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Hepatitis B Awareness among Medical Students and Their Vaccination Status at Syrian Private University

DOI: 10.1155/2014/131920

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Abstract:

Background. Hepatitis B virus (HBV) is a potentially life-threating infection and a well-recognized occupational hazard for health-care workers including medical students. Methods. A cross-sectional study was conducted at Syrian Private University (SPU), Faculty of Medicine, to assess the knowledge and awareness about hepatitis B, the status of hepatitis B vaccination, and the reasons for not getting vaccinated among the first- and the fifth-year medical students. Results. The present study demonstrates surprising results and raises issues about the high number of medical students that are not vaccinated or not sure about their vaccination status, which puts them at a higher risk of being infected in the future. Another important issue is the medical students’ overall knowledge about this life-threating infection. The students have not been totally educated about the gravity of the situation which requires the need of further HBV education. It is highly recommended that SPU provides the HBV vaccine to all nonvaccinated students attending the faculty of medicine at no cost to encourage them to take the HBV vaccine and to reform some of its educational curriculum to effectively limit the hazardous effects of this disease and elaborate on the serious health consequences of HBV. 1. Introduction Hepatitis B infection is a disease of the liver caused by the hepatitis B virus (HBV), which has a partially double-stranded circular DNA and belongs to the family Hepadnaviridae [1, 2]. Hepatitis B is a major public health concern worldwide. Approximately 30% of the world’s population has been infected with HBV [3–5], and more than 350 million are chronically infected with HBV and carry high risk for cirrhosis and liver cancer [6]. At least one million people die annually from HBV related chronic liver disease [7]. HBV is transmitted by body fluids, such as blood and serum, and can exhibit vertical transmission from mother to child. Sexual transmission, vertical transmission, and unsafe injections, including intravenous drug use, are the most common routes of infection for HBV [8–12]. Household contact and occupational health-care exposure to blood products and hemodialysis are other risk factors [13–20]. Health-care workers (HCWs) are reported to have the highest occupational risk for HBV infection [21]. There are 35 million HCWs worldwide, and percutaneous injuries have been estimated to result in approximately 66,000 hepatitis B viral infections per year [21]. Data from the United States in the 1990s showed that unvaccinated HCWs had serologic evidence of past or

References

[1]  W. F. Carman and H. C. Thomas, “Genetic variation in hepatitis B virus,” Gastroenterology, vol. 102, no. 2, pp. 711–719, 1992.
[2]  N. Gitlin, “Hepatitis B: diagnosis, prevention, and treatment,” Clinical Chemistry, vol. 43, no. 8, pp. 1500–1506, 1997.
[3]  A. J. Zuckerman, “More than third of world's population has been infected with hepatitis B virus,” British Medical Journal, vol. 318, no. 7192, article 1213, 1999.
[4]  World Health Organization, “The world health report 1996. Fighing disease. Fostering development,” Executive Summary, World Health Organization, Geneva, Switzerland, 1996.
[5]  M. J. Alter, “Epidemiology and prevention of hepatitis B,” Seminars in Liver Disease, vol. 23, no. 1, pp. 39–46, 2003.
[6]  D. Lavanchy, “Hepatitis B virus epidemiology, disease burden, treatment, arid current and emerging prevention and control measures,” Journal of Viral Hepatitis, vol. 11, no. 2, pp. 97–107, 2004.
[7]  Z. Sun, L. Ming, X. Zhu, and J. Lu, “Prevention and control of hepatitis B in China,” Journal of Medical Virology, vol. 67, no. 3, pp. 447–450, 2002.
[8]  M. J. Alter, J. Ahtone, I. Weisfuse, K. Starko, T. D. Vacalis, and J. E. Maynard, “Hepatitis B virus transmission between heterosexuals,” The Journal of the American Medical Association, vol. 256, no. 10, pp. 1307–1310, 1986.
[9]  L. A. Kingsley, C. R. Rinaldo Jr., D. W. Lyter, R. O. Valdiserri, S. H. Belle, and M. Ho, “Sexual transmission efficiency of hepatitis B virus and human immunodeficiency virus among homosexual men,” The Journal of the American Medical Association, vol. 264, no. 2, pp. 230–234, 1990.
[10]  R. P. Beasley, C. Trepo, C. E. Stevens II, and W. Szmuness, “The e antigen and vertical transmission of hepatitis B surface antigen,” The American Journal of Epidemiology, vol. 105, no. 2, pp. 94–98, 1977.
[11]  A. Kane, J. Lloyd, M. Zaffran, L. Simonsen, and M. Kane, “Transmission of hepatitis B, hepatitis C and human immunodeficiency viruses through unsafe injections in the developing world: model-based regional estimates,” Bulletin of the World Health Organization, vol. 77, no. 10, pp. 801–807, 1999.
[12]  B. Broers, C. Junet, M. Bourquin, J.-J. Déglon, L. Perrin, and B. Hirschel, “Prevalence and incidence rate of HIV, hepatitis B and C among drug users on methadone maintenance treatment in Geneva between 1988 and 1995,” AIDS, vol. 12, no. 15, pp. 2059–2066, 1998.
[13]  A. Vegnente, R. Iorio, S. Guida, and L. Cimmino, “Chronicity rate of hepatitis B virus infection in the families of 60 hepatitis B surface antigen positive chronic carrier children: role of horizontal transmission,” European Journal of Pediatrics, vol. 151, no. 3, pp. 188–191, 1992.
[14]  J. L. Lauer, N. A. VanDrunen, J. W. Washburn, and H. H. Balfour Jr., “Transmission of hepatitis B virus in clinical laboratory areas,” Journal of Infectious Diseases, vol. 140, no. 4, pp. 513–516, 1979.
[15]  D. J. Hu, M. A. Kane, and D. L. Heymann, “Transmission of HIV, hepatitis B virus, and other bloodborne pathogens in health care settings: a review of risk factors and guidelines for prevention,” Bulletin of the World Health Organization, vol. 69, no. 5, pp. 623–630, 1991.
[16]  J. F. Fernandes, R. F. S. Braz, F. A. V. Neto, M. A. Silva, N. F. Costa, and A. M. Ferreira, “Prevalence of serologic markers of hepatitis B virus in hospital personnel,” Revista de Saúde Pública, vol. 33, no. 2, pp. 122–128, 1999.
[17]  M. Colombo, S. Oldani, M. F. Donato, et al., “A multicenter, prospective study of posttransfusion hepatitis in Milan,” Hepatology, vol. 7, no. 4, pp. 709–712, 1987.
[18]  R. Saxena, V. Thakur, B. Sood, R. C. Guptan, S. Gururaja, and S. K. Sarin, “Transfusion-associated hepatitis in a tertiary referral hospital in India. A prospective study,” Vox Sanguinis, vol. 77, no. 1, pp. 6–10, 1999.
[19]  S. V. Williams, J. C. Huff, E. J. Feinglass, M. B. Gregg, M. H. Hatch, and J. M. Matsen, “Epidemic viral hepatitis, type B, in hospital personnel,” The American Journal of Medicine, vol. 57, no. 6, pp. 904–911, 1974.
[20]  V. A. Mioli, E. Balestra, L. Bibiano et al., “Epidemiology of viral hepatitis in dialysis centers: a national survey,” Nephron, vol. 61, no. 3, pp. 278–283, 1992.
[21]  A. Prüss-üstün, E. Rapiti, and Y. Hutin, “Estimation of the global burden of disease attributable to contaminated sharps injuries among health-care workers,” The American Journal of Industrial Medicine, vol. 48, no. 6, pp. 482–490, 2005.
[22]  J. L. Gerberding, “Incidence and prevalence of human immunodeficiency virus, hepatitis B virus, hepatitis C virus, and cytomegalovirus among health care personnel at risk for blood exposure: final report from a longitudinal study,” Journal of Infectious Diseases, vol. 170, no. 6, pp. 1410–1417, 1994.
[23]  World Health Organization, “Global policy report on the prevention and control of viral hepatitis in WHO Member States,” Tech. Rep., World Health Organization, Geneva, Switzerland, 2013.
[24]  B. J. McMahon, W. L. M. Alward, D. B. Hall et al., “Acute hepatitis B virus infection: relation of age to the clinical expression of disease and subsequent development of the carrier state,” Journal of Infectious Diseases, vol. 151, no. 4, pp. 599–603, 1985.
[25]  K. C. Hyams, “Risks of chronicity following acute hepatitis B virus infection: a review,” Clinical Infectious Diseases, vol. 20, no. 4, pp. 992–1000, 1995.
[26]  K. Ikeda, S. Saitoh, Y. Suzuki, et al., “Disease progression and hepatocellular carcinogenesis in patients with chronic viral hepatitis: a prospective observation of 2215 patients,” Journal of Hepatology, vol. 28, no. 6, pp. 930–938, 1998.
[27]  R. P. Beasley and L. Y. Hwang, “Overview of the epidemiology of hepatocellular carcinoma,” in Viral Hepatitis and Liver Disease: Proceedings of the International Symposium on Viral Hepatitis and Liver Disease: Contemporary Issues and Future Prospects, F. B. Hollinger, S. M. Lemon, and H. S. Margolis, Eds., pp. 532–535, Williams & Wilkins, Baltimore, Md, USA, 1991.
[28]  J. F. Perz, G. L. Armstrong, L. A. Farrington, Y. J. F. Hutin, and B. P. Bell, “The contributions of hepatitis B virus and hepatitis C virus infections to cirrhosis and primary liver cancer worldwide,” Journal of Hepatology, vol. 45, no. 4, pp. 529–538, 2006.
[29]  Hepatitis B Vaccine, Hepatitis B Foundation, Doylestown, Pa, USA, 2009.
[30]  S. S. Al Ghamdi, H. I. Fallatah, D. M. Fetyani, J. A. Al-Mughales, and A. T. Gelaidan, “Long-term efficacy of the hepatitis B Vaccine in a high-risk group,” Journal of Medical Virology, vol. 85, no. 9, pp. 1518–1522, 2013.

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