American Journal of Clinical Medicine Research
ISSN (Print): 2328-4005 ISSN (Online): 2328-403X Website: https://www.sciepub.com/journal/ajcmr Editor-in-chief: Dario Galante
Open Access
Journal Browser
Go
American Journal of Clinical Medicine Research. 2016, 4(2), 29-33
DOI: 10.12691/ajcmr-4-2-3
Open AccessArticle

Knowledge of Occupational Hazards and Post Exposure Prohylaxis by Hospital Cleaners to HIV and Other Blood Borne Pathogens: Findings from Ten Hospitals in Abakaliki, Nigeria

O.B Anozie1, , U.J Anozie2, Lawani O.L1, Mamah E1, Ajah L.O1 and Mathew Igwe Nwali1

1Department of Obstetrics and Gynaecology. Federal Teaching Hospital Abakaliki, Ebonyi State, Nigeria

2Felysussy Hospital Abakaliki, Ebonyi State, Nigeria

Pub. Date: June 21, 2016

Cite this paper:
O.B Anozie, U.J Anozie, Lawani O.L, Mamah E, Ajah L.O and Mathew Igwe Nwali. Knowledge of Occupational Hazards and Post Exposure Prohylaxis by Hospital Cleaners to HIV and Other Blood Borne Pathogens: Findings from Ten Hospitals in Abakaliki, Nigeria. American Journal of Clinical Medicine Research. 2016; 4(2):29-33. doi: 10.12691/ajcmr-4-2-3

Abstract

Background: Medical wastes unlike other waste products constitute a serious health hazard to its handlers, patients and the community at large. Objective: This study assessed the level of awareness of hospital cleaners on occupational hazards, safety measures and post exposure prophylaxis to HIV in 10 hospitals in Abakaliki, Ebonyi State, Nigeria. Materials and methods: This was a cross-sectional study that was conducted on ninety hospital cleaners working in ten public and privately owned hospitals in Abakaliki. Semi-structured questionnaires were used for data collection and data analysis was done with SPSS version 19. Results: This showed that out of 90 respondents sampled, 68 questionnaires were available for analysis. This gave a response rate of 75.6%. It was observed that knowledge of occupational hazards was fairly high (82.4%) among the participants; this was due to training on hospital waste management and experience from the Job. Safety measures to mitigate occupational hazard was inconsistently and incorrectly used by the respondents. A fairly significant proportion of participants were aware of their HIV (72.1%), Hepatitis B (47.1%) and C viruses (48.5%) status. Only half (50%) were immunized for Hepatitis B virus and as well as had knowledge of post- exposure prophylaxis for HIV. Conclusion: Occupational exposure of health care providers to hazardous hospital waste is a significant public health problem. Therefore, healthcare managers and policy makers should institute astute measures to improve the knowledge of occupational hazards, as well as provide personal protective device to hospital waste handlers. Post-exposure prophylaxis for HIV should be domiciled in healthcare centre for the benefit of exposed individuals.

Keywords:
health workers hospital cleaners occupational hazards medical waste safety measures

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]  Faremi F A, Ogunfowokan A A, Olatubi M I, Ogunlade B, Ajayi O A. Knowledge of occupational hazards among cleaning workers: A case study of cleaners of a Nigerian University. Int J Health Sci Res. 2014;4(8):198-204.
 
[2]  Azzawi S A. Hospital waste and cleaning workers in Baquba Teaching Hospital.Diyala J Med. 2012;2(1):79-83.
 
[3]  Bdour A N, Tarawneh Z, Al-Monani T, El-Mashaleh M. Analysis of hospital staff exposure risks and awareness about poor medical waste management- A case study of the Tabuk regional healthcare system-Saudi Arabia. J Comm Dis. 2015;47(2):1-13.
 
[4]  Manyele S V, Ngonyani H M, Eliakimu E. The status of occupational safety among health service providers in hospitals in Tanzania. Tanza J Healt Res. 2008;10(3):159-165.
 
[5]  World health organization. Unsafe injection practices and transmission of blood borne pathogens. Bull World Health Org. 1999;77:787-819.
 
[6]  Townsend W K, Cheeseman C R. Guidelines for the evaluation and assessment of of the sustainable use of resources and of wastes management at health care facilities. J Waste Manag Res. 2005; 23:398-408.
 
[7]  Jed S L. A quick guide to postexposure prophylaxis in the healthcare setting. Mountain plains AIDS education and training centre, 2006 guideline.
 
[8]  Centre for disease control and prevention; morbidity and mortality weekly report and recommendations. Immunization of healthcare workers. 1997;46(18):1-51.
 
[9]  Centre for disease control and prevention; morbidity and mortality weekly report and recommendations. Updated CDC recommendations for the management of Hepatitis B virus-infected health-care providers and students. 2012;61(3):1-16.
 
[10]  Fayaz S H, Higuchi M, Hirosawa T, Sarker M A, Zakhro D, Nobuyuki H. Knowledge and practice of Universal precautions among healthcare workers in four National hospitals in Kabul, Afghanistan. J Infect DevCtries. 2014;4(8):535-542.
 
[11]  Occupational safety and Health administration. Infectious diseases in healthcare setting. Available from www.osha.gov/SLTC/healthcarefacilities/infectious_diseases.html#Accessed 02/04/2016.
 
[12]  Abah S O, Ohimain E I. Healthcare waste management in Nigeria: A case study. J Public Health Epidemiol. 2011;3(3):99-110.
 
[13]  Salkin F I. Review of health impacts from microbiological hazards in healthcare wastes. World Health organization 2004 document. Pp.1-23.
 
[14]  Akum F A. An assessment of medical waste management in Bawku Presbyterian hospital of the upper east region of Ghana. Merit Res J Environ Sci Toxicol.2014;2(2):027-038.
 
[15]  Al-Hazmi A. Knowledge, attitudes, and practice of medical students regarding occupational risks of hepatitis B virus in college of medicine, aljouf university. Ann Med Health Sci Res. 2015 Jan-Feb;5(1):13-9.
 
[16]  Daboer J, Chingle M P, Banwat M E. Knowledge, risk perception and vaccination against Hepatitis B infection by primary healthcare workers I Jos, North Central Nigeria. Niger Health J. 2010;10(1-2):09-13.
 
[17]  Sarsour A, Ayoub A, Lubbad I, Omran A, Shahrour I. Assessment of medical waste management within selected hospitals in Gaza strip Palestine: A pilot study. Int J Sci Res Environ Sci. 2014;2(5):164-173.
 
[18]  Manuel M, Daphnie L, D’cunha S, Suresh S. A study to assess the awareness regarding occupational health hazards among the employees in the Laundry department of a selected Hospital. Muller J Med Sci Res. 2015;6(1):40-44.
 
[19]  Shareefdeen Z M. Medical waste management and control. J Environ Protection. 2012;3:1625-1628.
 
[20]  Scheller B, Wicker S, Rabenau HF, Marzi I, Wutzler S.Risk estimation of blood-borne infections by emergency room personnel. Unfallchirurg. 2014 Nov 6. [Epub ahead of print]
 
[21]  Mashoto KO, Mubyazi GM, Mushi AK. Aknowledge of occupational exposure to HIV: a cross sectional study of healthcare workers in Tumbi and Dodoma hospitals, Tanzania. BMC Health Serv Res. 2015 Jan 22;15:29.
 
[22]  Fadeyi A, Fowotade A, Abiodun MO, Jimoh AK, Nwabuisi C, Desalu OO. Awareness and practice of safety precautions among healthcare workers in the laboratories of two public health facilities in Nigeria. Niger Postgrad Med J. 2011 Jun;18(2):141-6.
 
[23]  Gabela S D, Knight S E. Healthcare waste management in clinics in a rural health district in Kwazulu-Natal. South AfrEpidemiol Infect. 2010;25(1):19-21.
 
[24]  Patwary M A, O’Hare W T, Sarker H M. Assessment of occupational and environmental safety associated with medical waste disposal in developing countries: A qualitative approach. J Safety Sci. 2011;49:1200-1207.
 
[25]  Enwere OO, Diwe KC.Knowledge, perception and practice of injection safety and healthcare waste management among teaching hospital staff in south east Nigeria: an intervention study. Pan Afr Med J. 2014 Mar 19;17:218.
 
[26]  Aminde LN, Takah NF, Dzudie A, Bonko NM, Awungafac G, Teno D, Mbuagbaw L, Sliwa K. Occupational post-exposure prophylaxis (PEP) against human immunodeficiency virus (HIV) infection in a health district in Cameroon: assessment of the knowledge and practices of nurses. PLoS One. 2015 Apr 16;10(4):e0124416.