Hepatitis B immunisation and immune status of nurses in a regional hospital in central South Africa.

IF 1.2 Q2 MEDICINE, GENERAL & INTERNAL South African Family Practice Pub Date : 2024-06-26 DOI:10.4102/safp.v66i1.5871
Emily M Makola, Willem H Kruger, Perpetual Chikobvu
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Abstract

Background:  The hepatitis B virus (HBV) is one of the most important biological occupational hazards for healthcare workers. A high percentage of HBV infections are attributable to percutaneous occupational exposure. This study aimed to describe the HBV immunisation and current immune status of all the nurses employed in a regional hospital in central South Africa.

Methods:  A descriptive record review included all the nurses (N = 388) employed in a regional hospital in central South Africa from 01 January 2018 to 31 January 2020. A total of 289 health records were included in the study. Data were analysed using descriptive statistics. Logistic regression analysis was used to establish factors associated with full immunisation.

Results:  Most nurses were females (87.9%), working in medical (27.0%) wards. Only 20.4% of nurses received one dose of vaccine, while 51.2% received the three prescribed doses. However, 91.2% of nurses did not receive the vaccine at the correct intervals. Most of the tested nurses (71.0%) were immune. Immunisation status was significantly associated with religion (p  0.001) and schedule (p = 0.003). Nurses who were non-Christians were 35.9% less likely to be fully vaccinated compared to Christians.

Conclusion:  Half of the nursing staff received three doses as prescribed. All nurses should receive the vaccine against HBV and their immune status monitored to minimise the risk of an infection. It is therefore recommended that proof of immunity should be a requirement.Contribution: This study found a high percentage of nurses with HBV antibodies, which will ensure workplace safety.

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南非中部一家地区医院护士的乙肝免疫接种和免疫状况。
背景: 乙型肝炎病毒(HBV)是对医护人员最重要的生物职业危害之一。很高比例的 HBV 感染可归因于经皮职业暴露。本研究旨在描述南非中部一家地区医院所有护士的 HBV 免疫情况和目前的免疫状况: 描述性记录审查包括南非中部一家地区医院从 2018 年 1 月 1 日至 2020 年 1 月 31 日期间聘用的所有护士(N = 388)。研究共纳入 289 份健康记录。数据采用描述性统计进行分析。逻辑回归分析用于确定与全面免疫相关的因素: 大多数护士为女性(87.9%),在内科病房工作(27.0%)。只有 20.4% 的护士接种了一剂疫苗,而 51.2% 的护士接种了规定的三剂疫苗。然而,91.2% 的护士没有按照正确的间隔时间接种疫苗。大多数接受测试的护士(71.0%)都具有免疫力。免疫状况与宗教信仰(p 0.001)和接种时间(p = 0.003)有明显关系。与基督徒相比,非基督徒护士完全接种疫苗的可能性要低 35.9%: 结论:半数护理人员按规定接种了三剂疫苗。所有护士都应接种乙型肝炎病毒疫苗,并对其免疫状况进行监测,以将感染风险降至最低。因此,建议将免疫证明作为一项要求:贡献:本研究发现,护士中 HBV 抗体的比例很高,这将确保工作场所的安全。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
South African Family Practice
South African Family Practice MEDICINE, GENERAL & INTERNAL-
CiteScore
1.50
自引率
20.00%
发文量
79
审稿时长
25 weeks
期刊介绍: South African Family Practice (SAFP) is a peer-reviewed scientific journal, which strives to provide primary care physicians and researchers with a broad range of scholarly work in the disciplines of Family Medicine, Primary Health Care, Rural Medicine, District Health and other related fields. SAFP publishes original research, clinical reviews, and pertinent commentary that advance the knowledge base of these disciplines. The content of SAFP is designed to reflect and support further development of the broad basis of these disciplines through original research and critical review of evidence in important clinical areas; as well as to provide practitioners with continuing professional development material.
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