Prevalence of body fluid exposures and associated risk factors amongst healthcare workers at Avicenne Military Hospital, Morocco

  • Youssef el Kamouni Laboratory of Bacteriology-Virology and Molecular Biology, Avicenne Military Hospital, Marrakech, Morocco
  • Touria el Bardi Laboratory of Bacteriology-Virology and Molecular Biology, Avicenne Military Hospital, Marrakech, Morocco
  • Kenza el Bazi Laboratory of Bacteriology-Virology and Molecular Biology, Avicenne Military Hospital, Marrakech, Morocco
  • Youssra el Amrani Laboratory of Bacteriology-Virology and Molecular Biology, Avicenne Military Hospital, Marrakech, Morocco
  • Imane el Khannouri Laboratory of Bacteriology-Virology and Molecular Biology, Avicenne Military Hospital, Marrakech, Morocco
  • Ali Meskini Laboratory of Bacteriology-Virology and Molecular Biology, Avicenne Military Hospital, Marrakech, Morocco
  • Mouhcine el Miloudi Laboratory of Bacteriology-Virology and Molecular Biology, Avicenne Military Hospital, Marrakech, Morocco
  • Said Zouhair Laboratory of Bacteriology-Virology and Molecular Biology, Avicenne Military Hospital, Marrakech, Morocco
  • Lamiae Arsalane Laboratory of Bacteriology-Virology and Molecular Biology, Avicenne Military Hospital, Marrakech, Morocco
Keywords: body fluid, blood, risk, occupational exposure, healthcare workers, hepatitis B, vaccination, prevention, Morocco

Abstract

Objectives: The purpose of this study is to determine the prevalence of body fluid exposures (BFE) and associated risk factors amongst healthcare workers (HCWs), and to evaluate hepatitis B (HBV) vaccination coverage, at Avicenne Military Hospital.

Materials and methods: A descriptive and analytical cross-sectional study was conducted over 6 months amongst HCWs at the Avicenne Military Hospital. Data were collected using an anonymous questionnaire. Blood samples were collected from consenting participants, for assaying HBV surface antibodies.

Results: One hundred thirty-four HCWs were interviewed, and 86 (64.2%) reported at least one BFE. The median age was 28 (27–34) years, with male gender predominating (54%). Percutaneous exposure was the most common BFE (95%), and the hollow bore needle the most implicated (45%). Only 34% of victims reported their BFE. The multivariate analysis showed that HCWs in a surgical department are 10 times more exposed to BFE (P = 0.003; odds ratio [OR] = 10, 95% confidence interval [CI]: 2–47) compared to HCWs in medical departments (P = 0.009; OR = 0.06, 95% CI: 0.007–0.49) and laboratories (P = 0.04; OR = 0.1, 95% CI: 0.01–0.88). The HBV vaccination rate was 67%. Amongst HCWs tested, 42% were immune to HBV. Immune status between physicians and paramedical staff was significantly different (P = 0.005; OR = 0.2, 95% CI: 0.04–0.55). The immunization rate rose significantly with seniority (P = 0.016; OR = 17, 95% CI: 1.67–169).

Conclusion: Our findings highlight the importance of information and continuous training on BFE for HCWs, and the development of strategies to promote and simplify access to the HBV vaccine.

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Published
2022-12-13
How to Cite
el Kamouni, Y., el Bardi, T., el Bazi, K., el Amrani, Y., el Khannouri, I., Meskini, A., el Miloudi, M., Zouhair, S., & Arsalane, L. (2022). Prevalence of body fluid exposures and associated risk factors amongst healthcare workers at Avicenne Military Hospital, Morocco. International Journal of Infection Control, 18. https://doi.org/10.3396/ijic.v18.21399
Section
Original Articles