Tacettin İNANDI, Nazan SAVAŞ, Ersin Peker, Nizami DURAN, Hande HARMANCI

Tıp, hemşirelik ve sağlık meslek yüksekokulu öğrencileri Hepatit B’den korunuyor mu: Hatay’dan kesitsel bir çalışma, Türkiye

Amaç: Hepatit B önemli bir halk sağlığı sorunudur ve sağlık çalışanları dahil pek çok grup hepatit B açısından risk altındadır. Bu çalışmada tıp, hemşirelik ve sağlık meslek yüksekokulu öğrencilerinin anti-hepatit B antikor düzeylerini ve iğne batması sıklığını belirlemek amaçlanmıştır. Yöntem: Çalışmanın evreni ve örneklemi 2015 yılında Mustafa Kemal Üniversitesi Tıp, Hemşirelik ve Sağlık Meslek Yüksek Okulu ilk ve son sınıfında okuyan 973 öğrencidir. Öğrencilerden % 63’üne ulaşılabildi ve bunların % 67.7’sinden kan örneği alındı. Serum örneklerindeki hepatit B yüzey antikoru değerleri “enzyme-linked immunosorbent assay” yöntemiyle çalışıldı, antikor titresi 10 mIU/mL üzeri pozitif kabul edildi. Bulgular: Öğrencilerin yaş ortalaması ve standart sapması 20.9±2.7 olup % 68.5’i kadın idi. Anti-HBs pozitifliği % 54.5 olarak elde edildi. Anti-HBs pozitifliğindeki farklılık cinsiyet, yaş grubu ve okul açısından farksız iken, aşılı olanlarda diğerlerine göre daha yüksek idi (p<0.05). Katılımcıların % 29.0’unda iğne batması öyküsü vardı. En yüksek sıklık sağlık acil ve anestezi bölümü öğrencilerinde idi (p<0.001). Son sınıf öğrencilerinde iğne batması daha sık gözlendi. Sonuç: Öğrencilerin yaklaşık yarısında anti-HBs negatiftir ve çalışma ortamında yaralanma riskleri yüksektir. Buna karşın hepatit B’den korunmak amacı ile staj yapmakta olan öğrenciler için açık bir politika yoktur. Sağlık kuruluşlarında staj yapan öğrencileri işyeri risklerinden koruyacak bir politika gereklidir.

Anahtar Kelimeler:

Hepatit B Antikor, sağlık meslekleri öğrencileri, iğne batması, sağlık politikası

Are the students in medicine, nursing and allied health higher schools protected from Hepatitis B: A cross-sectional study from Hatay, Turkey

Aim: Hepatitis B is an important public health problem and many groups, including health workers, are at risk for hepatitis B. We aimed to determine the hepatitis B surface antibody levels and frequency of needlestick injury among health occupations students. Method: The study population and sample were 973 students in Mustafa Kemal University, Medical, Nursing and Health Vocational High School in 2015. Of the students, %63 were reached, and 67.7% of them gave blood samples. Anti-HBS values were calculated by enzyme-linked immunosorbent assay and an antibody titer over 10 mIU/mL was accepted as positive. Results: The mean age was 20.9 ± 2.7 and 68.5% were female. Anti-HBs positivity was 54.5%, and 37.3% of the vaccinated group was still anti-HBS negative. The difference in anti-hepatitis B positivity was not significant in terms of sex, age group and school, but it was higher in vaccinated students than in others (p <0.05). 29.0% of participants had a history of needle-stick injury. The highest percentage was in health emergency and anaesthesia departments (p <0.001). Needle-stick injury was observed more often in senior students.Conclusion: Approximately half of the students were negative in terms of anti-HBs and injury risk at working places is extremely high. However, there is no clear hepatitis B policy for the students. There is a policy need for all students in healthcare settings.

Keywords:

health policy Hepatitis B antibodies, health occupations students, needle-stick injury, immunization history,

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