从 55 家医疗保健机构（HCFs）中选择了 306 名 HCPs，使用经过验证的结构化问卷对其进行了访谈。使用 Kobo Collect 移动应用程序收集和输入数据。采用多变量二项逻辑回归来确定与乙型肝炎 PEP 意识相关的因素。
结果
在 306 名 HCPs 中，有 93 名（30.4%）听说过乙型肝炎 PEP，有 16 名（5.2%）参加过乙型肝炎 PEP 培训。只有 10.8%的人知道任何乙型肝炎 PEP 选择，其中 19 人（6.2%）和 14 人（4.6%）分别提到乙型肝炎免疫球蛋白（HBIG）和乙型肝炎疫苗是 PEP 选择。在妇产科工作的人不太可能了解乙型肝炎 PEP（AOR = 0.10，95%CI = 0.02-0.53）。在城市医疗保健机构工作与乙型肝炎 PEP 意识呈正相关（AOR = 5.48，95%CI = 1.42-21.20）。乙型肝炎筛查和疫苗接种与 PEP 意识无关。
结论
只有十分之一的 HCPs 了解任何乙型肝炎 PEP 选择。乙型肝炎 PEP 的认识与主要工作部门以及在城市医疗保健机构工作有关。本研究表明，需要提高 HCPs，特别是农村 HCFs 和妇产科的乙型肝炎 PEP 意识。使用创新战略，如电子通信渠道，包括移动短信，可能是弥合认识差距的关键。
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