Assessment of needlestick injuries and hepatitis B and C infection among surgeons

Shaban Mehrvarz, Seyed Masoud Khatami, Shahram Manoochehry, Hossien Khedmat, Mahdi Arefinia, Hamid Reza Rasouli
2020 Universa Medicina  
Background<br />Specialist surgeons are at high risk of exposure to hepatitis viruses through occupational exposure to blood or body fluids. Protective measures against occupational exposure to the hepatitis B virus (HBV) and hepatitis C virus (HCV) must be taken in order to prevent infection in surgeons. We aimed to determine the needlestick injuries, and markers HBV and HCV in Iranian surgeons.<br /><br />Methods<br />This study was cross-sectional research, performed in Baqyatallah, Shohada,
more » ... qyatallah, Shohada, Rasoul Akram, Sina, Taleghani, and Emam Hossein hospitals (all university hospitals) of Tehran, Iran. Overall 318 eligible surgeons were included. Anonymous questionnaires were used containing data about demographic characteristics, self-reported blood and needlestick contacts, occasional exposures, risk behaviors and vaccination. Also, the blood samples were taken and tested for hepatitis B surface antigen (HBsAg), antibody against Hepatitis B surface antigen (antiHBs) and HCV antibody (HCVAb). Fisher exact test and Kruskal Wallis test were used to analyze the data.<br /><br />Results<br />The mean age of the surgeons was 47.76 ± 8.95 years and 177 of them (55.66%) were male. The average number of needle–sticks was 28.28 ± 16.58 during the surgeons' working life. Among them, 5 cases (1.59%) were positive for HBsAg and 2 cases (0.66%) were positive for HCVAb. <br /><br />Conclusion<br />In spite of the high needlestick rate in Iranian surgeons, prevalence of hepatitis B and C is not very high among them. A high degree of vigilance and a careful surgical technique is the only means available to prevent the transmission of the viruses.
doi:10.18051/univmed.2020.v39.113-120 fatcat:jhsd55svrzdrbas6uddejvhx4i