title: Adherence to and knowledge of best practices and occupational biohazards among manicurists/pedicurists.
abstract: BACKGROUND
  Unsafe behaviors of the professionals working at health and beauty centers are arousing concern among researchers, especially because of the risk of infections related to occupational health.
  
  
  METHODS
  This study involved a survey of 153 manicurists/pedicurists working in beauty salons in Belo Horizonte, Brazil between June 2012 and March 2013. The data were analyzed through descriptive statistics, χ(2) tests, and logistic regression. Participants' knowledge of and adherence to best practices were evaluated based on the median results, and serologic markers for hepatitis B and C were identified.
  
  
  RESULTS
  Associations (P < .05) were observed between adherence and workload, biosafety training, and hepatitis B surface antibody (anti-HBs) serology, as well as between knowledge and courses in the area and accidents with sharp instruments. Manicurists who participated in a course on biosafety (63.6%) and were positive for anti-HBs reagents (56.8%) achieved better results on issues of adherence. Those who reported taking a specific course on this topic had good scores on issues of knowledge (60%). Reactivity to hepatitis C antibody was identified in 1.3%, and reactivity to anti-HBs was detected in 53%.
  
  
  CONCLUSIONS
  Overall, the participants demonstrated poor knowledge of and adherence to good safety practices and exposure to occupational biohazards, such as contact with blood by accidents with sharp instruments and minimal vaccine protection.
authors.affiliation: Nursing Department, Pontificia Catholic University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil. Electronic address: julade@gmail.com.
authors.forename: Juliana Ladeira
authors.initials: JL
authors.lastname: Garbaccio
authors.affiliation: School of Nursing, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
authors.forename: Adriana Cristina
authors.initials: AC
authors.lastname: de Oliveira
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001938:Brazil / Q000453:epidemiology; D003151:Community Health Centers; D005260:Female; D019983:Guideline Adherence / Q000706:statistics & numerical data; D015386:Hazardous Substances; D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel; D006505:Hepatitis / Q000453:epidemiology; D006509:Hepatitis B / Q000453:epidemiology; D006801:Humans; D008875:Middle Aged; D009784:Occupational Diseases / Q000517:prevention & control*; D016273:Occupational Exposure; D017410:Practice Guidelines as Topic; D016036:Seroepidemiologic Studies; D055815:Young Adult
chemical_list: D015386:Hazardous Substances
keywords: Beauty and aesthetics center; Exposure to biological agents; Podiatry; Universal precautions