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P2.141 Knowledge, Attitudes and Practices of Healthcare Workers from University Hospital of Ouagadougou (Burkina Faso) Face to Accidental Blood Exposure (ABE) and Biological Fluids in Caregiving Facilities
  1. Y Sagna1,
  2. S Kouanda2,
  3. H Tiéno1,
  4. R A K Nianogo1,
  5. R Bognounou1,
  6. J Y Drabo1
  1. 1Internal Medicine Department of Yalgado Ouédraogo University Hospital (CHU YO), Ouagadougou, Burkina Faso
  2. 2Institut de recherche en sciences de la santé, Ouagadougou, Burkina Faso

Abstract

Objective Accidental blood exposure (ABE) is defined as “any accidental exposure to blood or to a biological fluid contaminated by blood, including a cutaneous injury during an incision or injection, or a projection on mucosa or on an injured skin”. we aimed to evaluate the knowledge, attitudes and practises of healthcare workers in one of West Africa country national referral hospital (Yalgado Ouédraogo University Hospital) face to ABE.

Methods A descriptive cross-sectional and analytical study was conducted, from May to July 2009, on all healthcare workers (medical, paramedical and support staff) working for at least a year in this hospital university. A self and anonymous questionnaire was used to gather the information. The knowledge assessment was made using a digital scale.

Results 462 healthcare workers responded to the questionnaire (response rate: 51.3%). They composed of 60 physicians (12.9%), 313 paramedics (67.7%) and 89 support officers (19.2%). The exact definition of an ABE was known from 255 healthcare workers (55.2%) and 375 (81.2%) were aware of the principles of universal precautions. Medical staff better defined the ABE than the other healthcare workers (p = 0.00). 133 healthcare workers (29.4%) were at least once a victim of an ABE, of which 84 (61.3%) had not reported their ABE. Ignorance of the support procedures was in 26.8% of cases the main cause of no report. The risk of contamination after ABE had not been assessed in 60.3% of cases. Only 69.7% of the healthcare workers were aware that HIV is a potentially transmissible infectious agent during an ABE. Protective equipment was not always available and not constantly used.

Conclusion The ABE knowledge of these referral hospital healthcare workers is not satisfactory. Appropriate communication and awareness means on the risks associated with the ABE should be further developed in healthcare settings.

  • accidental blood exposure
  • health care worker
  • Sub-Saharan Africa

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