Level of screening for and vaccination against hepatitis B among healthcare workers in the Eastern Democratic Republic of the Congo: a public health concern.

Autor:	Sikakulya FK; Department of General Surgery, Kampala International University, Western Campus, Bushenyi, Uganda.; Faculty of Medicine, Université Catholique du Graben, Butembo, Democratic Republic of the Congo., Munyambalu DK; Department of Internal Medicine, Kampala International University, Western Campus, Bushenyi, Uganda., Mambo SB; Youth Alliance for Reproductive Health, Goma, Democratic Republic of the Congo.; Department of Public Health, School of Allied Health Sciences, Kampala International University, Western Campus, Bushenyi, Uganda., Mutsunga AK; Faculty of Medicine, Université Catholique du Graben, Butembo, Democratic Republic of the Congo., Djuma SF; Faculty of Medicine, Université Catholique du Graben, Butembo, Democratic Republic of the Congo., Djuna PA; Faculty of Medicine, Université Catholique du Graben, Butembo, Democratic Republic of the Congo., Ndiwelubula E; Faculty of Medicine, Université Catholique du Graben, Butembo, Democratic Republic of the Congo., Ngavo WA; Faculty of Medicine, Université Catholique du Graben, Butembo, Democratic Republic of the Congo., Sahika SM; Faculty of Medicine, Université Catholique du Graben, Butembo, Democratic Republic of the Congo., Kumbakulu PK; Department of Paediatrics and Child Health, Kampala International University, Western Campus, Bushenyi, Uganda., Adelard KN; Department of General Surgery, Kampala International University, Western Campus, Bushenyi, Uganda., Shindano TA; Department of Internal Medicine, Hôpital Provincial Général de Référence de Bukavu (HPGRB), Bukavu, Democratic Republic of the Congo.; Faculty of Medicine, Université Catholique de Bukavu (UCB), Bukavu, Democratic Republic of the Congo.; University of Kindu, Kindu, Maniema, Democratic Republic of the Congo.
Jazyk:	angličtina
Zdroj:	Infection prevention in practice [Infect Prev Pract] 2022 Jun 24; Vol. 4 (3), pp. 100226. Date of Electronic Publication: 2022 Jun 24 (Print Publication: 2022).
DOI:	10.1016/j.infpip.2022.100226
Abstrakt:	Background: In low resource settings in sub-Saharan Africa healthcare workers (HCW) have a high risk of contracting hepatitis B infection. Vaccination of HCWs is to protect them from acquisition of hepatitis B from patients. Objective: To evaluate the hepatitis B virus (HBV) serological and vaccination status of HCWs in the Butembo Antenna in the Eastern Democratic Republic of Congo (DR Congo) and to investigate the factors influencing hepatitis screening and vaccination. Methods: A cross-sectional study using a structured questionnaire was carried out from 1 st to 30 th April 2021 among consenting HCWs in Butembo (≥18 years of age). Data was analysed using SPSS version 23. Results: Of 373 participants, 178 (47.7%) had already been screened for HBV. Screening was more likely for HCWs in a rural or publicly owned facility ( P <0.05). A total of 25 (6.7%) HCWs were fully vaccinated against HBV; the factors associated with full vaccination were: prior screening for HBV (odds ratio: 9.03 (2.51-38.61), P <0.0001), prior knowledge of the value of post-exposure prophylaxis (odds ratio 12.9 (2.89-80.44), P =0.0004), prior knowledge of hepatitis B vaccine benefits (adjusted odds ratio: 4.54 (1.66-13.05), P =0.002) and prior exposure to hepatitis B infection (adjusted odds ratio: 2.61 (1.08-6.39), P =0.039). Conclusion: Screening and vaccination rates of HCWs for HBV are extremely low, and not high enough to prevent the spread of this serious illness and its complications. There is a dire need to increase vaccination rates among HCWs in Eastern DR Congo. The DRC government should issue vaccination against HBV as a recommendation at the national level. (© 2022 The Authors.)
Databáze:	MEDLINE
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