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Title: Hepatitis B and C seroprevalence among health care workers in a tertiary hospital in Rwanda
Authors: Kamanywa, Patrick
Keywords: Health Care Workers
Hepatitis B
Hepatitis C
Issue Date: Jan-2015
Publisher: The Royal Society of Tropical Medicine and Hygiene
Series/Report no.: Trans R Soc Trop Med Hyg;109: 203–208
Abstract: Background: Hepatitis B (HBV) and hepatitis C (HCV) are significant global public health challenges with health care workers (HCWs) at especially high risk of exposure in resource-poor settings.We aimed to measure HBV and HCV prevalence, identify exposure risks and evaluate hepatitis-related knowledge amongst Rwandan tertiary hospital HCWs. Methods: A cross sectional study involving tertiary hospital employees was conducted from October to December 2013. A pre-coded questionnaire was used to collect data on HCWs’ socio-demographics, risk factors and knowledge of blood-borne infection prevention. Blood samples were drawn and screened for hepatitis B surface antigen (HBsAg) and anti-HCV antibodies. Results: Among 378 consenting HCWs, the prevalence of HBsAg positivitywas 2.9% (11/378; 95% CI 1.9 to 4.6%) and anti-HCV positivity 1.3% (5/378; 95% CI 0.7 to 2.7%). Occupational exposure to blood was reported in 57.1% (216/378). Of the 17 participants (4.5%; 17/378) who reported having received the HBV vaccine, only 3 participants (0.8%) had received the three-dose vaccination course. Only 42 HCWs (42/378; 11.1%) were aware that a HBV vaccinewas available. Most HCW (95.2%; 360/378) reported having been tested for HIV in the last 6 months. Conclusions: Despite their high workplace exposure risk, HBV and HCV sero-prevalence rates among HCWs were low. The low HBV vaccination coverage and poor knowledge of preventative measures among HCWs suggest low levels of viral hepatitis awareness despite this high exposure.
Description: Dr. Patrick Kamanywa is the DVC KIU Western Campus
Appears in Collections:Public Health

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