title: HEPATITIS-B VACCINATION STATUS AND KNOWLEDGE, ATTITUDE AND PRACTICE OF HIGH RISK HEALTH CARE WORKER ABOUT BODY SUBSTANCE ISOLATION.
abstract: BACKGROUND
  HBV infection is occupational risk for health care worker (HCW). They play an important role in dissemination of hepatitis B in society. This study aimed to assess Hepatitis B vaccination status of high transmitter risk group and their knowledge attitude and practice regarding Body substance Isolation.
  
  
  METHODS
  This questioner based cross sectional study was conducted in January 2013 to March 2014. 400 HCW comprising of 55% male and 45% female belonging to four groups 100 each doctor, nurse, Operation Theatre and clinical laboratory technician working at different tertiary hospitals in Karachi-Pakistan were included in the study.
  
  
  RESULTS
  28% doctors, 20% nurses, 64% operation theatre and 68% lab-technician were fully immunized. Among rest 31% were unaware of vaccine, 45% did not consider themselves among high risk group, 15% expected management to get them vaccinated, 9% found it expensive. Biosafety practices were correctly performed by 42%. 29% performed injection safe practice, 10% aseptic rules and 19% properly sterilized equipment. Blood spill was immediately cleaned by 80% among them 48% applied disinfectant, 40% cleaned it water and detergent, 12% cleaned and disinfected. Blood samples disposal was 52% in any available container, 17% in dustbin and 30% in biohazard bags. In case of accidental needle stick exposure 62 encouraged bleeding, 19% applied alcohol, 11% washed with water, 8% waited for medical help. Regarding discarding used syringe 42% used engineered device, 44% common container, 10% bent needles and 4% one handed scoop technique. Warning symbols were identified by 32% amongst them 30% identified biohazard, 8% harmful, 12% inflammable and 50% danger signs.
  
  
  CONCLUSIONS
  To prevent HCW from Hepatitis their complete immunization should be mandatory and rigid BSI protocol monitored daily.
authors.forename: Mashaal
authors.initials: M
authors.lastname: Quddus
authors.forename: Musarrat
authors.initials: M
authors.lastname: Jehan
authors.forename: Nafisa Hassan
authors.initials: NH
authors.lastname: Ali
mesh_terms: D003430:Cross-Sectional Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel / Q000706:statistics & numerical data*; D006509:Hepatitis B / Q000453:epidemiology / Q000517:prevention & control*; D017325:Hepatitis B Vaccines / Q000494:pharmacology*; D006801:Humans; D015994:Incidence; D008297:Male; D016602:Needlestick Injuries / Q000517:prevention & control; D010154:Pakistan / Q000453:epidemiology; D014611:Vaccination
chemical_list: D017325:Hepatitis B Vaccines