Knowledge about the biosafety measures1515. Oliveira MS, Soares AC, Andrade IMA, Cameli HFR, Silva VTP. Hepatitis B in the Western Brazilian Amazon: knowledge and biosafety measures among nursing professionals. J Epidemiol Infect Control [Internet]. 2020 [cited 2021 Feb 15];10(2):1-6. Available from: Available from: https://doi.org/10.17058/jeic.v10i2.13324
https://doi.org/10.17058/jeic.v10i2.1332...
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Satisfactory knowledge was verified in relation to the transmission means, the need for strict biosafety measures, the vaccination schedule and the prevention methods in cases of biological accidents. |
Low training offer, sporadic use of PPE, limitations in the provision of immunization tests (anti-HBs) and underreporting of accidents. |
Knowledge, attitudes and practices1616. Mursy SMM-E, Mohamed SOO. Knowledge, attitude, and practice towards Hepatitis B infection among nurses and midwives in two maternity hospitals in Khartoum, Sudan. BMC Public Health [Internet]. 2019 Nov 29 [cited 2021 Feb 15];19(1):1597. Available from: Available from: https://doi.org/10.1186/s12889-019-7982-8
https://doi.org/10.1186/s12889-019-7982-...
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Average and imprecise knowledge about post-exposure management and prophylaxis, search for a safe practice and favorable attitude towards the preventive measures. High prevalence of professionals with incomplete vaccination schedules was also verified. |
Low vaccination coverage level and high rate of work-related accidents with sharps. |
Knowledge, behaviors and practices1717. Bajwa A, Athar M, Shahid S, Bajwa SA. A cross-sectional research to determine the level of awareness, preventive behavior and perceived threat of Hepatitis-B. Indo Am J Pharmaceutical Sc [Internet]. 2019 [cited 2021 Feb 15];6(4):7160-5. Available from: Available from: https://doi.org/10.5281/zenodo.2630758
https://doi.org/10.5281/zenodo.2630758...
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Low perception of risk and of knowledge regarding the transmission means. In addition, the educational level was a predictor for the intention of safe behaviors and adherence to the prevention measures. |
Older age, training level, high work hour load. |
Knowledge, attitudes and practices1818. Potdar AP, Potdar AB, Raikar VR. Knowledge, nursing and practice regarding hepatitis b infection among nursing staff of tertiary care hospital in South India. Indian J Public Health Res Develop [Internet]. 2019 [cited 2021 Feb 15];10(10):564-9. Available from: Available from: https://doi.org/10.37506/ijphrd.v10i10.5289
https://doi.org/10.37506/ijphrd.v10i10.5...
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Knowledge about the infection was adequate and the attitudes were positive. The main deficits in knowledge were associated with the transmission means, the vaccination schedule and the unavoidable nature of the disease. |
Absence of a full vaccination scheme and failures in adherence to recommendations, protocols and preventive practices. |
Knowledge and preventive practices1919. Khanum F, Ijaz N, Ijaz SF. Preventive practices of nurses against hepatitis B infection. P J M H S [Internet]. 2018 Jul-Sep [cited 2021 Feb 15];12(3):1070-1. Available from: Available from: https://pjmhsonline.com/2018/july_sep/pdf/1070.pdf
https://pjmhsonline.com/2018/july_sep/pd...
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Sound knowledge about the complications and transmission. Regarding preventive practices, screening and notification of occupational accidents, vaccine completeness, and non-sharing of hospital materials stand out. |
Low level of knowledge represents a risk condition, as not all the professionals correctly implement the prevention measures against vertical transmission. |
Knowledge about occupational post-exposure2020. Konlan DK, Aarah-Bapuah M, Kombat JM, Wuffele GM. TOPIC: "The level of nurses' knowledge on occupational post exposure to hepatitis B infection in the Tamale metropolis, Ghana". BMC Health Serv Res [Internet]. 2017 Apr 5 [cited 2021 Feb 17];17(1):254. Available from: Available from: https://doi.org/10.1186/s12913-017-2182-7
https://doi.org/10.1186/s12913-017-2182-...
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Despite awareness about the risk, care performance and the state of vulnerability to HBV, knowledge gaps were identified, being associated with the recognition of the occupational environment as an infection means, as well as with post-exposure management and the establishment of prophylactic courses of action. |
Work environment, absent and/or incomplete vaccination scheme, fear and accessibility to the vaccine. |
Perception of threat and prevention behaviors2121. Karami BM, Zolghadr R, Aghaei A, Gharibnavaz H, Khashij S, Mahboubi M. Knowledge, perceived threat and prevention behaviors intention of hepatitis B among nurse. Int J Adv Biotechnol Res [Internet]. 2017 [cited 2021 Feb 17];8(4):118-23. Available from: Available from: http://eprints.abadanums.ac.ir/id/eprint/278
http://eprints.abadanums.ac.ir/id/eprint...
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The adoption of preventive behaviors was related to the higher schooling level, the perception of threat to diseases and the high prevalence of complications. |
Schooling level. |
Knowledge, attitudes and practices2222. Haq N, Riffat Y, Nasim A, Raiz S, Haider S, Khan S. Assessment Of Nurse's Knowledge, Attitude And Practice Regarding Hepatitis-B Infection In Tertiary Care Public Hospital In Quetta Pakistan. Value Health [Internet]. 2017 Oct 1 [cited 2021 Feb 17];20(9):A935. Available from: Available from: https://doi.org/10.1016/j.jval.2017.08.2954
https://doi.org/10.1016/j.jval.2017.08.2...
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Adequate knowledge and positive attitude were verified, but also inadequate practices in relation to occupational accidents, thus influencing higher incidence and transmission of the disease. |
Inadequate biosafety practices. |
Knowledge and practice2323. Cetinkaya S. The theoretical and practical knowledge of nurses and midwives regarding to the hepatitis-B virus (HBV) vaccination: a cross-sectional study in Konya--Turkey. Coll Antropol [Internet]. 2014 Mar [cited 2021 Feb 20];38(1):47-54. Available from: Available from: https://pubmed.ncbi.nlm.nih.gov/24851596/
https://pubmed.ncbi.nlm.nih.gov/24851596...
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It becomes necessary to implement training programs involving Hepatitis B markers, vaccine administration techniques, doses, adequate records and guidelines to patients and families. Higher levels of knowledge were related to the training level, as well as to the professionals who participated in continuing education activities. |
Training time and schooling level. |
Knowledge, attitudes and practices about vertical transmission2424. Gonçalves ICM, Gonçalves MJF. Knowledge, attitudes and practices of nurses and doctors about the vertical transmission of hepatitis B. Rev Lat Am Enfermagem [Internet]. 2013 Sep-Oct [cited 2021 Feb 20];21(5):1030-8. Available from: Available from: https://doi.org/10.1590/S0104-11692013000500004
https://doi.org/10.1590/S0104-1169201300...
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Despite recognition of the disease as a health problem of compulsory notification and the stages of the vaccination schedule, there were deficits in knowledge about the courses of action to prevent transmission to the newborn, in serological markers, and in the indication of vaccination during prenatal care. |
The level of knowledge, attitudes and practices can reveal that the population may be at risk for infection, since not all the professionals involved know or adequately perform the control strategies. |
Knowledge and preventive practices regarding vertical transmission2525. Chao SD, Cheung CM, Yang EJ, So SKS, Chang ET. Low levels of knowledge and preventive practices regarding vertical hepatitis B transmission among perinatal nurses. J Obstet Gynecol Neonatal Nurs [Internet]. 2012 Jul-Aug [cited 2021 Feb 20];41(4):494-505. Available from: Available from: https://doi.org/10.1111/j.1552-6909.2012.01379.x
https://doi.org/10.1111/j.1552-6909.2012...
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Knowledge was limited and the preventive practices were usually neglected or performed inconsistently. Underreporting of the disease, non-indication of a vaccine schedule and failures in the referral for specialized evaluation and in the monitoring of symptoms, complications and risk of death were identified. These results represented an opportunity for training and qualifications targeted at the best practices and clinical courses of action. |
Low participation in permanent education activities. |
Knowledge and practices related to exposure to percutaneous incidents2626. Mohammadi N, Allami A, Mohamadi RM. Percutaneous exposure incidents in nurses: Knowledge, practice and exposure to hepatitis B infection: percutaneous exposure incidents in nurses. Hepat Mon [Internet]. 2011 Mar [cited 2021 Feb 20];11(3):186-90. Available from: Available from: https://pubmed.ncbi.nlm.nih.gov/22087141/
https://pubmed.ncbi.nlm.nih.gov/22087141...
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The inaccurate level of knowledge represented an occupational risk and contributed to the adoption of unsafe practices. Failures were identified in the use of PPE, in handling after direct contact with body fluids and in disposal of sharps. Despite this, the levels of vaccination coverage, post-vaccination testing and the development of protective antibody titers were expressive. |
High prevalence of injuries with sharps and high mucocutaneous exposure to body fluids. |
Knowledge, attitudes and acceptance regarding vaccination2727. Mcgrane J, Staines A. Nursing staff knowledge of the hepatitis B virus including attitudes and acceptance of hepatitis B vaccination: development of an effective program. AAOHN J [Internet]. 2003 Aug 1 [cited 2021 Feb 23];51(8):347-52. Available from: Available from: https://doi.org/10.1177/216507990305100807
https://doi.org/10.1177/2165079903051008...
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The participants presented good understanding of the infection, high vaccination coverage and high demand for testing to measure the level of antibodies. |
The factors influencing acceptance of the vaccine included free availability and information about the benefits, usually provided by specialists in occupational health. |
Perception and knowledge about acceptance of the vaccine2828. Spence MR, Dash GP. Hepatitis B: perceptions, knowledge and vaccine acceptance among registered nurses in high-risk occupations in a university hospital. Infect Control Hosp Epidemiol [Internet]. 1990 Mar [cited 2021 Feb 23]; 11(3):129-33. Available from: Available from: https://doi.org/10.1086/646135
https://doi.org/10.1086/646135...
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Failures were verified in the knowledge about the transmission mechanisms, as well as low vaccination coverage in the professionals surveyed. |
Fear of the side effects and of contracting AIDS or Hepatitis, and doubts about the efficacy indicators. |
Knowledge2929. Ho-Yen DO, Crossan MN, Walker E. Nursing knowledge of hepatitis B infection. J Adv Nurs [Internet]. 1985 Mar [cited 2021 Feb 23];10(2):169-72. Available from: Available from: https://doi.org/10.1111/j.1365-2648.1985.tb00507.x
https://doi.org/10.1111/j.1365-2648.1985...
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Despite recognition of the need for epidemiological control, lack of knowledge was evidenced, showing considerable gaps about the natural history of the disease, transmission mechanisms and morbidity and mortality indicators. |
No associated factors were described. |
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