Hepatitis B-related awareness among health care workers in Belgrade, Serbia
Abstract
Background/Aim. Despite the availability of safe and effective vaccine since 1982, hepatitis B virus (HBV) infection still remains a major occupational disease among health care workers (HCWs) worldwide. The aim of this study was to estimate the level of knowledge regarding HBV among HCWs in Serbia. Methods. A random sample of 352 HCWs, stratified by occupation, was selected from the list of employees in the Clinical Centre of Serbia during December 2015. Anonymous questionnaire was used in data collection. Data were statistically assessed. Results. The mean HBV knowledge score was 22.9 ± 4.8 (out of maximum 30). Better knowledge score correlated with higher education attainment (ρ = 0.377; p < 0.001), younger age (ρ = -0.113; p = 0.034) and less working experience (ρ=-0.127; p = 0.017). We observed that those HCWs who were previously vaccinated against hepatitis B demonstrated statistically significantly higher knowledge level (t = 5.656, p < 0.001) compared to HCWs who were not vaccinated (23.9 ± 3.7 vs. 20.9 ± 5.8, respectively). Conclusion. We found poor level of knowledge on some aspects of HBV infection among HCWs in Serbia. Tailoring of education campaigns in this high-risk exposure group is necessary. Education intervention should focus on change of attitudes and behaviour modification to ensure safe and responsible health care environment.
References
Maltezou HC, Poland GA. Immunization of healthcare pro-viders: a critical step toward patient safety. Vaccine 2014; 32: 4813.
Sydnor E, Perl TM. Healthcare providers as sources of vaccine-preventable diseases. Vaccine 2014; 32(38): 4814‒22.
Maltezou HC, Poland GA. Vaccination policies for healthcare workers in Europe. Vaccine 2014; 32(38): 4876‒80.
Galanakis E, Jansen A, Lopalco PL, Giesecke J. Ethics of man-datory vaccination for healthcare workers. Euro Surveill 2013; 18(45): 20627.
Morowatishaifabad MA, Zare Sakhvidi MJ, Gholianavval L, Masoudi Boroujeni D, Alavijeh MM. Predictors of Hepatitis B preventive behavioral intentions in healthcare workers. Saf Health Work 2015; 6(2): 139‒42.
Maltezou HC, Gargalianos P, Nikolaidis P, Katerelos P, Tedoma N, Maltezos E, et al. Attitudes towards mandatory vaccination and vaccination coverage against vaccine-preventable diseases among health-care workers in tertiary-care hospitals. J Infect 2012; 64(3): 319‒24.
Singhal V, Bora D, Singh S. Prevalence of Hepatitis B virus infection in healthcare workers of a tertiary care centre in India and their vaccination status. J Vaccines Vaccine 2011; 2: 2‒4.
Galanakis E, D'Ancona F, Jansen A, Lopalco PL. VENICE (Vaccine European New Integrated Collaboration Effort) National Gatekeepers, Contact Points. The issue of mandatory vaccination for healthcare workers in Europe. Expert Rev Vaccines 2014; 13(2): 277‒83.
Abiola AO, Omoyeni OE, Akodu BA. Knowledge, attitude and practice of hepatitis B vaccination among health workers at the Lagos State accident and emergency centre, Toll-Gate, Alausa, Lagos State. West Afr J Med 2013; 32(4): 257‒62. (English, French)
da Costa FM, de Barros Lima Martins AM, Dos Santos Neto PE, de Pinho Veloso DN, Magalhães VS, Ferreira RC. Is vaccination against hepatitis B a reality among primary health care workers? Rev Lat Am Enfermagem 2013; 21(1): 316‒24. (English, Portuguese, Spanish)
Doebbeling BN, Ferguson KJ, Kohout FJ. Predictors of hepatitis B vaccine acceptance in health care workers. Med Care 1996; 34(1): 58‒72.
Tuckerman JL, Collins JE, Marshall HS. Factors affecting uptake of recommended immunizations among health care workers in South Australia. Hum Vaccin Immunother 2015; 11(3): 704‒12.
Harrison N, Brand A, Forstner C, Tobudic S, Burgmann K, Burgmann H. Knowledge, risk perception and attitudes towards vaccination among Austrian health care workers: A cross-sectional study. Hum Vaccin Immunother 2016; 12(9): 2459‒63.
Abeje G, Azage M. Hepatitis B vaccine knowledge and vacci-nation status among health care workers of Bahir Dar City Administration, Northwest Ethiopia: a cross sectional study. BMC Infect Dis 2015; 15: 30.
Karaivazoglou K, Triantos C, Lagadinou M, Bikas C, Michailidou M, Kalafateli M, et al. Acceptance of hepatitis B vaccination among health care workers in Western Greece. Arch Environ Occup Health 2014; 69(2): 107‒11.
Mansour-Ghanaei R, Joukar F, Souti F, Atrkar-Roushan Z. Knowledge and attitude of medical science students toward hepatitis B and C infections. Int J Clin Exp Med 2013; 6(3): 197‒205.
Kisic Tepavcevic D, Kanazir M, Gazibara T, Maric G, Makismovic N, Loncarevic G, et al. Predictors of hepatitis B vaccination status in health care workers in Belgrade, Serbia, December 2015. Euro Surveill 2017; 22(16): pii: 30515.
Adekanle O, Ndububa DA, Olowookere SA, Ijarotimi O, Ijadunola KT. Knowledge of Hepatitis B Virus Infection, Immunization with Hepatitis B Vaccine, Risk Perception, and Challenges to Control Hepatitis among Hospital Workers in a Nigerian Tertiary Hospital. Hepat Res Treat 2015; 2015: 439867.
Afihene MY, Duduyemi B, Hannal-Lisa A, Mahafroz K. Knowledge, attitude and practices concerning Hepatitis B infection, among healthcare workers un Bantama, Ghana: a cross sectional study. Int J Community Med Public Health 2015; 2(3): 244‒53.
Hassan M, Awosan KJ, Nasir S, Tunau K, Burodo A, Yakubu A et al. Knowledge, risk perception and hepatitis B vaccination status of healthcare workers in Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria. J Pub Health Epi 2016; 8(4): 53‒9.
