DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20200426

Knowledge, socio demographic profile, vaccination status and factors determining the acceptance of hepatitis B vaccine among nursing staff of KPC Medical College of West Bengal

Rajib Sikder, Subha Sankha Kundu, Rituraj Dey, Ujjwal Pattanayak, Kunal Kanti Majumdar, Gautam Kumar Joardar

Abstract


Background: Hepatitis B, a vaccine preventable infection is one of the important causes of morbidity in India. The risk of acquiring the infection is more among the health care providers like nurses than in general population as they come in close contact with patients. The study has been done to know the sociodemographic profile, vaccination status along with the knowledge about the disease and the factors determining the acceptance of vaccination among nursing staff of KPC Medical College in West Bengal.

Methods: A cross-sectional study was carried out among the 284 nursing staff of KPC Medical College and Hospital in November to December, 2018 with the help of pre-designed and semi-structured questionnaire. Data on demographic characteristics, knowledge, occupational exposure, vaccination status and factors for acceptance of vaccine etc. were collected and analysed.

Results: 86% nursing staff received vaccination out of which 71% were completely vaccinated, 29% were partially and 14% were non vaccinated. The acceptable knowledge was found in 84% of the nurses. The major reason of vaccination was to protect themselves from infection and the major reason for non-acceptance was time limitation, cost issues etc. Accidental prick was found in 5% of the nurses and universal precautionary measure was taken by 98% of the nurses.

Conclusions: In spite of availability of safe, effective and cheap vaccine against hepatitis B infection, 29% of nursing staff were partially vaccinated and 14% were non-vaccinated. There should be a mandatory vaccination at the beginning of their training and frequent educational and awareness programme for them on hepatitis B.


Keywords


Hepatitis B, Vaccination, Nursing staff, Knowledge

Full Text:

PDF

References


Ott J. J, Stevens G. A, Groeger J, Wiersma S. T. Global epidemiology of hepatitis B virus infection: new estimates of age-specific HBsAgseroprevalence and endemicity. Vaccine. 2012;30(12):2212-9.

Terrault NA, Bzowej N, Chang KM, Hwang JP, Jonas MM, Murad MH. AASLD guidelines for treatment of chronic hepatitis B. Hepatology. 2016;63(1):261-83.

WHO. Guidelines for The Prevention, Care And Treatment of Persons with Chronic Hepatitis B Infection. Geneva. 2015. Available at: http://www.who.int/hiv/pub/hepatitis/hepatitis-b-guidelines/en. Accessed on 1st October 2019.

Mast EE, Alter MJ, Margolis HS. Strategies to prevent and control hepatitis B and C virus infections: A global perspective. Vaccine. 1999;17(13-14):1730-3.

Vishal B, Amitava G, Sunil D, Dinesh K, Narendra B. Hepatitis B immunization in healthcare workers. Ann Gastroenterol. 2015;28(1):1.

Centers for Disease Control and Prevention. CDC guidance for evaluating health-care personnel for hepatitis b virus protection and for administering post exposure management. Morbidity and Mortality Weekly Report, ncbot (MMWR) 2013.

Pruss-Ustun A, Rapiti E, Hutin Y. Estimation of the global burden of disease attributable to contaminated sharps injuries among health-care workers. Am J Industrial Medicine. 2005;48(6):482-90.

Colin W, Edgar P, Lyn F, Anthony E, Beth P. Hepatitis B Virus Infection: Epidemiology and Vaccination. Epidemiologic Rev. 2006;28(1):112-25.

Toru I. Expectations for Hepatitis B Universal Vaccination for Hepatitis B Virus Eradication. J Clin Gastroenterol Treatment. 2015;1(1).

Abdel Rasoul G, El Bahnasy, Michael A, Hendy O, Ahmed A. Hepatitis B Viral Markers and Vaccination Status among Health Care Providers in Menoufia Governorate. Egyptian J Occupational Med. 2010;34(2):267-79.

Rabia A, Maaz S, Muhammad S. Assessment of hepatitis B vaccination status in doctors of services hospital, Lahore. JAMC. 2010;22(2):36-9.

Ghasemi S, Kabir A, Ansari Jafari M, Jalali M, Amini A, Faghihi-Kashani AH, et al. Psychometric Properties of a Standardized Questionnaire of Knowledge, Attitude, and Practice of Iranian Medical Specialists about Viral Hepatitis. Hepat Mon. 2012;12(12):e7650.

Dimitrios P, Zoi T, Ioanna C, Maria, Ilias K, Spyros P, et al. Hepatitis B Virus Vaccination Coverage in Medical, Nursing, and Paramedical Students: A Cross-Sectional, Multi-Centered Study, Greece. Int J Environ Res Public Health. 2016;13(3):323.

Toska AG, Saridi M, Giolis A, Kyriazis I, Pappa V, Androulakis E, et al. Hepatitis B vaccination coverage levels among nurses in Greece: Need for improvement. South Med J. 2011.

Bhattarai. S, Smriti. K.C, Pradhan. P.M, Lama. S, Rijal. S. Hepatitis B vaccination status and Needle-stick and Sharps-related Injuries among medical school students in Nepal: A cross-sectional study. BMC Res Notes. 2014;7:774.

Zafar A, Aslam N, Nasir N, Meraj R, Mehraj V. Knowledge, attitude and practice of health care worker regarding needle stick injuries at a tertiary care hospital in Pakistan. J Pak Med Assoc. 2008;58:57-60.

Gurubacharya DL, Mathura KC, Karki DB. Knowledge attitude and practices among health care workers on needle stick injuries. Kathmandu Univ Med J. 2003;1:91-4.

Chan YH, Wee M, Ling ML. Sharp and needle stick injuries: Th e impacts of HBV vaccination as an intervention measure. Ann Acad Med Singapore. 2000;29:86-9.

Sadoh WE, Fawole AO, Sadoh AE, Oladimeji AO, Sotilove OS. Practice of universal precaution among healthcare workers (Nigeria). J Natl Med Assoc. 2006;98:722-726.

Setia S, Gambhir R, Kapoor V, Jindal G, Garg S, Setia S. Attitudes and awareness regarding hepatitis B and hepatitis C amongst health‑care workers of a tertiary hospital in India. Ann Med Health Sci Res. 2013;3:551‑8.

Hussain S, Patrick NA, Shams R. Hepatitis B and C prevalence and prevention awareness among health care workers in a tertiary care hospital. Int J Pathol. 2010;8:16‑21.

Khan N, Ahmed SM, Khalid MM, Siddiqui SH, Merchant AA. Effect of gender and age on the knowledge, attitude and practice regarding hepatitis B and C and vaccination status of hepatitis B among medical students of Karachi, Pakistan. J Pak Med Assoc. 2010;60:450‑5.

Nagpal B, Hegde U. Knowledge, attitude, and practices of hepatitis B infection among dental students. Int J Med Sci Public Health. 2016;5:1123-7.

Paul P, Arumugam B. Knowledge and awareness regarding hepatitis B infection among medical and dental students: A comparative cross sectional study. Int J Res Med Sci. 2015;3:2352‑6.

Afihene MY, Duduyemi BM, A‑Tetteh HL, Khatib M. Knowledge, attitude and practices concerning Hepatitis B infection, among healthcare workers inBantama, Ghana: A cross sectional study. Int J Community Med Public Health. 2015;2:244‑53.

Kaur A, Singh RG, Singh S, Goyal J, Awareness, Attitude and Vaccination Status Regarding Hepatitis B amongStaff Nurses of a Teaching Hospital in North India; OHDM. 2016;15(4):256-60.