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Occupational exposure to HIV: a conflict situation for health workers.
Dept Nursing, Mbarara Univ Sci & Technol, Mbarara, Uganda.; Karolinska Institutet, Stockholm, Sweden.
Dept Nursing, Mbarara Univ Sci & Technol, Mbarara, Uganda..
Karolinska Institutet, Stockholm, Sweden; Kristianstad University, Kristianstad, Sweden.
Dept Nursing, Mbarara Univ Sci & Technol, Mbarara, Uganda..
2011 (English)In: International Nursing Review, ISSN 0020-8132, E-ISSN 1466-7657, Vol. 58, no 4, p. 454-62Article in journal (Refereed) Published
Abstract [en]

AIM: To determine the frequency of occupational exposure to human immunodeficiency virus (HIV), the circumstances and predisposing factors, the high-risk groups, the extent to which exposures are reported and the post-exposure prophylaxis (PEP) utilized by health-care workers (HCWs) and students in a Ugandan hospital.

BACKGROUND: Occupational exposure to HIV is a low but potential risk of HIV infection to health workers.

METHOD: Self-administered questionnaire was given to 224 participants (including 98 HCWs and 126 students) in Mbarara Hospital, Uganda. Data were analysed with descriptive statistics using the Statistical Package for the Social Sciences version 15.0 (SPSS Inc, Chicago, IL, USA).

FINDINGS: Of the 224 participants surveyed, 19.2% reported having sustained injection needle stick injuries in the previous year, of which 4.46% occurred with HIV-infected blood. Other reported injuries were cannula needle stick injury (0.89%), suture needle stick injuries (3.13%), scalpel cut injuries (0.45%) and muco-cutaneous contamination (10.27%). The most affected groups were nurses-midwives for scalpel injuries and students for stick injuries. The predisposing factors reported included lack of protective devices and recapping of needles. Exposures were under-reported. Uptake of PEP was also low.

CONCLUSION: Occupational exposure to HIV presents a conflict situation for HCWs. It remains a frequent occurrence particularly among student nurses-midwives, despite being avoidable. Its prophylactic treatment is hampered by poor reporting and investigation of exposures, and poor access to PEP. Strict adherence to universal precaution and proper handling of occupational exposure to HIV should be encouraged.

Place, publisher, year, edition, pages
2011. Vol. 58, no 4, p. 454-62
Keywords [en]
HIV, Cervical cancer, Screening, Integration, Uganda
National Category
Nursing
Identifiers
URN: urn:nbn:se:oru:diva-44594DOI: 10.1111/j.1466-7657.2011.00887.xISI: 000297507900011PubMedID: 22092324Scopus ID: 2-s2.0-81855182078OAI: oai:DiVA.org:oru-44594DiVA, id: diva2:811342
Note

Funding Agency: Mbarara University of Science and Technology HIV/AIDS Institutional Policy 

Available from: 2015-05-11 Created: 2015-05-11 Last updated: 2018-05-07Bibliographically approved
In thesis
1. Human immunodeficiency virus (HIV), human papillomavirus (HPV) and cervical cancer prevention in Uganda: prevalence, risk factors, benefits and challenges of post-exposure profylaxis, screening integration and vaccination
Open this publication in new window or tab >>Human immunodeficiency virus (HIV), human papillomavirus (HPV) and cervical cancer prevention in Uganda: prevalence, risk factors, benefits and challenges of post-exposure profylaxis, screening integration and vaccination
2015 (English)Doctoral thesis, comprehensive summary (Other academic)
Place, publisher, year, edition, pages
Örebro: Örebro university, 2015. p. 154
Series
Örebro Studies in Medicine, ISSN 1652-4063 ; 125
Keywords
HIV, HPV, Cervical cancer, Prevention, Post-exposure prophylaxis, screening integration, vaccination, Uganda
National Category
Obstetrics, Gynecology and Reproductive Medicine
Research subject
Obstetrics and Gynaecology
Identifiers
urn:nbn:se:oru:diva-44517 (URN)978-91-7529-084-3 (ISBN)
Public defence
2015-06-09, Universitetssjukhuset, hörsal C3, Södra Grev Rosengatan, Örebro, 09:00 (English)
Opponent
Supervisors
Available from: 2015-05-04 Created: 2015-05-04 Last updated: 2017-10-17Bibliographically approved

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