Adal Ousman, Abebe Asmamaw
Department of Emergency, Bahir Dar University College of Medicine and Health Sciences, Bahir Dar, Ethiopia.
Department of Emergency, Addis Ababa University College of Medicine and Health Sciences, Addis Ababa, Ethiopia.
Clin Med Insights Case Rep. 2023 Mar 18;16:11795476231161406. doi: 10.1177/11795476231161406. eCollection 2023.
The study investigated the sero-status of human immunodeficiency virus among healthcare workers in Addis Ababa public hospitals.
A multi-centered, institutional-based cross-sectional study was conducted from September 18, 2022, to October 30, 2022. A simple random sampling method and semi-structured, self-administered questionnaires were used to collect the data, which were analyzed using statistical package for social science version 25. A binary logistic regression model was used to identify factors associated with the sero-status of healthcare workers' post-exposure blood and body fluids for the human immunodeficiency virus.
Of the 420 study participants who were exposed to blood and body fluids, 403 (96%) were non-reactive. Healthcare workers who had 20 to 29 years of work experience had approximately 6 times higher odds of testing positive for human immunodeficiency virus (AOR = 6.21, 95% CI: (2.39, 9.55). Healthcare workers who did not use personal protective equipment properly had 5 times higher odds of testing positive for human immunodeficiency virus (AOR = 5.02, CI: 3.73, 9.51).
This study showed that a higher proportion of healthcare workers at the emergency department were positive for human immunodeficiency virus infection among healthcare workers who were exposed to blood and body fluids and tested immediately. Healthcare workers who did not use personal protective equipment properly had higher odds of testing positive for human immune-deficiency virus.
本研究调查了亚的斯亚贝巴公立医院医护人员的人类免疫缺陷病毒血清学状况。
于2022年9月18日至2022年10月30日进行了一项多中心、基于机构的横断面研究。采用简单随机抽样方法和半结构化、自行填写的问卷收集数据,使用社会科学统计软件包第25版进行分析。采用二元逻辑回归模型确定与医护人员接触后血液和体液中人类免疫缺陷病毒血清学状况相关的因素。
在420名接触过血液和体液的研究参与者中,403人(96%)检测结果为阴性。工作经验在20至29年的医护人员感染人类免疫缺陷病毒呈阳性的几率大约高出6倍(调整后比值比=6.21,95%置信区间:(2.39, 9.55))。未正确使用个人防护装备的医护人员感染人类免疫缺陷病毒呈阳性的几率高出5倍(调整后比值比=5.02,置信区间:3.73, 9.51)。
本研究表明,在接触血液和体液并立即进行检测的医护人员中,急诊科医护人员感染人类免疫缺陷病毒呈阳性的比例较高。未正确使用个人防护装备的医护人员感染人类免疫缺陷病毒呈阳性的几率更高。