Background: Health care
workers especially interns may be at increased health risk due to exposure to
blood and body fluids. Objective: To determine the prevalence of occupational
exposure to blood and body fluids (EBBF) among interns at the University of Port
Harcourt Teaching hospital (UPTH). Methodology: This cross-sectional study was
carried out among interns at the UPTH. Informed written consent was obtained.
The obtained data from a self-administered
questionnaire and Infection Control Team records were analysed using SPSS
version 21 and are presented
as prose and tables. Results: Eighty four interns were studied giving a
response rate of 93.3%: 40 (47.6%) were males while
44 (52.4%) were females giving a male:female ratio of 1:1.1. Thirty two (38.1%)
were aware of the availability of sharp bins, 55 (65.5%) recapped and discarded into waste bins while 4
(4.8%) discarded into
sharp bins without re-capping. Prevalence of EBBF was 89.3%. Thirty one (41.4%)
had Blood and Body Fluid Splash (BBFS), 22 (29.3%) had Needle Stick Injury
(NSI) while 22 (29.3%) had combined NSI and BBFS. Thirteen (29.5%) of the NSI
occurred during rotation in Paediatrics. Seventeen (32.1%) and 16 (30.2%) of
BBFS occurred during Obstetrics and Gynaecology and Paediatrics rotation
respectively. Eleven (25%) reported the NSI to the Infection control team (ICT)
and 3 (27.3%) completed 28 days of
Highly Active Anti-Retroviral Therapy (HAART). Common reason for not reporting
was not been aware of the Infection Control Team (ICT) in 10 (30.3%). Conclusion: There is a need for improved training
and close supervision of interns.
Cite this paper
Paul, N. I. , Jaja, T. and Opara, P. I. (2018). Occupational Exposure to Blood and Body Fluids among Interns in a Tertiary Hospital in Port Harcourt, Nigeria. Open Access Library Journal, 5, e4122. doi: http://dx.doi.org/10.4236/oalib.1104122.
Singru, S.A. and Banerjee, A. (2008) Occupational Exposure to Blood and Body Fluids among Health Care Workers in a Teaching Hospital in Mumbai, India. Indian Journal of Community Medicine, 33, 26-30. https://doi.org/10.4103/0970-0218.39239
International Health Care Worker Safety Center (1998) Estimated Annual Number of U.S. Occupational Percutaneous Injuries and Mucocutaneous Exposures to Blood or Potentially Infective Biological Substances. Advances in Exposure Prevention, 4, 3.
Erhabor, O., Ejele, O.A. and Nwauche, C.A. (2007) Epidemiology and Management of Occupational Exposure to Blood Borne Viral Infections in a Resource Poor Setting: The Case for Availability of Post Exposure Prophylaxis. Nigerian Journal of Clinical Practice, 10, 100-104.
Mbaisi, E.M., Ng'ang'a, Z., Wanzala, P. and Omolo, J. (2013) Prevalence and Factors Associated with Percutaneous Injuries and Splash Exposures among Health-Care Workers in a Provincial Hospital, Kenya. Pan African Medical Journal, 14, 10. https://doi.org/10.11604/pamj.2013.14.10.1373
(2012) Standard Principles for the Safe Use and Disposal of Sharps. In-fection: Prevention and Control of Healthcare-Associated Infections in Primary and Community Care: Partial Update of NICE Clinical Guideline, 2, 98-103. https://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0050779/
Clarke, S.P., Rockett, J.L., Sloane, D.M. and Aiken, L.H. (2002) Organizational Climate, Staffing and Safety Equipment as Predictors of Needlestick Injuries and Near Misses in Hospital Nurses. American Journal of Infection Control, 30, 207-216. https://doi.org/10.1067/mic.2002.123392
Resnic, F. and Noerdlinger, M.A. (1995) Occupational Exposure among Medical Students and House Staff at a New York City Medical Center. Archives of Internal Medicine, 155, 75-80. https://doi.org/10.1001/archinte.1995.00430010081011
Shi, C.L., Zhang, M. and Xie, C. (2011) Study on Status of Needle-Stick and Other Sharps Injuries among Healthcare Workers in a General Hospital. Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi, 29, 939-943. [In Chinese]
Cvejanov-Kezunovic, L., Mustajbegovic, J., Milocevic, M. and Civljak, R. (2014) Occupational Exposure to Blood among Hospital Workers in Montenegro. Archives of Industrial Hygiene and Toxicology, 65, 273-280.
Rahul, S., Rasania, S.K., Anita, V. and Saudan, S. (2010) Study of Prevalence and Response to Needlestick Injuries among Health Care Workers in a Tertiary Care Hospital in Delhi, India. Indian Journal of Community Medicine, 35, 74-77.