Abstract
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.
Highlights
Viral hepatitis B (HBV) and Viral hepatitis C (HCV) pose a public health problem in the world especially in low-income countries with about 350,000 to 500,000 deaths per year [1] [2] [3]
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
There are 3 degrees of contamination according to the causal link established between the medical staff and their patient: - the transmission is confirmed when there is an epidemiological link and especially a confirmation by the presence of partial or complete sequence of similar DNA between the staff and their patient, - the transmission is said probable if the genotype of the virus of the personnel and its patient is identical and that there is an epidemiological link between them, - transmission is possible if there is an epidemiological link between the staff and their patient, the patient has no other risk factor for contamination and it is not possible to carry out a correspondence between pathogens [2]
Summary
Viral hepatitis B (HBV) and Viral hepatitis C (HCV) pose a public health problem in the world especially in low-income countries with about 350,000 to 500,000 deaths per year [1] [2] [3]. 36 million health workers are victims each year of a work incident that exposes nearly 3 million to the risk of contamination by hepatitis B and C viruses [3]. In the course of their duties, health care workers are frequently exposed to HBV and HCV and it is estimated that approximately 75% of the overall exposure risk is transcutaneous compared to only one quarter for the cutaneous route; mucosa, with a higher risk of contamination for the transcutaneous route [1]. This study aimed mainly at determining the seroprevalence of HBV and HCV infections and the associated risk factors among health workers at the University Hospital Center (CHU) in Bouaké, Côte d’Ivoire
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