Table 4 Knowledge of health care workers about modes of transmission of hepatitis B & C and preventive measures at first level health facilities in Sindh province Pakistan, 2004
MBBS Prescriber | Non-MBBS Prescriber | Dispenser | Housekeeper | Overall N = 239 | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
Mode of transmissions | n = 42 | % | n = 22 | % | n = 166 | % | n = 9 | % | N | % |
Reuse of contaminated syringe | 39 | 92.9 | 16 | 72.7 | 117 | 70.5 | 2 | 22.2 | 174 | 72.8 |
Unscreened blood | 22 | 52.4 | 6 | 27.3 | 40 | 24.1 | 0 | 0.0 | 68 | 28.5 |
Unprotected sexual intercourse | 22 | 52.4 | 6 | 27.3 | 41 | 24.7 | 0 | 0.0 | 69 | 28.9 |
Reuse of razor | 15 | 35.7 | 6 | 27.3 | 35 | 21.1 | 1 | 11.1 | 57 | 23.8 |
Use of unsterilized medical instruments | 11 | 26.2 | 2 | 9.1 | 16 | 9.6 | 0 | 0.0 | 29 | 12.1 |
Needle stick or by injury with sharp object | 15 | 35.7 | 4 | 18.2 | 20 | 12.0 | 0 | 0.0 | 39 | 16.3 |
Exposure to body fluids | 13 | 31.0 | 1 | 4.5 | 7 | 4.2 | 0 | 0.0 | 21 | 8.8 |
Precautions for prevention | ||||||||||
Use new syringe for each patient | 13 | 31.0 | 4 | 18.2 | 13 | 7.8 | 0 | 0.0 | 47 | 19.7 |
Screen blood before transfusion | 2 | 4.8 | 0 | 0.0 | 3 | 1.8 | 0 | 0.0 | 5 | 2.1 |
Sterilize instrument | 3 | 7.1 | 0 | 0.0 | 6 | 3.6 | 0 | 0.0 | 9 | 3.8 |
Careful to needle | 2 | 4.8 | 1 | 4.5 | 5 | 3.0 | 0 | 0.0 | 8 | 3.3 |
Cleaner work environment (no spillovers, clean dry counters etc) | 0 | 0.0 | 0 | 0.0 | 3 | 1.8 | 0 | 0.0 | 3 | 1.3 |
Appropriate disposal of syringes | 3 | 7.1 | 1 | 4.5 | 9 | 5.4 | 0 | 0.0 | 13 | 5.4 |
Prevention of exposure to body fluids and blood | 1 | 2.4 | 0 | 0.0 | 5 | 3.0 | 0 | 0.0 | 6 | 2.5 |
Watch for unexpected patients movement | 5 | 11.9 | 0 | 0.0 | 6 | 3.6 | 1 | 11.1 | 12 | 5.0 |
General vigilance during work | 2 | 4.8 | 2 | 9.1 | 15 | 9.0 | 0 | 0.0 | 19 | 7.9 |
Avoid unnecessary injections | 1 | 2.4 | 0 | 0.0 | 1 | 0.6 | 0 | 0.0 | 2 | 0.8 |
Don't recapping needle after use | 1 | 2.4 | 0 | 0.0 | 0 | 0.0 | 0 | 0.0 | 1 | 0.4 |
Break needle after use | 4 | 9.5 | 0 | 0.0 | 4 | 2.4 | 0 | 0.0 | 8 | 3.3 |