Knowledge, Attitudes, and Practices of Health-Care Workers About Viral Hepatitis B and C in South Kivu

Tony Akilimali Shindano Department of Internal Medicine, Université Catholique de Bukavu, Bukavu, Democratic Republic of Congo.
Department of Hepatogastroenterology, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain (UCL), Brussels, Belgium.

Search for other papers by Tony Akilimali Shindano in
Current site
Google Scholar
PubMed
Close
,
Esto Bahizire Centre de Recherche en Sciences Naturelles de Lwiro, Bukavu, Democratic Republic of Congo.
Department of Microbiology, University of Nairobi, Kenya.

Search for other papers by Esto Bahizire in
Current site
Google Scholar
PubMed
Close
,
René Fiasse Department of Hepatogastroenterology, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain (UCL), Brussels, Belgium.

Search for other papers by René Fiasse in
Current site
Google Scholar
PubMed
Close
, and
Yves Horsmans Department of Hepatogastroenterology, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain (UCL), Brussels, Belgium.

Search for other papers by Yves Horsmans in
Current site
Google Scholar
PubMed
Close
Restricted access

Health-care workers (HCWs) are at risk of infections associated with accidental exposure to blood, including viral hepatitis B (HBV) and C (HCV). A survey using a questionnaire was conducted on 250 HCW in Bukavu, an eastern town of the Democratic Republic of Congo, to analyze their attitude and knowledge about these two viruses. A response rate of 86.8% (217/250) was obtained. The mean age of the respondents was 39.6 ± 9.8 years, in majority from paramedical staff (66.4%) and with more than 5 years of professional experience (60.8%). The mean proportion of adequate answers on HBV and HCV was 33.2% (±11%) and 30.6% (±7%), respectively. Ninety-three HCW (42.8%) reported recent experience of blood exposure accident, more frequently among the paramedical staff (50%) than physicians (28.8%; P = 0.002). This was mainly related to inadequate protection resources (76.9%). Among all participants, only 24.4% had a history of at least one injection of HBV vaccine; this was more frequently found among physicians than among paramedical staff (49.3% versus 11.8%; P < 0.001). Moreover, only 3.8% of vaccinated HCW received the complete vaccination schedule of three vaccine doses. The efficiency of this vaccine is not well recognized by HCW, and the majority of them seemed to be more worried about the risk of infection by human immunodeficiency virus than by viral hepatitis. Our study reveals that the level of knowledge about HBV and HCV is rather low among HCW in Bukavu.

Author Notes

* Address correspondence to Yves Horsmans, Department of Hepatogastroenterology, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain, Avenue Hippocrate10, B-1200 Brussels, Belgium. E-mail: yves.horsmans@uclouvain.be

Authors' addresses: Tony Akilimali Shindano, Department of Internal Medicine, Université Catholique de Bukavu, Bukavu, Democratic Republic of Congo, E-mail: tonyshinda@gmail.com. Esto Bahizire, Centre de Recherche en Sciences Naturelles de Lwiro, Bukavu, Democratic Republic of Congo, E-mail: esto.bahizire@gmail.com. René Fiasse and Yves Horsmans, Department of Hepatogastroenterology, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain, Brussels, Belgium, E-mails: rene.fiasse@uclouvain.be and yves.horsmans@uclouvain.be.

  • 1.

    World Health Organization, 2015. Hepatitis B. Available at: http://www.who.int/csr/disease/hepatitis/whocdscsrlyo20022/en/index1.html. Accessed November 1, 2015.

    • Search Google Scholar
    • Export Citation
  • 2.

    World Health Organization, 2015. Hepatitis Fact Sheet. Available at: http://www.who.int/inf-fs/en/fact204.html. Accessed November 1, 2015.

    • Search Google Scholar
    • Export Citation
  • 3.

    Pol S, Vallet-Pichard A, Corouge M, Mallet VO, 2012. Hepatitis C: epidemiology, diagnosis, natural history and therapy. Contrib Nephrol 176: 19.

    • Search Google Scholar
    • Export Citation
  • 4.

    Sagoe-Moses C, Pearson RD, Perry J, Jagger J, 2001. Risks to health care workers in developing countries. N Engl J Med 345: 538541.

  • 5.

    Askarian M, Yadollahi M, Kuochak F, Danaei M, Vakili V, Momeni M, 2011. Precautions for health care workers to avoid hepatitis B and C virus infection. Int J Occup Environ Med 2: 191198.

    • Search Google Scholar
    • Export Citation
  • 6.

    Wilburn SQ, Eijkemans G, 2004. Preventing needlestick injuries among healthcare workers: a WHO-ICN collaboration. Int J Occup Environ Health 10: 451456.

    • Search Google Scholar
    • Export Citation
  • 7.

    De Carli G, Abiteboul D, Puro V, 2014. The importance of implementing safe sharps practices in the laboratory setting in Europe. Biochem Med 24: 4556.

    • Search Google Scholar
    • Export Citation
  • 8.

    Kabinda JM, Miyanga SA, Donnen P, Van den Ende J, Dramaix MW, 2014. Knowledge, attitudes and practices of medical and paramedical staff in blood transfusion in the Democratic Republic of Congo. Open J Prev Med 4: 672680.

    • Search Google Scholar
    • Export Citation
  • 9.

    Benie J, Tiembre I, Ekra D, Attoh-Toure H, Kpebo D, Dagnan S, Tagliante-Saracino J, 2008. Knowledge, attitudes and practices of the health workers on the hepatitis B in the municipality of Treichville. Cah Santé Publique 7: 720.

    • Search Google Scholar
    • Export Citation
  • 10.

    Richmond JA, Dunning TL, Desmond PV, 2007. Health professionals' attitudes toward caring for people with hepatitis C. J Viral Hepat 14: 624632.

    • Search Google Scholar
    • Export Citation
  • 11.

    Kabir A, Tabatabaei SV, Khaleghi S, Agah S, Faghihi Kashani AH, Moghimi M, Habibi Kerahroodi F, Alavian SE, Alavian SM, 2010. Knowledge, attitudes and practice of Iranian medical specialists regarding hepatitis B and C. Hepat Mon 10: 176182.

    • Search Google Scholar
    • Export Citation
  • 12.

    Joukar F, Mansour-Ghanaei F, Soati F, Meskinkhoda P, 2012. Knowledge levels and attitudes of health care professionals toward patients with hepatitis C infection. World J Gastroenterol 18: 22382244.

    • Search Google Scholar
    • Export Citation
  • 13.

    Saleh DA, Elghorory LM, Shafik MR, Elsherbini EE, 2009. Improvement of knowledge, attitudes and practices of health care workers towards the transmission of blood-borne pathogens: an intervention study. J Egypt Public Health Assoc 84: 423441.

    • Search Google Scholar
    • Export Citation
  • 14.

    Askarian M, Shaghaghian S, McLaws ML, 2007. Needlestick injuries among nurses of Fars province, Iran. Ann Epidemiol 17: 988992.

  • 15.

    Ziraba AK, Bwogi J, Namale A, Wainaina CW, Mayanja-Kizza H, 2010. Sero-prevalence and risk factors for hepatitis B virus infection among health care workers in a tertiary hospital in Uganda. BMC Infect Dis 10: 191.

    • Search Google Scholar
    • Export Citation
  • 16.

    Bagny A, Bouglouga O, Djibril M, Lawson A, Laconi Kaaga Y, Hamza Sama D, Balaka A, Redah D, 2013. Knowledge, attitudes, and practices relative to the risk of transmission of hepatitis B and C viruses in a hospital in Togo [in French]. Med Sante Trop 23: 300303.

    • Search Google Scholar
    • Export Citation
  • 17.

    Laraqui O, Laraqui S, Laraqui S, Tripodi D, Ouazzani LC, Caubet A, Verger C, Laraqui Cel H, 2009. Evaluation of knowledge, attitudes and practices in the healthcare setting in Morocco with regard to hepatitis B and C [in French]. Sante Publique 21: 271286.

    • Search Google Scholar
    • Export Citation
  • 18.

    Alam M. 2002. Knowledge, attitude and practices among health care workers on needle-stick injuries. Ann Saudi Med 22: 396399.

  • 19.

    Heald AE, Ransohoff DF, 1990. Needlestick injuries among resident physicians. J Gen Intern Med 5: 389393.

  • 20.

    O'Neill TM, Abbott AV, Radecki SE, 1992. Risk of needlesticks and occupational exposures among residents and medical students. Arch Intern Med 152: 14511456.

    • Search Google Scholar
    • Export Citation
  • 21.

    Doebbeling BN, Vaughn TE, McCoy KD, Beekmann SE, Woolson RF, Ferguson KJ, Torner JC, 2003. Percutaneous injury, blood exposure, and adherence to standard precautions: are hospital-based health care providers still at risk? Clin Infect Dis 37: 10061013.

    • Search Google Scholar
    • Export Citation
  • 22.

    De Schryver A, Claesen B, Meheus A, van Sprundel M, François G, 2011. European survey of hepatitis B vaccination policies for healthcare workers. Eur J Public Health 21: 338343.

    • Search Google Scholar
    • Export Citation
  • 23.

    Kateera F, Walker TD, Mutesa L, Mutabazi V, Musabeyesu E, Mukabatsinda C, Bihizimana P, Kyamanywa P, Karenzi B, Orikiiriza JT, 2015. Hepatitis B and C seroprevalence among health care workers in a tertiary hospital in Rwanda. Trans R Soc Trop Med Hyg 109: 203208.

    • Search Google Scholar
    • Export Citation
  • 24.

    Vos D, Götz HM, Richardus JH, 2006. Needlestick injury and accidental exposure to blood: the need for improving the hepatitis B vaccination grade among health care workers outside the hospital. Am J Infect Control 34: 610612.

    • Search Google Scholar
    • Export Citation
  • 25.

    Puro V, De Carli G, Cicalini S, Soldani F, Balslev U, Begovac J, Boaventura L, Campins Martí M, Hernández Navarrete MJ, Kammerlander R, Larsen C, Lot F, Lunding S, Marcus U, Payne L, Pereira AA, Thomas T, Ippolito G, 2005. European recommendations for the management of healthcare workers occupationally exposed to hepatitis B virus and hepatitis C virus. Euro Surveill 10: 260264.

    • Search Google Scholar
    • Export Citation
  • 26.

    Déclaration de Rabat, 2009. African mobilization against viral hepatitis and hepatocarcinoma. Available at: http://documents.irevues.inist.fr/bitstream/handle/2042/28034/?sequence=1. Accessed November 1, 2015.

    • Search Google Scholar
    • Export Citation
Past two years Past Year Past 30 Days
Abstract Views 86 86 43
Full Text Views 527 116 1
PDF Downloads 327 42 0
 
Membership Banner
 
 
 
Affiliate Membership Banner
 
 
Research for Health Information Banner
 
 
CLOCKSS
 
 
 
Society Publishers Coalition Banner
Save