The relationship between hepatitis serology of ambulance attendants and duration of education

Background/aim: Healthcare workers (HCWs) run the risk of hepatitis B virus (HBV) infection. Studies investigating the HBV and hepatitis C virus (HCV) serology of HCWs have been generally conducted in secondary or tertiary hospitals. In this study we aimed to determine the relationships between education level and HBV and HCV serology and HBV vaccination status of ambulance attendants. Materials and methods: The data of this study were obtained by retrospective review of ambulance personnel files in Sakarya Province, Turkey. Results: Out of 314 ambulance attendants, 216 (68.7%; 78 males, 138 females) were enrolled in this study. The mean length of employment in the province?s ambulance service was 5.22 years. While hepatitis B surface antigen positivity was found in 3 (1.4%) workers, 147 (68%) of them were positive for hepatitis B surface antibodies (anti-HBs). The lowest HBV vaccination rate was 12.5%, in drivers. Naturally acquired immunity against HBV was again the highest in drivers (17.5%; P < 0.05). All personnel were anti-HCV-negative. Anti-HBs positivity is rather low in the province?s ambulance service attendants, and positive anti-HBs status related to vaccination is associated with vocational training. Conclusion: Training should be performed to increase HBV awareness of ambulance attendants. Nonvaccinated personnel should be determined on the first day of employment, and regulations should be put in place to ensure their vaccination.

The relationship between hepatitis serology of ambulance attendants and duration of education

Background/aim: Healthcare workers (HCWs) run the risk of hepatitis B virus (HBV) infection. Studies investigating the HBV and hepatitis C virus (HCV) serology of HCWs have been generally conducted in secondary or tertiary hospitals. In this study we aimed to determine the relationships between education level and HBV and HCV serology and HBV vaccination status of ambulance attendants. Materials and methods: The data of this study were obtained by retrospective review of ambulance personnel files in Sakarya Province, Turkey. Results: Out of 314 ambulance attendants, 216 (68.7%; 78 males, 138 females) were enrolled in this study. The mean length of employment in the province?s ambulance service was 5.22 years. While hepatitis B surface antigen positivity was found in 3 (1.4%) workers, 147 (68%) of them were positive for hepatitis B surface antibodies (anti-HBs). The lowest HBV vaccination rate was 12.5%, in drivers. Naturally acquired immunity against HBV was again the highest in drivers (17.5%; P < 0.05). All personnel were anti-HCV-negative. Anti-HBs positivity is rather low in the province?s ambulance service attendants, and positive anti-HBs status related to vaccination is associated with vocational training. Conclusion: Training should be performed to increase HBV awareness of ambulance attendants. Nonvaccinated personnel should be determined on the first day of employment, and regulations should be put in place to ensure their vaccination.

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  • Gupta A, Anand S, Sastry J, Krisagar A, Basavaraj A, Bhat SM,
  • Gupte N, Bollinger RC, Kakrani AL. High risk for occupational
  • exposure to HIV and utilization of post-exposure prophylaxis
  • in a teaching hospital in Pune, India. BMC Infect Dis 2008; 8: 142. 7.
  • Suckling RM, Taegtmeyer M, Nguku PM, Al-Abri SS, Kibaru J,
  • Chakaya JM, Tukei PM, Gilks CF. Susceptibility of healthcare
  • workers in Kenya to hepatitis B: new strategies for facilitating
  • vaccination uptake. J Hosp Infect 2006; 64: 271–277. 8.
  • Simard EP, Miller JT, George PA, Wasley A, Alter MJ, Bell
  • BP, Finelli L. Hepatitis B vaccination coverage levels among
  • healthcare workers in the United States, 2002-2003. Infect
  • Control Hosp Epidemiol 2007; 28: 783–790. 9.
  • De Paschale M, Manco MT, Belvisi L, Brando B, Latella S,
  • Agrappi C, Mirri P, Gatti A, Clerici P. Prevalence of markers
  • of hepatitis B virus infection or vaccination in HBsAg-negative
  • subjects. Blood Transfus 2012; 10: 344–350.
  • Beltrami EM, Williams IT, Shapiro CN, Chamberland ME. Risk and management of blood-borne infections in health care workers. Clin Microbiol Rev 2000; 13: 385–407.
  • Lu PJ, Byrd KK, Murphy TV, Weinbaum C. Hepatitis B vaccination coverage among high-risk adults 18-49 years, U.S., 2009. Vaccine 2011; 29: 7049–7057.
  • Bodenheimer HC, Fulton JP, Kramer PD. Acceptance of Hepatitis B vaccine among hospital workers. Am J Public Health 1986; 76: 252–255.
  • Topuridze M, Butsashvili M, Kamkamidze G, Kajaja M, Morse D, McNutt LA. Barriers to hepatitis B vaccine coverage among healthcare workers in the Republic of Georgia: an international perspective. Infect Control Hosp Epidemiol 2010; 31: 158–164.
  • Uludağ Altun H, Eraslan A, Özdemir G. Seroprevalences of HBV, HCV and HIV among healthcare workers in a secondary care hospital. Viral Hepatit Dergisi 2012; 18: 120–122 (in Turkish with English abstract).
  • Baysal B, Kaya Ş, İnalcan M. Bir eğitim araştırma hastanesi personelinde HBV, HCV ve HIV seroprevalansı. In: XI. Ulusal Viral Hepatit Kongre Kitabı; 12–15 Nisan 2012. Antalya, Turkey: Viral Hepatitle Savaşım Derneği; 2012. p. 44 (in Turkish).
  • De Schryver A, Claesen B, Meheus A, Van Sprundel M, François G. European survey of hepatitis B vaccination policies for healthcare workers. Eur J Public Health 2011; 21: 338–343.
  • Vranckx R, Jacques P, De Schrijver A, Moens G. Hepatitis B vaccination coverage in Belgian health care workers. Infection 2004; 32: 278–281.
  • Stroffolini T, Coppola R, Carvelli C, D’Angelo T, De Masi S, Maffei C, Marzolini F, Ragni P, Cotichini R, Zotti C et al. Increasing hepatitis B vaccination coverage among healthcare workers in Italy 10 years apart. Dig Liver Dis 2008; 40: 275–277.
  • Singhal V, Bora D, Singh S. Hepatitis B in health care workers: Indian scenario. J Lab Physicians 2009; 1: 41–48.
  • Sukriti, Pati NT, Sethi A, Agrawal K, Agrawal K, Kumar GT, Kumar M, Kaanan AT, Sarin SK. Low levels of awareness, vaccine coverage, and the need for boosters among healthcare workers in tertiary care hospitals in India. J Gastroenterol Hepatol 2008; 23: 1710–1715.
  • Shin BM, Yoo HM, Lee AS, Park SK. Seroprevalence of hepatitis B virus among health care workers in Korea. J Korean Med Sci 2006; 21: 58–62.
  • Nagao Y, Matsuoka H, Kawaguchi T, Ide T, Sata M. HBV and HCV infection in Japanese dental care workers. Int J Mol Med 2008; 21: 791–799.
  • Coates T, Wilson R, Patrick G, Andre F, Watson V. Hepatitis B vaccines: assessment of the seroprotective efficacy of two recombinant DNA vaccines. Clin Ther 2001; 23: 392–403.
  • Al-Jumaily HF, Turky AM, Dawood MS. Seroconversion of Anti-HBs alone among certain high risk groups in Al-Ramadi city, Western Iraq. Int Res J Med Med Sci 2013; 1: 56–63.
Turkish Journal of Medical Sciences-Cover
  • ISSN: 1300-0144
  • Yayın Aralığı: Yılda 6 Sayı
  • Yayıncı: TÜBİTAK
Sayıdaki Diğer Makaleler

Bioimpedance for assessing volume status in children with nephrotic syndrome

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Evaluation of children presenting to the emergency room afer electrical injury

Sibel ÇELİK, Nesibe ANDIRAN, Mine GÜVELOĞLU, Gülten KÜÇÜKKONYALI, Yasemin İNAN, Ali Osman KÖKSAL, Mehtap ACAR, Sacit GÜNBEY, Osman ÖZDEMİR, Aslıhan YILMAZ ARASLI

Beraprost sodium, a prostacyclin (PGI) analogue, ameliorates lipopolysaccharide-induced cellular injury in lung alveolar epithelial cells

SİNAN VICIL, SUAT ERDOGAN

Surgical management of pulmonary aspergilloma: clinical experience with 77 cases

Koray AYDOĞDU, Funda İNCEKARA, Mehmet Furkan ŞAHİN, Selim Şakir Erkmen GÜLHAN, Göktürk FINDIK, Abdullah İrfan TAŞTEPE, Sadi KAYA

The first PTPN11 mutations in hotspot exons reported in Moroccan children with Noonan syndrome and comparison of mutation rate to the previous studies

IHSSANE EL BOUCHIKHI, IMANE SAMRI, MOHAMMED IRAQUI HOUSSAINI, SAAID TRHANINT, LAILA BOUGUENOUCH, HANANE SAYEL, MOUSTAPHA HIDA, SAMIR ATMANI, KARIM OULDIM

CYP 2D6*4 polymorphism and interindividual response variation to metoprolol in stage 1 hypertensive patients: no association in a rural Indian population?

RAJAGOPAL AYYAPPADHAS, UNNIKRISHNAN DHANALEKSHMI, CHELLIAH JESTIN

Hemodynamic efects of atrial natriuretic peptide in ischemia-reperfusion injury that occurs afer exercise

Necdet SÜT, Elif Ezgi GÜREL, Selma Arzu VARDAR, Çetin Hakan KARADAĞ, Ruhan Deniz TOPUZ, Orkide PALABIYIK, Semra ÇALIŞKAN, Serap ÖZEN TOPÇU

MEHMET SIRMALI, OKAN SOLAK, TALİP ÇEVİK, RANA SIRMALI, BÜNYAMİN ÖZAYDIN, ZEYNEP GİNİŞ, YETKİN AĞAÇKIRAN, NAMIK DELİBAŞ

Hasan Salih SAĞLAM, Hüseyin ALTUNDAĞ, Yavuz Tarik ATİK, Mustafa Şahin DÜNDAR, Öztuğ ADSAN

Human papillomavirus: a potential risk factor for colorectal carcinoma?

Alpaslan TANOĞLU, Ahmet Ziya BALTA, Ufuk BERBER