RESEARCH PAPER
Knowledge, attitude, and practice of blood-borne diseases among healthcare providers in two selected educational hospitals in Southwest Iran
 
More details
Hide details
1
Alborzi Clinical Microbiology Research Center, Namazi Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
 
2
Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran
 
3
HIV/AIDS Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran
 
 
Submission date: 2020-09-15
 
 
Final revision date: 2021-06-08
 
 
Acceptance date: 2021-06-09
 
 
Publication date: 2022-07-05
 
 
HIV & AIDS Review 2022;21(3):256-260
 
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Blood-borne infections continue to be a major problem throughout the world, and healthcare providers are at risk of being infected by this infections. Probability of transmission of disease through blood among healthcare personnel was estimated to be 2.6% for hepatitis C virus (HCV), 5.9% for hepatitis B virus (HBV), and 0.5% for human immunodeficiency virus (HIV). Moreover, studies show high prevalence of needle stick in Iran, ranging from 38% to 71%. Hence, the present study was done to investigate knowledge, attitude, and practice (KAP) of healthcare personnel in two large educational hospitals, i.e., Namazi and Faghihi, Southwest Iran.

Material and methods:
This was a cross-sectional and analytical study, with randomly selected sample. Study tool was a researcher-made questionnaire based on previous similar studies. Collected data were analyzed using SPSS version 24.0 software.

Results:
In the present study, knowledge has been similar in both sexes, with weak to medium score in average. Average of attitude score was 25.82 out of 50, and average of practice score was 27.47 of 60. However, attitude and practice were significantly higher among women compared with men (p < 0.001). In terms of practice, majority of participants rated as weak. Besides, there was significant relation between knowledge and practice.

Conclusions:
Low level of knowledge in all job categories indicated that participating in training courses did not provide desired efficiency. Therefore, applying more effective training methods instead of lecture-based techniques are necessary.

 
REFERENCES (25)
1.
Pirozzolo JJ, LeMay DC. Blood-borne infections. Clinics in Sports Medicine 2007; 26: 425-431.
 
2.
Rossouw TM, van Rooyen M, Louw JM, Richter KL. Blood-borne infections in healthcare workers in South Africa. South Afr Med J 2014; 104: 732-735.
 
3.
Prüss-Üstün A, Rapiti E, Hutin YJ. Sharps injuries: global burden of disease from sharps injuries to health-care workers. Geneva; 2003.
 
4.
Centers for Disease Control and Prevention. Bloodborne infectious diseases: HIV/AIDS, hepatitis B, hepatitis C. 2010. Available at: http://www cdc gov/niosh/topics/bbp/.
 
5.
Ciorlia LA, Zanetta DM. Hepatitis B in healthcare workers: prevalence, vaccination and relation to occupational factors. Braz J Infect Dis 2005; 9: 384-389.
 
6.
Yenesew MA, Fekadu GA. Occupational exposure to blood and body fluids among health care professionals in Bahir Dar town, Northwest Ethiopia. Saf Health Work 2014; 5: 17-22.
 
7.
Hanafi M, Mohamed A, Kassem M, Shawki M. Needlestick injuries among health care workers of University of Alexandria Hospitals. East Mediterr Health J 2011; 17: 26-35.
 
8.
Wicker S, Jung J, Allwinn R, Gottschalk R, Rabenau HF. Prevalence and prevention of needlestick injuries among health care workers in a German university hospital. Int Arch Occup Environ Health 2008; 81: 347-354.
 
9.
Adib-Hajbaghery M, Lotfi MS. Behavior of healthcare workers after injuries from sharp instruments. Trauma Monthly 2013; 18: 75.
 
10.
Askarian M, Malekmakan L. The prevalence of needle stick injuries in medical, dental, nursing and midwifery students at the university teaching hospitals of Shiraz, Iran. Indian J Med Sci 2006; 60: 227-232.
 
11.
Mobasherizadeh S, Ebneshahidi S, Mohammadi NA, Abazari F. Intervention study of needle stick injury in Iran. Saudi Med J 2005; 26: 1225-1227.
 
12.
Board S. Risks to health care workers in developing countries. N Engl J Med 2001; 345: 538-541.
 
13.
U.S. Public Health Service. Updated US Public Health Service Guidelines for the management of occupational exposures to HBV, HCV, and HIV and recommendations for postexposure prophylaxis. MMWR Recomm Rep 2001; 50(RR-11): 1-52.
 
14.
Pittet D, Allegranzi B, Storr J. The WHO Clean Care is Safer Care programme: field-testing to enhance sustainability and spread of hand hygiene improvements. J Infect Public Health 2008; 1: 4-10.
 
15.
World Health Organization. Practical guidelines for infection control in health care facilities. Manila: WHO Regional Office for the Western Pacific; 2004.
 
16.
Kang J, Cho J, Kim Y, et al. Hospital nurses’ knowledge and compliance on multidrug-resistant organism infection control guideline. J Korean Acad Nurs 2009; 39: 186-197.
 
17.
Janjua NZ, Razaq M, Chandir S, Rozi S, Mahmood B. Poor knowledge – predictor of nonadherence to universal precautions for blood borne pathogens at first level care facilities in Pakistan. BMC Infect Dis 2007; 7: 81.
 
18.
Hentgen V, Jaureguiberry S, Ramiliarisoa A, Andrianantoandro V, Belec M. Knowledge, attitude and practices of health personnel with regard to HIV/AIDS in Tamatave (Madagascar). Bull Soc Pathol Exot 2002; 95: 103-108 [Article in French].
 
19.
Gurubacharya D, Mathura K, Karki D. Knowledge, attitude and practices among health care workers on needle-stick injuries. Kathmandu Univ Med J (KUMJ) 2003; 1: 91-94.
 
20.
Alam M. Knowledge, attitude and practices among health care workers on needle-stick injuries. Ann Saudi Med 2002; 22: 396-399.
 
21.
Zaidi MA, Griffiths R, Beshyah SA, Myers J, Zaidi MA. Blood and body fluid exposure related knowledge, attitude and practices of hospital based health care providers in United Arab Emirates. Saf Health Work 2012; 3: 209-215.
 
22.
Fazio RH, Chen JM, McDonel EC, Sherman SJ. Attitude accessibility, attitude-behavior consistency, and the strength of the object-evaluation association. J Exp Soc Psychol 1982; 18: 339-357.
 
23.
Aisien A, Shobowale M. Health care workers’ knowledge on HIV and AIDS: universal precautions and attitude towards PLWHA in Benin-City, Nigeria. Nigerian J Clin Pract 2005; 8: 74-82.
 
24.
Zhang M, Wang H, Miao J, Du X, Li T, Wu Z. Occupational exposure to blood and body fluids among health care workers in a general hospital, China. Am J Industrial Med 2009; 52: 89-98.
 
25.
Mehta A, Rodrigues C, Ghag S, Bavi P, Shenai S, Dastur F. Needlestick injuries in a tertiary care centre in Mumbai, India. J Hosp Infect 2005; 60: 368-373.
 
eISSN:1732-2707
ISSN:1730-1270
Journals System - logo
Scroll to top