Risk of infection by hepatitis B (HBV) and C (HCV) viruses remains a permanent problem, not only for health care workers but also for patients. It is often a major public health concern in low incomes countries. The aims of this study were to determine seroprevalence of viral hepatitis B (HBV) and C (HCV), frequency occurrence of blood exposure accidents (BEA) and identify key risk factors for infection among 601 health care workers of Ibn Sina Hospital in Rabat. In this study nineteen health personnel (3.16%) were HBsAg positive and fifteen (2.50%) were anti-HCV antibodies positive. The seropositivity to hepatitis B and C in the surgical department respectively was 4.22% and 3.45%. Nurses were the most affected by hepatitis virus infections. We noticed that HCV came first with a prevalence of 4.44%. The seropositivity reached its acme within the health staff having practiced for more than 20 years, hepatitis C coming first with a prevalence of 4.27%. Globally, 34 health care personnel are positive for HBV or HCV, 32 among them were victims at least once of blood exposure accident (BEA) while practicing. The needlestick represented 81.25% of the BEA type. Prevalence of hepatitis B and C serologic markers in health care workers in our Hospital outnumbered that of the general population. Nurses, surgery department personnel and the professional having worked for a long time were the main factors behind the high risks of infections.
References
[1]
Raffenne, L., Bodard, L. and Meudec, A. (2005) Accidents d’exposition au sang: Conduite à tenir. EMC-Médecine, 2, 291-299. http://dx.doi.org/10.1016/j.emcmed.2004.12.001
[2]
Baha, W., et al. (2013) Prevalence and Risk Factors of Hepatitis B and C Virus Infections among the General Population and Blood Donors in Morocco. BMC Public Health, 13, 50. http://www.biomedcentral.com/1471-2458/13/50 http://dx.doi.org/10.1186/1471-2458-13-50
[3]
Laraqui, O., Laraqui, S., Tripodi, D., Zahraoui, M., Caubet, A., Verger, C. and Laraqui, C.H. (2008) évaluation des connaissances, attitudes et pratiques sur les accidents d’exposition au sang en milieu de soins au Maroc. Médecine et Maladies Infectieuses, 38, 658-666. http://dx.doi.org/10.1016/j.medmal.2008.09.009
[4]
Benouda, A., Boujdiya, Z., Ahid, S., Abouqal, R. and Adnaoui, M. (2008) Prévalence de l’infection par le virus de l’hépatite C au Maroc et évaluation des tests sérologiques de dépistage pour la prédiction de la virémie. Pathologie Biologie, 57, 368-372. http://dx.doi.org/10.1016/j.patbio.2008.07.006
[5]
Goldsmith, R.S., Zakaria, S., Zakaria, M.S., Mabrouk, M.A., Hanafy, A.M., El Kaliouby, A.H. and E1-Rifae, M. (1989) Occupational Exposure to Hepatitis B Virus in Hospital Personnel in Cairo, Egypt. Acta Tropica, 46, 283-290. http://dx.doi.org/10.1016/0001-706X(89)90041-7
[6]
Odusanya, O.O., Meurice, F.P. and Hoet, B. (2007) Nigerian Medical Students Are at Risk for Hepatitis B Infection. Transactions of the Royal Society of Tropical Medicine and Hygiene, 101, 465-468. http://dx.doi.org/10.1016/j.trstmh.2006.08.001
[7]
Méndez-Sánchez, N., et al. (2006) Risk Factors and Prevalence of Hepatitis Virus B and C Serum Markers among Nurses at a Tertiary-Care Hospital in Mexico City, Mexico: A Descriptive Study. Annals of Hepatology, 5, 276-280.
[8]
Kosqeroqlu, N., et al. (2004) Occupational Exposure to Hepatitis Infection among Turkish Nurses: Frequency of Needle Exposure, Sharps Injuries and Vaccination. Epidemiology & Infection, 132, 27-33. http://dx.doi.org/10.1017/S0950268803001407
[9]
Miajima. L., et al. (1997) Prevalence of Hepatitis C Antibodies in Health Care Personnel. Kensanshoqaku Zasshi, 91, 103-107.
[10]
Braka, F., Nanyunja, M., Makumbi, I., Mbabazi, W., Kasasa, S. and Lewis, R. (2006) Hepatitis B Infection among Health Workers in Uganda: Evidence of the Need for Health Worker Protection. Vaccine, 24, 6930-6937. http://dx.doi.org/10.1016/j.vaccine.2006.08.029
[11]
Othman, B.M. and Monem, F.S. (2001) Prevalence of Hepatitis C Virus Antibodies among Health Care Workers in Damascus, Syria. Saudi Medical Journal, 22, 603-605.
[12]
Gob, K.T., Ghan, Y.W., Won, L.Y.M., Kong, K.H., Oon, C.J. and Gun, R. (1988) The Prevalence of Hepatitis B Virus Markers in Dental Personnel in Singapore. Transactions of the Royal Society of Tropical Mflxine and Hygiene, 82, 908-910. http://dx.doi.org/10.1016/0035-9203(88)90038-7
[13]
Mrani, S., Sakhsokh, Y., Gille, Y. and Baaj, A. (2003) épidémiologie de l’infection par les hépatites virales B et C. Cah Med, 4, 87-88.
[14]
Djeriri, K., Charof, R., Laurichesse, H., Fontana, L., El Aouad, R., Merle, J.L., et al. (2005) Comportement et conditions de travail exposant au sang: Analyse des pratiques dans trois établissements de soins du Maroc. Médecine et Maladies Infectieuses, 35, 396-401. http://dx.doi.org/10.1016/j.medmal.2005.06.002
[15]
Mihály, I., Telegdy, L., Ibrányi, E., Lukács, A., Rókusz, L., Bánkuti, E.E. and Dóczy, J. (2001) Prevalence, Genotype Distribution and Outcome of Hepatitis C Infections among the Employees of the Hungarian Central Hospital for Infectious Diseases. Hospital Infection, 49, 239-244. http://dx.doi.org/10.1053/jhin.2001.1087
[16]
Kaabia, N., et al. (2009) Prévalence de l’hépatite virale C chez le personnel de santé au Centre tunisien. Médecine et Maladies Infectieuses, 39, 66-67. http://dx.doi.org/10.1016/j.medmal.2008.10.007
[17]
Abb, J. (1991) Prevalence of Hepatitis C Virus Antibodies in Hospital Personnel and the General Population. Mikrobiologisches Institut, Krankenhaus Ludwigsburg, 53, 158-160.
[18]
Polish, L.B., Long, M.J., Co, R.L., Coleman, P.J. and Alter, M.J. (1993) Risk Factors for Hepatitis C Virus Infection among Health Care Personnel in a Community Hospital. American Journal of Infection Control, 21, 196-200. http://dx.doi.org/10.1016/0196-6553(93)90031-X
[19]
Vardas, E., Ross, M.H., Sharp, G., McAnerney, J. and Sim, J. (2002) Viral Hepatitis in South African Healthcare Workers at Increased Risk of Occupational Exposure to Blood-Borne Viruses. Hospital Infection, 50, 6-12.
[20]
Hoffmann. H. (1990) Low Risk of Health Care Workers for Infection with Hepatitis C Virus. Infection, 18, 286-288. http://dx.doi.org/10.1007/BF01647006
[21]
Villate, J.I., Corral, J., Aguirre, C., Carrandi, B., Cobo, M., Urcelay, I. and Urberuaga, M. (1993) Hepatitis C Virus Antibodies in Hospital Personnel. Med Clin (Barc), 101, 795.
[22]
Catalani, C., et al. (2004) Prevalence of HCV Infection among Health Care Workers in a Hospital in Central Italy. European Journal of Epidemiology, 19, 73-77. http://dx.doi.org/10.1023/B:EJEP.0000013250.54478.61
[23]
Florentin, A., Giorgi, M. and Louet, M. (1997) Accidents de travail avec exposition au sang survenus en 1994 dans trois établissements pédiatriques de l’AP-HP. Arch Mal Prof, 58, 346-347.
[24]
Abiteboul, D., Forestie Auter, A.F., Domart, M., Laville, M.F., Touche, S., Bouvet, E., et al. (2000) Accidents avec exposition au sang: Prise en charge des professionnels de santé. Concours Med (Paris), 122, 417-474.
[25]
Asseray, N., Alfandari, S., Vandenbussche, C., Guery, B., Parent, K., Georges, H., et al. (1998) Analyse des pratiques et connaissances sur les accidents d’exposition au sang. Médecine et Maladies Infectieuses, 28, 612-617. http://dx.doi.org/10.1016/S0399-077X(98)80064-4
[26]
Proietti, L., Origlio, A., Sandonà, P.B., Duscio, D. and Malaguarnera, M. (2003) Prevalence of HCV in Health Care Workers in Southern Italy. Clinical Therapeutics, 154, 159-162.
[27]
Amine, I.L., Zouhair, S., Chegri, M. and L’kassmi, H. (2010) Seroprevalence of Anti-HCV in Patients of the Military Hospital Moulay Ismail (Meknes, Morocco): Data Analysis of the Medical Biology Laboratory (2002-2005). Bull Soc Pathol Exot, 103, 255-258. http://dx.doi.org/10.1007/s13149-010-0064-x
[28]
Olobuyide, I.O. and Olawuyi, F. (1995) Self Reported Incidence of Accidental Exposures to Patients’ Blood and Body Fluids by Resident Doctors in Nigeria. Journal of the Royal Society of Health, 115, 235-236, 241-243. http://dx.doi.org/10.1177/146642409511500408
[29]
Clavel, T., Fleury, L., N’guyen, M.T., Abiteboul, D., Berlie, C., Bonnet, N., et al. (1997) Risques infectieux dans les laboratoires d’analyses médicales. Pré-étude en laboratoires hospitaliers. DMT, 72, 347-355.
[30]
Bouvet, E. and Tarantola, A. (1998) Protection des personnels hospitaliers contre les risques d’accidents exposants au sang. Rev Prat, 48, 1558-1562.
[31]
Ehui, E., Kra, O., Ouattara, I., Eholié, S., Kakou, A., Bissagnéné, E. and Kadio, A. (2007) Prise en charge des accidents d’exposition au sang au CHU de Treichville, Abidjan (Côte-d’Ivoire). Médecine et Maladies Infectieuses, 37, S251-S256. http://dx.doi.org/10.1016/j.medmal.2007.03.016
[32]
Pungpapong, S., Phanuphak, P., Pungpapong, K. and Ruxrungtham, K. (1999) The Risk of Occupational HIV Exposure among Thai Health Care Workers. Southeast Asian J Trop Med Public Health, 30, 496-503.
[33]
Wolff, M. and Hidalgo, S. (1992) Accidental Exposure to Health Care Workers of Blood and Body Fluids from Patients. Revista Médica de Chile, 120, 1247-1253.
