Harun Md Golam Dostogir, Sumon Shariful Amin, Mohona Tahrima Mohsin, Rahman Aninda, Abdullah Syed Abul Hassan Md, Islam Md Saiful, Anwar Md Mahabub Ul
Infectious Diseases Division, International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR, B), Dhaka 1212, Bangladesh.
Communicable Disease Control (CDC), Directorate General of Health Services, Government of Bangladesh, Dhaka 1212, Bangladesh.
Vaccines (Basel). 2022 Dec 24;11(1):41. doi: 10.3390/vaccines11010041.
Healthcare workers (HCWs) are at a four-fold higher risk of being infected with the hepatitis B virus in hospital settings. This study investigated the hepatitis B vaccination coverage among Bangladeshi HCWs in selected tertiary care hospitals. Between September 2020 to January 2021, a multicenter cross-sectional study was conducted in 11 hospitals across Bangladesh. Participants included physicians, nurses, cleaners, and administrative staff. A semi-structured questionnaire was used to collect data through face-to-face interviews. Descriptive and multivariate statistics were used to analyze the data. The overall hepatitis B vaccination coverage was 66.6% (1363/2046) among HCWs, with cleaning staff having the lowest at 38.8%. Among the unvaccinated, 89.2% of HCWs desired to receive the free vaccine in the near future. In the last year, over one-fourth of staff (27.9%) had at least one history of needlestick injury. Only 9.8% HCWs were found to have attended training on hepatitis B virus prevention and management in the previous two years. Multivariate analysis revealed that physicians (AOR: 7.13, 95% CI: 4.94-10.30) and nurses (AOR: 6.00, 95% CI: 4.09-8.81) were more likely to be vaccinated against hepatitis B than cleaners and administrative staff. Low uptake of hepatitis B vaccination among HCWs suggests policies that require vaccination are needed to achieve optimum vaccine coverage.
医护人员（HCWs）在医院环境中感染乙型肝炎病毒的风险高出四倍。本研究调查了选定的三级护理医院中孟加拉国医护人员的乙肝疫苗接种覆盖率。在2020年9月至2021年1月期间，在孟加拉国的11家医院进行了一项多中心横断面研究。参与者包括医生、护士、清洁工和行政人员。通过面对面访谈使用半结构化问卷收集数据。使用描述性和多变量统计分析数据。医护人员的总体乙肝疫苗接种覆盖率为66.6%（1363/2046），其中清洁人员的接种率最低，为38.8%。在未接种疫苗的人员中，89.2%的医护人员希望在不久的将来接种免费疫苗。在过去一年中，超过四分之一的工作人员（27.9%）至少有过一次针刺伤史。在前两年中，仅发现9.8%的医护人员参加过乙肝病毒预防和管理培训。多变量分析显示，医生（调整后比值比：7.13，95%置信区间：4.94-10.30）和护士（调整后比值比：6.00，95%置信区间：4.09-8.81）比清洁工和行政人员更有可能接种乙肝疫苗。医护人员乙肝疫苗接种率低表明需要制定要求接种疫苗的政策，以实现最佳疫苗接种覆盖率。
