Hepatitis B Virus Sero-prevalence and Vaccination Status among Health Care Workers, North East Egypt
Aly, H., Soliman, N., Nemr, N., Abdalla, M., Attia, F., Kishk, R. (2020). Hepatitis B Virus Sero-prevalence and Vaccination Status among Health Care Workers, North East Egypt. EKB Journal Management System, 29(2), 169-177. doi: 10.21608/ejmm.2020.250262
Huda Aly; Nashaat Soliman; Nader Nemr; Mohamed Abdalla; Fawzy Attia; Rania Kishk. "Hepatitis B Virus Sero-prevalence and Vaccination Status among Health Care Workers, North East Egypt". EKB Journal Management System, 29, 2, 2020, 169-177. doi: 10.21608/ejmm.2020.250262
Aly, H., Soliman, N., Nemr, N., Abdalla, M., Attia, F., Kishk, R. (2020). 'Hepatitis B Virus Sero-prevalence and Vaccination Status among Health Care Workers, North East Egypt', EKB Journal Management System, 29(2), pp. 169-177. doi: 10.21608/ejmm.2020.250262
Aly, H., Soliman, N., Nemr, N., Abdalla, M., Attia, F., Kishk, R. Hepatitis B Virus Sero-prevalence and Vaccination Status among Health Care Workers, North East Egypt. EKB Journal Management System, 2020; 29(2): 169-177. doi: 10.21608/ejmm.2020.250262

Hepatitis B Virus Sero-prevalence and Vaccination Status among Health Care Workers, North East Egypt

Egyptian Journal of Medical Microbiology
Volume 29, Issue 2, April 2020, Page 169-177  XML PDF (405.24 K)
Document Type: New and original researches in the field of Microbiology.
DOI: 10.21608/ejmm.2020.250262
View on SCiNiTO View on SCiNiTO
Authors
Huda Aly1; Nashaat Soliman1; Nader Nemr1; Mohamed Abdalla2; Fawzy Attia3; Rania Kishk email 4
1Endemic & Infectious Diseases Department, Faculty of Medicine, Suez Canal University
2Clinical Pathology Department, Faculty of Medicine, Suez Canal University
3Internal Medicine Department, Faculty of Medicine, Suez Canal University
4Microbiology and Immunology Department, Faculty of Medicine, Suez Canal University
Abstract
Background: Infection with hepatitis B virus (HBV) is a major worldwide health problem. The estimated prevalence of HBV is about 1.4% in Egypt. This infection is one of the main occupational hazards in the field of health care workers (HCW). Objectives: This study aimed to assess the prevalence of HBV infection among HCWs in Suez Canal University Hospital, East Egypt and their hepatitis B vaccination coverage. Methodology: A cross sectional descriptive study was conducted, including 450 Health Care Workers (HCWs) with more than 6 months of job experience, selected through stratified random sampling by HCW category. A structured questionnaire was used to collect demographic parameters, history of occupational exposures and HBV vaccination status. Blood samples were screened for HBsAg, hepatitis B core antibody, and hepatitis B surface antibody titer by ELISA. Results: Our study sample included 66.7% aged < 30 years. 73.5% of study sample were fully vaccinated, 10.7% were unvaccinated. Only 2.7% of those who have ever been vaccinated had HBsAb testing. There was a significant relation (p<0.001) between occupation and vaccination rate being the highest among nurses and doctors (80%, 78% respectively). Also a significant relationship (p<0.001) was found with education level and age, while no relation was found between gender and vaccination rate. The prevalence of chronic HBV infection and HBcAb were 0.4, and 15.6% respectively. HBV immunity achieved either by healed infection, or evidence of natural boosting was found among 13%. Immunity after vaccination was found in 75%, while 10% were still susceptible to infection. Only 21.1% report injury to infection control office and had viral markers testing. Conclusion: Although the use of hepatitis B vaccine decreased the incidence of HBV infection in HCWs, still there is a proportion of healthcare workers are unvaccinated. Therefore, new policies are needed for HBV screening, vaccination, and serological response.
Keywords
HCWs; Hepatitis B Vaccine; HBV; Egypt
Statistics
Article View: 243
PDF Download: 163