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Community Medicine Abstracts - College of Medicine and Health ...

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Project No. 145 (1998)HIV & HBV - Related Knowledge, Attitude <strong>and</strong> Practice Among <strong>Health</strong>Pr<strong>of</strong>essionals in Al Ain HospitalsStudent Authors: Amal Mohammed Al-Bairaq, Aisha Khalifa Al-ZyodiFaculty Supervisors: Dr. M.M. HossainAbstract:Objectives To determine the prevalence <strong>of</strong> work-related injury among medicalpr<strong>of</strong>essionals <strong>and</strong> their knowledge, attitude <strong>and</strong> practice with special reference toHuman Immunodeficiency Virus (HIV) <strong>and</strong> Hepatitis B Virus (HBV) infection.Methods Design was done in Al Ain city during the period 6 December to 31 December1997. A st<strong>and</strong>ardized self-administered questionnaire was used to obtain data.Setting was the UAE, Al Ain city, Al Ain Hospital, Tawam Hospital <strong>and</strong> the Faculty <strong>of</strong><strong>Medicine</strong> <strong>and</strong> <strong>Health</strong> Sciences (FMHS). Subjects were 301 medical pr<strong>of</strong>essionalsincluding difference specialties (anaesthesia, surgery <strong>and</strong> specialties, internal medicine<strong>and</strong> specialties, paediatrics, obstetrics <strong>and</strong> gynecology <strong>and</strong> family medicine) <strong>and</strong>seniority (interns, residents, specialists, training nurses, staff nurses <strong>and</strong> headnurses).Results 600 subjects were involved in this study, but 301 (50.2%) completed thequestionnaire. The majority <strong>of</strong> study subjects had a good knowledge about HIVinfection. The highest percentages <strong>of</strong> activities that can transmit HIV infection weresharing I.V. needles (96.7%) followed by sexual intercourse (97.7%), then bloodtransfusion (96.7%) which was the highest percentage (97.3%) in previous study(1993). There is no significant difference between this study <strong>and</strong> previous study(1993) in knowledge about activities which can transmit HIV infection, except insharing drinking glass as the correct answer was 85% in this study compared with8.9% in previous one (No is the correct answer). Regarding attitude, the highestpercentage <strong>of</strong> study subjects (52.8%) agreed to take care <strong>of</strong> HIV positive patients <strong>and</strong>the lowest percentage (2%) were strongly disagreed. Doctors agreed to take care <strong>of</strong>such patients more than nurses did. Concern about HIV infection becomes more thanbefore among health care workers, as 39.5% were very much worried about HIVinfection at their work compared to 33% in previous study (1993), whereas only 5.9%were not worried at all about it compared to 20.2% in 1993. Regarding practice,5.5% <strong>of</strong> health care workers always wear gloves (40% in 1993) <strong>and</strong> 97.7% alwaysthrow needles in sharp box (90.8% in 1993). The most common type <strong>of</strong> injury wasneedle stick (61%) <strong>and</strong> the most common site <strong>of</strong> injury was in finger (62%). Amongspecialists, surgeons had the highest percentage <strong>of</strong> injury by sharp object (81%) <strong>and</strong>exposure to infectious materials (47.6%). 1.3% <strong>of</strong> study subjects had recent injurycontaminated with blood <strong>of</strong> HIV/HBV positive. Regarding safety precautions relatedseminars, only 15% attended regularly <strong>and</strong> the most common reason for that is lack<strong>of</strong> time (25% answered I am too busy).Conclusion Knowledge <strong>and</strong> practice about HIV <strong>and</strong> HBV has improved since 1993 butmore concern <strong>and</strong> worry resulted from that. Fixed strategy <strong>of</strong> safety precautions mustbe followed in health care work.

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