Health-care workers' occupational exposures to body fluids in 21 countries in Africa: systematic review and meta-analysis.
Bull World Health Organ
; 95(12): 831-841F, 2017 Dec 01.
Article
em En
| MEDLINE
| ID: mdl-29200524
ABSTRACT
OBJECTIVE:
To estimate the lifetime and 12-month prevalence of occupational exposure to body fluids among health-care workers in Africa.METHODS:
Embase®, PubMed® and CINAHL databases were systematically searched for studies published between January 2000 and August 2017 that reported the prevalence of occupational exposure to blood or other body fluids among health-care workers in Africa. The continent-wide prevalence of exposure was estimated using random-effects meta-analysis.FINDINGS:
Of the 904 articles identified, 65 studies from 21 African countries were included. The estimated pooled lifetime and 12-month prevalence of occupational exposure to body fluids were 65.7% (95% confidence interval, CI 59.7-71.6) and 48.0% (95% CI 40.7-55.3), respectively. Exposure was largely due to percutaneous injury, which had an estimated 12-month prevalence of 36.0% (95% CI 31.2-40.8). The pooled 12-month prevalence of occupational exposure among medical doctors (excluding surgeons), nurses (including midwives and nursing assistants) and laboratory staff (including laboratory technicians) was 46.6% (95% CI 33.5-59.7), 44.6% (95% CI 34.1-55.0) and 34.3% (95% CI 21.8-46.7), respectively. The risk of exposure was higher among health-care workers with no training on infection prevention and those who worked more than 40 hours per week.CONCLUSION:
The evidence available suggests that almost one half of health-care workers in Africa were occupationally exposed to body fluids annually. However, a lack of data from some countries was a major limitation. National governments and health-care institutions across Africa should prioritize efforts to minimize occupational exposure among health-care workers.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Líquidos Corporais
/
Exposição Ocupacional
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Pessoal de Saúde
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Transmissão de Doença Infecciosa do Paciente para o Profissional
Tipo de estudo:
Prognostic_studies
/
Risk_factors_studies
/
Systematic_reviews
Limite:
Humans
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article