Purpose: To evaluate the serological status of hepatitis B and C and to identify the risk factors for viral B and C infection in health workers at the university hospital. Material and Method: Mono-centric cross-sectional study carried out at Bouaké University Hospital from March 2nd to May 16th, 2016, concerning the health staff of the Bouaké University Hospital. Cross-sectional study mono-centric concerning the serological status of viral hepatitis B and C from the period from March 2nd to May 16th, 2016 of the health staff of the University Hospital of Bouaké. It has benefited from data from PNLHVi (national program against viral hepatitis) as part of its awareness campaign. The data were analyzed by SPSS software version 20.0. Results: Of the 1107 health workers, 632 had been included, representing a participation rate of 57.1%. The average age of the staff was 37.8 years with extremes ranging from 18 to 66 years. The sex ratio (H/F) was 0.8. Accidents with blood exposure were noted in 52.4% of cases. The maximum vaccine coverage was 16.1%. The prevalence of HBsAg was 8.4%. Contact with HBV was present in 3/4 of the staff. Anti HCV Ab was positive in 1.4% of the staff. Males, age over 50 and over 20 years of seniority were associated with HBV. Also, HBV infection was significantly higher in boys and girls (81.7%), nurses (78.3%) and nursing aides (73.8%), (p = 0.022). HCV infection was significantly correlated with emergency services. Conclusion: Age, gender, seniority, paramedic qualification, and high risk of exposure to body fluids were correlated with viral B infection while emergency department membership was a factor risk of HCV infection.
References
[1]
WHO/VHB (2015) Guidelines for the Prevention, Care and Treatment of Persons with Chronic Hepatitis B Infection.
[2]
Lewis, J.D., Anfield, K.B. and Sifri, C.D. (2015) Hepatitis B in Healthcare Workers: Transmission Events and Guidance for Management. World Journal of Hepatology, 7, 488-497. https://doi.org/10.4254/wjh.v7.i3.488
[3]
Coppola, N., Stefania, D.P. and Lorenzo, O. (2016) Hepatitis B Virus and C Virus Infection in Healthcare Workers. World Journal of Hepatology, 8, 273-281. https://doi.org/10.4254/wjh.v8.i5.273
[4]
Eloumou, S.A.F., Attia, A.K., Assi, C., et al. (2013) Evaluation of the Vaccination Status against Viral Hepatitis B of the Paramedical Staff of the University Hospital Center of Yopougon in Côte d’Ivoire. Review of Medicine and Pharmacy, 3, 346-353.
[5]
Kateera, F., Walker, T.D. and Mutesa, L. (2015) Hepatitis B and C Seroprevalence among Health Care Workers in Tertiary Hospital in RWANDA. Transactions of the Royal Society of Tropical Medecine and Hygiene, 30, 1-6. https://doi.org/10.1093/trstmh/trv004
[6]
Alqahtani, J.M., Abu-Eshy, S.A. and Mahfouz, A.A. (2014) Seroprevalence of Hepatitis B and C Virus Infections among Health Students and Health Care Workers in the Najran Region, Southwestern Saudi Arabia: The Need for National Guidelines for Health Students. BMC Public Health, 14, 577. https://doi.org/10.1186/1471-2458-14-577
[7]
Olusegun, A., Dennis, A.N. and Olowookere, S.A. (2015) Knowledge of Hepatitis B Virus Infection, Immunization with Hepatitis B Vaccine, Risk Perception, and Challenges to Control Hepatitis among Hospital Workers in a Nigerian Tertiary Hospital. Hepatitis Research and Treatment, 2015, Article ID: 439867.
[8]
Pietra, V., Kiema, D. and Sorgho, D. (2008) Prevalence of Hepatitis B Virus Markers and Antibodies against Hepatitis C Virus among Nanoro Health District Staff. Vol. 31, Burkina Faso, Science and Technology, Health Science, 53-59.
[9]
Thomas, D.L., Stephanie, H. and Gabor, D.K. (1993) Viral Hepatitis in Health Care Personnel at the Johns Hopkins Hospital. Archives of Internal Medicine, 153, 1705-1712. https://doi.org/10.1001/archinte.1993.00410140095011
[10]
Afihene, M.Y., Duduyemi, B.M. and A-Tetteh, H.-L. (2015) Knowledge, Attitude and Practices Conserning Hepatitis B Infection, among Healthcare Workers in Bantama, Ghana: A Cross Sectional Study. International Journal of Community Medicine and Public Health, 2, 244-253. https://doi.org/10.18203/2394-6040.ijcmph20150477
[11]
Hassan, Awosan, M., Nasir, K.J. (2016) Knowledge, Risk Perception and Hepatitis B Vaccination Status of Healthcare Workers in Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria. Journal of Public Health and Epidemiology, 8, 53-59. https://doi.org/10.5897/JPHE2015.0795
[12]
Bathaix, M.F., Bouglouga, O. and Okon, A.J.B. (2015) Practice of Paramedical Staff in Hospitals in Abidjan (Ivory Coast) Facing the Risk of Contamination of the Hepatitis B Virus by Work Accidents. JAHG, 9, 184-188.
[13]
Mueller, A., Stoetter, L. and Kalluvya, S. (2015) Prevalence of Hepatitis B Virus Infection among Health Care Workers in a Tertiary Hospital, Tanzania. BMC Infections Diseases, 15, 386-395. https://doi.org/10.1186/s12879-015-1129-z
[14]
Kra, O., N’Dri, N. and Ehui, E. (2007) HBs Antigen Prevalence among Blood Donors at the Regional Blood Transfusion Center in Bouaké (Ivory Coast) in 2001. Bulletin de la Société de Pathologie Exotique, 100, 127-129.
[15]
Fritzsche, C., Becker, F. and Hemmer, C.J. (2013) Hepatitis B and C: Neglected Diseases among Health Care Workers in Cameroon. The American Journal of Tropical Medicine and Hygiene, 107, 158-164. https://doi.org/10.1093/trstmh/trs087
[16]
Braka, F., Nanyunja, M. and Makumbi, I. (2006) Hepatitis B Infection among Health Workers in Uganda: Evidence of the Need for Health Worker Protection. Vaccine, 17, 6930-697. https://doi.org/10.1016/j.vaccine.2006.08.029
[17]
Alter, M.J. (2005) The Epidemiology of Hepatitis B Virus Infection in Healthcare Workers in the West and Asia. Hepatitis B Annual, 2, 186-192.
[18]
Enel, C., Desgrées, L.A., Yoman, N.T., et al. (2014) Viral Hepatitis B and C in Ivory Coast: The Urgency of Boosting the Fight. Proceedings of 7th International Francophone Conference on HIV and Hepatitis (AFRAVIH), Montpellier, 27-30 April 2014.
