提库尔安贝萨专科医院医护人员乙型肝炎感染知识、乙型肝炎疫苗接种情况评估

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摘要

背景:卫生工作者中的乙型肝炎感染率通常高于一般人群,特别是在撒哈拉以南地区。世卫组织建议所有卫生保健工作者接种高传染性血源性病毒HBV疫苗。然而,先前的研究报道,卫生保健工作者对乙型肝炎感染、乙型肝炎疫苗及其疫苗接种覆盖率的了解程度较低,并且在不同环境下卫生保健工作者之间存在差异。目的:本研究旨在评估2020年3月10日至9月10日埃塞俄比亚亚的斯亚贝巴TASH地区医护人员对HBV感染、HBV疫苗和HBV疫苗接种情况的了解情况。方法与材料:对随机抽取的358名医护人员进行以医院为基础的横断面研究。采用分层随机抽样的方法,采用自填问卷收集资料。然后将数据输入Epi-data 4.2版本,导出到SPSS (Statistical Package for Social Science) 26版本进行分析。对于二元logistic分析中p值< 0.25的协变量,进一步进行多元logistic回归分析,检测真实预测因子。结果:参与本研究的医护人员中,有180人(51.4%)对HBV感染有充分的了解。医生是卫生保健工作者中知识最渊博的,实习生[AOR=11.3(95% CI=4.5- 28.6)]、会诊医师[AOR=7(95% CI=3.1-15.9)]和住院医师[AOR=3.5(95% CI=1.9-6.9)]是良好知识的显著预测因子。疫苗接种率为60%,这是由较短的工作经验预测的[AOR=4.7(95%=1.4-5.8)]。结论:本研究揭示了卫生保健工作者对HBV的一般知识水平不足,疫苗覆盖率不理想。因此,有关利益攸关方应加大努力,提高卫生保健工作者对病毒及其疫苗作用的认识,并加大疫苗利用力度
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessment of Knowledge on Hepatitis B infection, Hepatitis B Vaccine and Vaccination Status Among Health Care Workers in Tikur Anbessa Specialized Hospital
Background: Hepatitis B infection is usually higher among health workers than the general population, particularly in the sub-Saharan region. WHO recommends vaccination for all health care workers (HCWs) against the highly infectious, blood borne virus: HBV. However, previous studies reported that knowledge of HCWs toward the hepatitis B infection, Hepatitis B vaccine and their vaccination coverage was low and vary among HCWs in different settings. Objective: This study was aimed to assess knowledge about HBV infection, HBV vaccine and status of HBV vaccination among healthcare workers in TASH, Addis Ababa, Ethiopia from March 10 to September 10, 2020. Methods and Materials: Hospital based cross-sectional study was conducted on 358 HCWs who were selected randomly. Stratified random sampling method was used to collect the data using self-administered questionnaire. Then, the data was entered into Epi-data 4.2 version and was exported to Statistical Package for Social Science (SPSS) version 26 for analysis. All covariates that showed p value < 0.25 in binary logistic analysis were further analyzed by multiple logistic regressions to detect true predictors. Result: Among the health care workers, who participated in this study, 180 (51.4%) of them had adequate knowledge on the HBV infection. Medical doctors were the most knowledgeable among the HCWs, with interns [AOR=11.3(95% CI=4.5- 28.6)], consultant physicians [AOR=7(95% CI=3.1-15.9)] & resident physicians [AOR=3.5(95% CI=1.9-6.9)] being significant predictors of good knowledge. Vaccination coverage was 60% which was predicted by a shorter work experience [AOR=4.7(95%=1.4-5.8)]. Conclusion: This study reveals that general knowledge level of HCWs about HBV is inadequate and vaccine coverage is suboptimal. Thus, concerned stakeholders should devote more efforts to improve the health care workers awareness about the virus and role of its vaccine and also more work to avail vaccine
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