Abstract
Occupational accidents in the hepatitis B virus (HBV) of paramedics are frequent in a hospital environment. The objective of this study is to describe the practices of this staff in front of the risk exposure of HBV.
Methodology: Single-center study (CHU Yopougon-Abidjan), prospective and analytical study over a period of three months (February-May 2014). Were included in the study, any paramedical health personnel (nurses, midwives, laboratory technicians, and support staff) who agreed to fill out the forms of inquiry in our presence. Statistical analysis was made by Chi(2) Pearson and Fisher test.
Results: 129 paramedics attended the study. Biological liquids and most manipulated contaminating instruments were the blood (98.4%), draining liquids (51.9%), and the hollow needles (88.4%). The weaning of blouse (97.6%) and gloves (71.5%) were the most used individual mean of protection. Small proportion agents used the garbage bags (36.36%) and containers (11.54%) whatever job tenure. Twenty percent of workers did not know their vaccination status before taking service. Forty five people (34.6%) declared to have had an accident of exposure in the blood and the organic products since their grip of service. After accidental exposure to blood, 50% paramedics were not reporting their accidents to occupational medicine. The serology against HBV realization in case of exposition at the risk of contamination of HBV was the best practiced gesture and was bound to the seniority (p=0.001).
Conclusion: The paramedics' practices in front of risk of occupational accidents in the HBV are improving.