Occupational Exposure to Blood and Body Fluids and Knowledge of HIV Post-Exposure Prophylaxis among Medical and Allied Health Students in Northern Nigeria

dc.contributor.authorIliyasu, Bilkisu Z.
dc.contributor.authorAmole, Taiwo G
dc.contributor.authorGaladanci, Hadiza S.
dc.date.accessioned2023-05-10T17:21:32Z
dc.date.available2023-05-10T17:21:32Z
dc.date.issued2020-09-13
dc.description.abstractBackground: Clinical students are at increased risk of exposure to blood-borne pathogens. However, little has been documented about their exposure to blood and body fluids and their knowledge of post-exposure prophylaxis (PEP) in high-HIV burden settings, such as Nigeria. Objective: To determine the prevalence and predictors of BBF exposure and knowledge about PEP among medical and allied health students in northern Nigeria .Methods: In a cross-sectional study, 273 clinical students were asked to complete structured questionnaires. The prevalence of BBF exposure was determined. Binary logistic regression was used to determine the independent predictors of BBF exposure. Results: The majority of the respondents (98.2%) had heard about PEP; 26.0% (n=71) had adequate knowledge about PEP. 76 (27.8%) of the 273 respondents reported accidental exposure to HIV. 230 (84.2%) respondents had positive attitude toward HIV PEP. Of those who had had accidental exposure to HIV (n=76), only 13% (n=10) received PEP. The level of knowledge about PEP was predicted by previous training (aOR 0.43, 95% CI 0.23 to 0.80 [“no” vs “yes”]), year of training (aOR 4.10, 95% CI 1.60 to 10.47 [6th vs 4th year]), course of study (aOR 4.69, 95% CI 2.06 to 10.68 [“allied health” vs “clinical medicine”]) and religion (aOR 5.39, 95% CI 1.40 to 20.71 [“non-Muslim” vs “Muslim”]). Similarly, accidental exposure was independently predicted by respondents’ sex (aOR 2.55, 95% CI1.36 to 4.75 [“female” vs “male”]), age (aOR 2.54, 95% CI 1.06 to 6.15 [“25–29” vs “20–24” years]), ethnicity (aOR 2.15, 95% CI1.10 to 5.14 [“others” vs “Hausa/Fulani”]), course of study (aOR 0.06, 95% CI 0.01 to 0.38 [“allied health” vs “clinical medicine”]), and previous PEP training (aOR 0.39, 95% CI 0.20 to 0.78 [“no” vs “yes”]). Conclusion: One in four clinical students reported exposure to BBF. Most students expressed a positive attitude toward PEP, but knowledge and uptake of PEP was sub-optimal. We recommend strengthening training curricula for infection control and prevention and enhancing protocols for timely post-exposure evaluation and follow up for all exposure incidents.en_US
dc.description.sponsorshipACE: Population Health and Policyen_US
dc.identifier.citationIliyasu BZ, Amole TG, Galadanci HS, Abdullahi SS, Iliyasu Z, Aliyu MH. Occupational Exposure to Blood and Body Fluids and Knowledge of HIV Post-Exposure Prophylaxis among Medical and Allied Health Students in Northern Nigeria. Int J Occup Environ Med. 2020 Oct;11(4):196-209. doi: 10.34172/ijoem.2020.2094. PMID: 33098404; PMCID: PMC7740050.en_US
dc.identifier.issn2008-6520
dc.identifier.issn2008-6814
dc.identifier.urihttp://hdl.handle.net/123456789/1764
dc.language.isoenen_US
dc.publisherInt J Occup Environ Meden_US
dc.relation.ispartofseriesInt J Occup Environ Med.;2020 Oct;11(4)
dc.subjectBlood-borne pathogensen_US
dc.subjectHIVen_US
dc.subjectKnowledgeen_US
dc.subjectNigeriaen_US
dc.subjectOccupational exposureen_US
dc.subjectPost-exposure prophylaxisen_US
dc.subjectACEPHAPen_US
dc.subjectBayero University, Kanoen_US
dc.subjectACE: Population Health and Policyen_US
dc.subjectShahida S Abdullahen_US
dc.subjectZubairu Iliyasuen_US
dc.titleOccupational Exposure to Blood and Body Fluids and Knowledge of HIV Post-Exposure Prophylaxis among Medical and Allied Health Students in Northern Nigeriaen_US
dc.typeArticleen_US
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