Occupational exposure to bloodborne viruses amongst medical practitioners in Bloemfontein, South Africa

Abstract

Background
The possibility of occupational exposure to bloodborne viruses such as HIV, hepatitis B virus (HBV) and hepatitis C virus (HCV) is an everyday reality to health care workers. This study reports on doctors' extent and outcome of exposure to bloodborne viruses in Bloemfontein.

Methods
A descriptive study was done. Doctors (n=441) actively involved in public and/or private medical practice were requested to anonymously complete a questionnaire regarding occupational exposure to bloodborne viruses (HIV, HBV, and HCV).

Results
A response rate of 51.7% was obtained. More than half (54.2%, 95% CI [ 47.7% ; 60.5% ]) of respondents were exposed to bloodborne viruses; 48.3% occurring with HIV positive patients and 4.3% with known HBV positive patients, and no positive HCV patients. After exposure occurred, 68.9% of patients were tested for HIV, 10.9% for HBV and only 4.2% for HCV infection. The frequency of serological testing for doctors immediately after exposure was 65.3% for HIV, 21.7% for HBV and 8.2% for HCV. No seroconversion to HIV or HCV was reported, while two seroconversions to HBV were reported. Most exposures occurred as a result of needle stick injury (85%) and occurred in the operating theatre during procedures 59.3%. The majority (59.8%) of exposed doctors did not take any prophylactic treatment and those who did, did not always complete the treatment

Conclusions
The risk of seroconversion to HIV after occupational exposure was as expected, while seroconversion to HBV was less than expected. The lack of adequate follow up serological testing after occupational exposure is alarming. It is the responsibility of the occupationally exposed doctor to adequately comply with prophylactic measures and undergo serological testing to ensure the least possible risk of contracting infection from a bloodborne virus.


South African Family Practice Vol. 49 (3) 2007: pp. 14