Hepatitis B Vaccination Status among Nursing Students in Karachi, Pakistan

Javid Ali, Hakim Shah, Khalilullah, Mahboob Ali, Jehanzeb Khan
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Abstract

Background: Hepatitis B infection is a fatal occupational hazard for health care professionals especially for student nurses. Theycan be easily protected from hepatitis B infection by their HBV vaccination.Objective: To determine the frequency of HBV Vaccination among student nurses in Karachi Pakistan.Material and Methods: This cross-sectional study was conducted in ten nursing institutes (five public and five private) among 529nursing students.Results: Out of 529 nursing students, only 270(50.6%) were vaccinated. Among 270 respondents, 58.8% were completelyvaccinated and68% were vaccinated before clinical exposure. The most common reasons for not being vaccinated included lack ofknowledge about HBV vaccine (31.88%), unavailability of free of cost vaccine (22 %), have no time for vaccination (11.96%), afraidof vaccine side effects/complications (10.14%), afraid of injection (9.42%), have prior immunity (5.43%), not effective vaccine(5.07%) and high vaccine cost (3.99%).Conclusion: There is alarmingly low vaccination coverage of hepatitis B among nursing students of Karachi, leading to a greatprofessional risk of hepatitis B infection. Consequently, policy should be implemented for making hepatitis B vaccination mandatoryfor admission in nursing institutes to prevent nursing students from acquiring this fatal disease.Keywords: Hepatitis B vaccine; Hepatitis B virus; Nursing students; Vaccination; Pakistan.
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巴基斯坦卡拉奇护生乙肝疫苗接种状况
背景:乙型肝炎感染是一种致命的职业危害卫生保健专业人员,特别是学生护士。通过接种乙肝疫苗,他们可以很容易地免受乙型肝炎感染。目的:了解巴基斯坦卡拉奇地区护生接种乙肝疫苗的频率。材料与方法:本研究在10所护理学院(5所公立和5所私立)对529名护理专业学生进行横断面调查。结果:529名护生中仅有270人(50.6%)接种了疫苗。在270名应答者中,58.8%的人完全接种了疫苗,68%的人在临床暴露前接种了疫苗。不接种的主要原因为乙肝疫苗知识不足(31.88%)、没有免费疫苗(22%)、没有时间接种(11.96%)、担心疫苗副作用/并发症(10.14%)、害怕注射(9.42%)、事先免疫(5.43%)、疫苗无效(5.07%)和疫苗成本高(3.99%)。结论:卡拉奇护理专业学生乙型肝炎疫苗接种率低,导致乙肝感染的职业风险高。因此,应实施政策,强制在护理机构入学时接种乙型肝炎疫苗,以防止护生感染这种致命疾病。关键词:乙型肝炎疫苗;乙型肝炎病毒;护理学生;疫苗接种;巴基斯坦。
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