ABSTRACT
"Background: Blood Exposure Accidents (BEAs) are frequent in healthcare settings and may cause such severe consequences as HIV and Hepatitis B and C infections. Objective: to determine the attitudes and practices of nursing students facing BEAs. Materials and Methods: this was a cross-sectional prospective study conducted from August 16 to 23; 2011 at the ""Institut National de Formation des Agents de la Sante d'Abidjan"" (the National Institute in charge of training Health Workers). Data were collected by means of self-administered questionnaires. Results: out of 266 student nurses included in the study; 73.3% were females while 26.7% were males. Their mean age was 29 years [20 years - 37 years]. A previous training was conducted on BEAs for 67.3% of nursing students. Those students who were immunized against hepatitis were 75.2%. Needle recapping was practiced by 43.6% of nursing students. Unclean needles were eliminated in containers by 96.2% of the Background: Blood Exposure Accidents (BEAs) are frequent in healthcare settings and may cause such severe consequences as HIV and Hepatitis B and C infections. Objective: to determine the attitudes and practices of nursing students facing BEAs. Materials and Methods: this was a cross-sectional prospective study conducted from August 16 to 23; 2011 at the ""Institut National de Formation des Agents de la Sante d'Abidjan"" (the National Institute in charge of training Health Workers). Data were collected by means of self-administered questionnaires. Results: out of 266 student nurses included in the study; 73.3% were females while 26.7% were males. Their mean age was 29 years [20 years -37 years]. A previous training was conducted on BEAs for 67.3% of nursing students. Those students who were immunized against hepatitis B were 75.2%. Needle recapping was practiced by 43.6% of nursing students. Unclean needles were eliminated in containers by 96.2% of thestudents and waste containers were within close reach of only 65.4%. Glove wearing was systematic in 77.1% of the students. Before the survey 38% of nursing students had been victim of BEAs at least once. Those BEAs were not reported in 68.3% of the victims.Conclusion: the attitudes and practices of nursing students are inadequate with regards to BEAs. A module on Hospital Hygiene is necessary in view of improving the training of nursing students."
Subject(s)
Accidents, Traffic , Blood , Cote d'Ivoire , Health Knowledge, Attitudes, Practice , Nursing, Practical , Occupational ExposureABSTRACT
L'initiative nationale d'acces aux antiretroviraux en Cote d`Ivoire a debute en 1998 sous l'egide de l'ONUSIDA. Le relais a ete assure par le gouvernement ivoirien en 2000 avec le soutien du FondsMondial et du PEPFAR (President Emergency Program ForAids Reliefs). L'accessibilite financiere; la formation du personnel de soins et l'equipement des structures sanitaires ont permis la decentralisation de la prise en charge sur tout le territoire national. Depuis aout 2008; le traitement antiretroviral est gratuit de meme que le suivi biologique. Fin janvier 2009; l'on denombrait 57 833 patients sous antiretroviraux; suivis dans 274 centres de prise en charge. L'utilisation des multitherapies antiretrovirales a considerablement modifie le pronostic avec une amelioration de l'esperance de vie des patients infectes par le VIH. Cependant la morbidite et la mortalite restent encore preoccupantes au cours de la premiere annee suivant la mise en route du traitement avec des incidences respectives variant entre 5 et 10patients-annee (PA) et 2 et 3PA. La morbidite est principalement en rapport avec les infections (tuberculose; bacteriemies) et les effets secondaires precoces. Les traitements antiretroviraux sont globalement bien toleres; les principaux effets secondaires etant l'anemie; les neuropathies; les reactions cutanees et les hypertransaminasemies. Les effets secondaires de grade 3 et 4 ont une incidence faible (2PA). L'observance est bonne; estimee a 80; mais des donnees obtenues chez les enfants et sur certains sites de prise en charge incitent a renforcer les dispositifs d'appui a l'observance. Des resultats probants ont ete obtenus dans la prise en charge antiretrovirale des personnes vivant avec l eVIH .Aussi les efforts sont-ils a poursuivre pour le financement et la prise en charge des infections opportunistes et des effets secondaires et pour l'appui nutritionnel