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. 2013:14:10.
doi: 10.11604/pamj.2013.14.10.1373. Epub 2013 Jan 6.

Prevalence and factors associated with percutaneous injuries and splash exposures among health-care workers in a provincial hospital, Kenya, 2010

Everline Muhonja Mbaisi  1 , Zipporah Ng'ang'a, Peter Wanzala, Jared Omolo
Affiliations

Prevalence and factors associated with percutaneous injuries and splash exposures among health-care workers in a provincial hospital, Kenya, 2010

Everline Muhonja Mbaisi et al. Pan Afr Med J. 2013.

Abstract

Introduction: Accidental occupational exposure of healthcare workers to blood and body fluids after skin injury or mucous membrane contact constitutes a risk for transmission of blood-borne pathogens. Such pathogens include Human Immunodeficiency Virus (HIV), Hepatitis B virus (HBV) and Hepatitis C virus (HCV). We conducted a study to determine the prevalence and associated factors for percutaneous injuries and splash exposures among health-care workers in Rift Valley provincial hospital.

Methods: A cross-sectional study was carried out from October to November 2010. Self reported incidents, circumstances surrounding occupational exposure and post-exposure management were sought by use of interviewer administered questionnaire. Descriptive, bivariate and multiple logistic regression (forward stepwise procedure) analyses were performed. The level of significance was set at 0.05.

Results: Twenty five percent of health-care workers interviewed (N=305) reported having been exposed to blood and body fluids in the preceding 12 months. Percutaneous injuries were reported by 19% (n=305) and splash to mucous membrane by 7.2%. Higher rates of percutaneous injuries were observed among nurses (50%), during stitching (30%), and in obstetric and gynecologic department (22%). Health workers aged below 40 years were more likely to experience percutaneous injuries (OR=3.7; 95% CI=1.08-9.13) while previous training in infection prevention was protective (OR=0.52; 95% CI=0.03-0.90). Forty eight percent (n=83) reported the incidents with 20% (n=83) taking PEP against HIV.

Conclusion: Percutaneous injuries and splashes are common in Rift Valley Provincial hospital. Preventive measures remain inadequate. Health institutions should have policies, institute surveillance for occupational risks and enhance training of health care workers.

Keywords: HIV; Health-care; blood; blood-borne pathogens; body fluids; occupational exposure.

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References

    1. International labour Organization. An ILO Code of Practice on HIV/AIDS and World of Work. Geneva: ILO; p. 200. Available at http://www.ilocarib.org. Last accessed 29th April 2011.
    1. Awases MJ, Nyoni AG, Chatora R. Migration of Health Professionals in Six Countries: A Synthesis Report. Brazzaville: World Health Organization Regional Office for Africa; 2004.
    1. Lee JM, Botteman MF, Xanthakos N, Nicklasson L. Needlestick Injuries in the United States' epidemiologic, economic and quality of life issues. Am Ass Occ Healh Nurs J. 2005;53:1173. (Abstract) - PubMed
    1. Pruss UA, Rapiti E, Hutin Y. Estimation of global burden of disease attributable to contaminated sharps injuries among healthcare workers. AM J Ind Med. 2005;48(6):482–490. - PubMed
    1. Pruss UA, Rapiti E, Hutin Y. Sharps injuries; Global burden of diseases from sharps injuries to healthcare workers. Geneva Switzerland: World Health Organization; 2003.

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