Prevalence, correlates of occupational percutaneous injuries and use of post exposure prophylaxis against HIV, Hepatitis B among health workers in Kampala, Uganda-May 201
التفاصيل البيبلوغرافية
العنوان:
Prevalence, correlates of occupational percutaneous injuries and use of post exposure prophylaxis against HIV, Hepatitis B among health workers in Kampala, Uganda-May 201
Introduction: Of the 3 million percutaneous exposures that occur annually among health workers (HWs), 90% are in low-income countries. The estimated average prevalence of percutaneous exposures among health workers in Uganda was 70% in 2009. However, utilization of post exposure prophylaxis (PEP) following percutaneous exposure remains largely undetermined. We determined the utilization of PEP for HIV and Hepatitis B (Hep B) following percutaneous injuries (PIs) among clinical health workers in Kampala. Methods: In a cross-sectional study, 709 HWs were selected and enrolled using multi-stage sampling from seven health facilities in Kampala City. Data were collected using a semi-structured questionnaire and a facility checklist. Modified Poisson regression modelling was used to estimate prevalence ratios (PRs) of PEP utilization. Results: One hundred and ninety-seven (28%) HWs had sustained PIs in the preceding 12 months with a Hep B vaccination prevalence of 18%. Twenty-nine (15%) of exposed HWs initiated HIV-PEP and one (0.5%) Hepatitis B-PEP. Factors associated with PEP uptake were 1-5years of professional experience (PR= 0.29 95% confidence interval (CI) (0.1-0.92)) compared to less than a year. Being an intern doctor (PR= 0.02 95% CI (
