孟加拉国某三级医院医护人员对丙型肝炎病毒感染的知识、态度和做法

Mymensingh medical journal : MMJ Pub Date : 2025-10-01
M A Hossain, M K Alam, M M Rahman, S M Ashrafozzaman, F Ahamed, S Bhuiyan, M A Islam, P R Das, D Bhat, M R Karim, M Shahidullah, M Junaid, M M Moshwan, M A Hoque, M R Haidar, M A Rouf, M A Mural
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引用次数: 0

摘要

丙型肝炎病毒(HCV)正在成为孟加拉国的主要卫生问题之一。在世界范围内,大约有7100万人患有慢性感染。孟加拉国丙型肝炎病毒感染率为0.88%。慢性丙型肝炎病毒携带者有可能在医院环境中通过肠道传播丙型肝炎病毒;因此,卫生保健工作者(HCWs)面临感染丙型肝炎病毒的风险,最可能的接触是通过针头刺伤(NSI)。由于到目前为止还没有有效的疫苗,个人防护、安全输血和血液制品、安全处置医院生物废物以及使用一次性或自动禁用的注射器将是孟加拉国这样的国家的最佳预防选择。本研究旨在调查迈门辛医学院医院医护人员对丙型肝炎病毒的知识、态度和行为。本横断面观察研究于2019年7月至2019年12月对239名医护人员(79名医生、100名护士、50名实验室技术人员和10名搬运工)进行。采用结构化问卷法收集数据。总有效率为85.0%。对于丙型肝炎病毒的知识,医生是最了解的,而搬运工是最不了解的。40岁以上、有10年以上工作史的男性对丙型肝炎的阳性态度最多,内科医生的阳性态度高于其他人群。接受过培训的人比其他人有更积极的态度。在这项研究中,大约一半的参与者接受了有关标准预防措施的培训。虽然大约50%的参与者知道保护措施,但并不是所有人都采取了保护措施。孟加拉国妇幼保健中心的卫生保健人员对血液传播病毒,特别是丙型肝炎病毒采取的措施并不令人满意。因此,政府和私人卫生保健当局应该制定并实施一项指导方针。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Knowledge, Attitude and Practice about Hepatitis C Virus Infection among the Health Care Workers in a Tertiary Care Hospital of Bangladesh.

Hepatitis C Virus (HCV) is emerging as one of the major health problems in Bangladesh. Worldwide, there are roughly 71 million people who are chronically infected. Prevalence of HCV infection in Bangladesh is 0.88%. Chronic HCV carriers have the potential of transmitting HCV parenterally in the hospital setting; thus, health care workers (HCWs) are at risk of contracting HCV, with the most likely exposure being via a needle stick injury (NSI). As there is no effective vaccine till today, personal protection, safe transfusion of blood and blood products, safe disposal of Hospital bio-waste and use of disposable or auto-disabled syringes would be the best preventive option for a country like Bangladesh. This study aimed to investigate the knowledge, attitudes and practices regarding hepatitis C virus among health care workers in Mymensingh Medical College Hospital (MMCH). This cross-sectional observational study was conducted among 239 health care workers (79 Doctors, 100 Nurses, 50 Lab technicians and 10 Porters) from July 2019 to December 2019. Data were collected by structured questionnaire. The overall response rate was 85.0%. For knowledge about hepatitis C virus physicians were the most knowledgeable while porters are least knowledgeable group. Males who were over 40 years old and had working history of more than 10 years were most likely to show positive attitude towards hepatitis C. Physicians have more positive attitude than other groups. Those who received training had more positive attitude than others. In this study about half of participant took training about standard precaution. Though about fifty percent participant knows about protective measures but not all of them used it. Measures taken against blood borne viruses specially against hepatitis C virus are not satisfactory among the health care staffs of MMCH, Bangladesh. Therefore, a guideline should be put in place and implemented by the government and private health care authorities.

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