Knowledge, attitudes and practices towards blood-borne pathogens in healthcare workers in Banja Luka, Bosnia and Herzegovina

• Authors: Slavenka Jankovic , Janja Bojanic , Aleksandra Jovic-Vranes , Jelena Marinkovic , Janko Jankovic
• Languages of publication: EN

Abstracts

EN

Exposure to blood borne pathogens poses a serious risk to healthcare workers (HCWs). This study was undertaken to investigate knowledge, attitudes and practices among HCWs towards blood borne pathogens. We carried out a cross sectional KAP (Knowledge, Attitudes and Practice) study, using self-administered questionnaire. The study population consisted of 127(23.6%) physicians, and 410 (76.4%) nurses and laboratory technicians. Factor analysis and conditional multiple logistic regression were used in statistical analysis. We found that the knowledge of the epidemiological characteristics of blood-borne infection, the risk of acquisition and available preventative measures among HCWs is insufficient. Doctors were more knowledgeable about the transmissibility of blood borne pathogens regarding sexual transmission after percutaneous exposure (odds ratio) OR=2.71; 95% (confidence interval) CI=1.51–4.84, OR=2.45; 95% CI=1.21–4.96), respectively. Nurses reported professional exposure to patient’s blood more often than doctors (OR=0.90; 95% CI=0.84–0.96). Negative attitudes towards HIV positive patients were also noted. Less than half of HCWs used appropriate barriers (gloves, mask, and glasses) to protect them regularly. The compulsory preventive measures implied by the results of this study are continuous education, immunization against Hepatitis B, implementing Standard Precautions, as well as the development of written guidelines on the prevention of blood-borne infections.

Keywords

EN

Blood-borne pathogens; Health care workers; KAP study; Professional exposure

• Publisher: De Gruyter Open
• Journal: Open Medicine
• Year: 2009
• Volume: 4
• Issue: 4
• Pages: 409-414

Dates

published

1 - 12 - 2009

online

3 - 10 - 2009

Contributors

author

Slavenka Jankovic

• Institute of Epidemiology, School of Medicine, University of Belgrade, 11000, Belgrade, Serbia

author

Janja Bojanic

• Medical Faculty Banja Luka, R Srpska, 78000, Balja Luka, Bosnia and Herzegovina

author

Aleksandra Jovic-Vranes

• Institute of Social Medicine, School of Medicine, University of Belgrade, 11000, Belgrade, Serbia

author

Jelena Marinkovic

• Institute of Medical Statistics and Informatics, School of Medicine, University of Belgrade, 11000, Belgrade, Serbia

author

Janko Jankovic

• Institute of Social Medicine, School of Medicine, University of Belgrade, 11000, Belgrade, Serbia

References

• [1] Kermode M., Jolley D., Langkham B., Thomas M. S., Crofts N., Occupational exposure to blood and risk of bloodborne virus infection among health care workers in rural north India health care settings, Am. J. Infect. Control, 2005, 33, 34–41 http://dx.doi.org/10.1016/j.ajic.2004.07.015[Crossref]
• [2] World Health Organization, The World Health Report, Box 4.4.2002. Geneva, Switzerland,2002, http://www.who.int/whr/2002/chapter4/en/index8.html
• [3] Wnuk A. M., Occupational exposure to HIV in health care workers, Med. Sci. Monit., 2003, 9, CR197–200
• [4] Beltrami E. M., Williams I.T., Shapiro C.N., Chamberland E.M., Risk and Management of blood-borne infections in health care workers, Clin. Microbiol. Rev., 2000, 13, 385–407 http://dx.doi.org/10.1128/CMR.13.3.385-407.2000[Crossref]
• [5] Trim J.C., Elliott T.S., A review of sharps injuries and preventative strategies, J. Hosp. Infect., 2003, 53, 237–242 http://dx.doi.org/10.1053/jhin.2002.1378[Crossref]
• [6] Dement J.M, Epling C., Ostbye T., Pompeii L.A., Hunt D.L., Blood and body fluid exposure risks among health care workers: results from the Duke Health and Safety Surveillance System, Am. J. Ind. Med., 2004, 46, 637–648 http://dx.doi.org/10.1002/ajim.20106[Crossref]
• [7] Jagger J., De Carli G., Perry J., Puro V., Ippolito G., Occupational exposure to bloodborne pathogens: epidemiology and prevention. In Wenzel R.P. (Ed), Prevention and Control of Nosocomial Infections, 4th ed., Lippincott Williams and Wilkins, Baltimore, 2003
• [8] CDC. Update: Universal precautions for prevention of transmission of human immunodeficiency virus, hepatitis B virus, and other bloodborne pathogens in health care settings, MMWR, 1988, 37, 377–382, 387–388
• [9] Kermode M., Jolley D., Langkham B., Thomas M.S., Holmes W., Gifford S.M., Compliance with Universal/Standard Precautions amongst health care workers in rural north Indian health settings, Am. J. Infect. Control, 2005, 33, 27–33 http://dx.doi.org/10.1016/j.ajic.2004.07.014[Crossref]
• [10] Moloughney B.W., Transmission and postexposure management of blood borne virus infections in the health care setting: where are we now?, CMAJ, 2001, 165, 445–451
• [11] 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
• [12] Ippolito G., Sagliocca L., D’Ubaldo C., et al., The knowledge, attitudes and practice in regard to the risk for occupational HIV infection in a group of gynecologists from 3 Italian regions, Epidemiol. Prev., 1995, 19, 276–281
• [13] Aisien A.O., Shobowale M.O., Health care workers’ knowledge on HIV and AIDS: Universal precautions and attitude towards PLWHA in Benin-City, Nigeria, Niger. J. Clin. Pract., 2005, 8, 74–82
• [14] Jovic Vranes A., Jankovic S., Vranes B., Safety workers and Professional Exposure to Blood and Bloodborne Containing materials in Serbian Health Care Workers, J. Occup. Health, 2006, 48, 377–382 http://dx.doi.org/10.1539/joh.48.377[Crossref]
• [15] Gerberding J.L., Does knowledge of human immunodeficiency virus infection decrease the frequency of occupational exposure to blood?, Am. J. Med., 1991, 91, 308S–311S http://dx.doi.org/10.1016/0002-9343(91)90387-D[Crossref]
• [16] Brusaferro S., Martina P., Puzzolante L., Gasparini V., Epidemiological study on knowledge, attitudes and behaviour of health care workers with respect to HIV infection, Med. Lav., 1997, 88, 495–506
• [17] Hossini C.H., Tripodi D., Rahhali A.E., et al., Knowledge and attitudes of health care professionals with respect to AIDS and the risk of occupational transmissions of HIV in 2 Moroccan hospitals, Sante, 2000, 10 (5), 315–321
• [18] Fusilier M., Manning M.R., Santini Villar A.J., Torres Rodriguez D., AIDS knowledge and attitudes of health-care workers in Mexico, J. Soc. Psychol., 1998, 138, 203–210 http://dx.doi.org/10.1080/00224549809600371[Crossref]
• [19] Kermode M., Holmes W., Langkham B., Thomas MS., Gifford S., HIV-related knowledge, attitudes and risk perception among nurses, doctors and other healthcare workers in rural India, Indian J. Med. Res., 2005, 22, 258–264
• [20] Shiao J., Guo I., McLaws M.L., Estimation of the risk of bloodborne pathogens to health care workers after a needlestick injury in Taiwan, Am. J. Infect. Control, 2002, 30, 15–20 http://dx.doi.org/10.1067/mic.2002.119928[Crossref]
• [21] Olsen R.J., Lynch P., Coyle M.B., Cummings J., Bokete T., Stamm W.E., Examination gloves as barriers to hand contamination in clinical practice, JAMA, 1993, 270, 350–353 http://dx.doi.org/10.1001/jama.270.3.350[Crossref]
• [22] Gillen M., Davis M., McNary J., et al., Sharps injury record keeping activities and safety product use in California health care facilities: pilot study results from the sharp injury control program, Am. J. Infect. Control, 2002, 30, 269–276 http://dx.doi.org/10.1067/mic.2002.122646[Crossref]
• [23] OSHA, Occupational exposure to blood borne pathogens; needle sticks, and other sharp injuries; final rule, OSHA, 2001, http://www.osha.gov/SLTC/bloodbornepathogens/standards.html
• [24] Wilburn S.Q., Eijkemans G., Preventing needlestick injuries among healthcare workers: a WHO-ICN collaboration, Int. J. Occup. Environ. Health, 2004, 10, 451–456 [Crossref]

Identifiers

DOI

10.2478/s11536-009-0087-5