Hepatitis B and the seroconversion status of oral health assistants in Primary Care - An association of immunological profile and influencing factors
DOI:
https://doi.org/10.33448/rsd-v10i9.18242Keywords:
Hepatitits B; Health Personnel; Vaccines; Containment of biohazards.Abstract
Scale sociodemographic characteristics, knowledge about Hepatitis B, self-care practices in health, as well as the association of these variables with the immunological profile of oral health assistants through anti-HBsAg enzymatic assays and immunochromatography. This is a cross-sectional epidemiological study carried out in Primary Care in 40 municipalities in the northwest region of the State of São Paulo, served by the DRS II. Data collection was structured in stages, in the first stage, self-administered semi-structured questionnaires were used, dimensioned in demographic domains, knowledge and self-care practices in health. The second consisted of analyzing the participants' immunization records, followed by checking the immunization status of the ASBs using a rapid anti-HBsAG immunochromatographic assay. Data analysis was performed using the Statistical Package for the Social Sciences software, using Pearson's chi-square test, Fisher's exact test, maximum likelihood ratio test and the Kolmogorov-Smirnov normality test (p<0.05). A total of 158 ASBs participated in the study, 94.9% female, white (83.5%), married (65.8%) and having completed high school (45.6%). As for knowledge, it was noticed that a large portion did not know about HBV and that despite adopting biosafety protocols, 58.2% had already had accidents with percutaneous products. In addition, 45.6% of assistants were not immunized. It is concluded that a significant portion of ASBs was not immune to hepatitis B contamination, and the gaps in knowledge, behavior and behavior of these professionals influenced the immunization status.
References
Alavian, S. M., Mahboobi, N., & Mahboobi, N. (2011) Anti-HBs antibody status and some of its associated factors in dental health care workers in Tehran University of Medical Sciences: Anti-HBs Ab and associated factors in dental society. Hepatitis Monthly, 11(2):99-102.
AlDakhil, L., Yenugadhati, N., Al-Seraihi, O., & Al-Zoughool, M. (2019). Prevalence and associated factors for needlestick and sharp injuries (NSIs) among dental assistants in Jeddah, Saudi Arabia. Environmental Health and Preventive Medicine, 24(1), 60.
Annapoorna, H. B., Datta, D., Paul, G.T., Rai, N., Sharma, S., & Kohli, S. (2020). Assessment of the qualification and performance of the assistants working in the private dental clinics in Bilaspur, Chhattisgarh. International Journal of Preventive and Clinical Dental Research, 7(3), 49.
Bizzoca, M. E., Campisi, G., & Lo Muzio, L. (2020). Covid-19 pandemic: What changes for dentists and oral medicine experts? A narrative review and novel approaches to infection containment. International Journal of Environmental Research and Public Health, 17(11), 3793.
Brasil. Ministério da Saúde. (2006). Portaria nº 399, de 22 de fevereiro de 2006. Divulga o pacto pela saúde 2006- consolidação do SUS e aprova as diretrizes operacionais do referido pacto. Diário Oficial da União.
Carvalho, T. S., & Luz, R. A. (2018). Acidentes biológicos com profissionais da área da saúde no Brasil: uma revisão da literatura/Biological accidents with health care workers in Brazil: a literature review. Arquivos Médicos dos Hospitais e da Faculdade de Ciências Médicas da Santa Casa de São Paulo, 63(1), 31-36.
Garbin, C. A. S., Vanzo, K. L. T., Moimaz, S. A. S., Garbin, A. J. I., & Chiba, F. Y. (2020). Dental auxiliary hepatitis B immunization: a cross-sectional study in the São Paulo state public health system, Brazil, 2018. Epidemiologia e Serviços de Saúde, 29, e2019113.
Garbin, C. A. S., Wakayama, B., Saliba, T.A, Saliba Junior, O.A., & Garbin, A.J.I. (2020). A cross-sectional study on dental surgeons’ immune status against hepatitis B virus in the Public Health System. Revista do Instituto de Medicina Tropical de São Paulo, 62, e18.
Garbin, C. A. S., Wakayama, B., Saliba, T.A., Saliba, O., & Garbin, A.J.I. (2018). Discriminación y prejuicio. La influencia del VIH/SIDA y la Hepatitis B en la actitud de los académicos en odontología. Revista Ciencias de la Salud, 16(2), 279-293.
Garcia, L. P., & Facchini, L. A. (2008). Vacinação contra a hepatite B entre trabalhadores da atenção básica à saúde. Cadernos de Saúde Pública, 24, 1130-1140.
Gomes, A. M., Sousa, T. F., Silva, L. L. D., Carvalho, Y. C. G., & Filgueira, M. J. P. (2020) Hepatites virais: uma análise clínico-epidemiológica no Estado do Tocantins nos últimos 18 anos. Revista de Patologia do Tocantins, 7(2), 107-113.
Javaid, M., Jamil, M., & Sajid, M. (2020). Status of vaccination against hepatitis B among dental assistants of multan. Journal of The Pakistan Dental Association, 29(1):42-45.
Jouneghani, A. S., Chaleshtori, M. H., Khosdhdel, A., Kheiri, S., Farrokhni, E., & Khalafian, P. (2017). Evaluation of response to hepatitis B vaccine in Iranian 6-18-year-old students. Journal of Research in Medical Sciences, 22, 116.
Leroux-Roels, G., Desombere, I., Cobbaut, L., Petit, M.A., Desmons, P., & Hauser, P. (1997). Hepatitis B vaccine containing surface antingen and selected preS1 and preS2 sequences- Immunogenicity in poor responders to hepatites B vaccines. Vaccine, 15(16), 1732-6.
Liu, F., Guo, Z., & Dong, C. (2017). Influences of obesity on the immunogenicity of Hepatitis B vaccine. Human Vaccines & Immunotherapeutics, 13(5), 1014-1017.
Marconi, M. A., & Lakatos, E.M. (2003). Fundamentos de metodologia científica. 5. ed.-São Paulo: Editora Atlas.
Martins, R. J, de Melo, N. B., Garbin, C. A. S., Garbin, A. J. I., & Domingues, M. K. (2017). O Reencape de Agulhas e Descarte de Resíduos Odontológicos do Grupo E por Estudantes de uma Universidade Pública Brasileira. Ciencia & Trabajo, 19(59), 91-94.
Mushtaq, N., Awan, M. H., Ali, A., Khalid, S., & Awan, M. H. (2018). Prevalence of hepatitis B vaccination status among dentists and dental assistants. Pakistan Oral & Dental Journal, 38(3), 327-329.
Paes, G. R., Ramos, J. T., Ronsani, M. M., & Meira, T. M. (2018). Formação profissional e conhecimento sobre biossegurança de Auxiliares de Saúde dos setores públicos e privados. Revista da ABENO, 18:43-52.
Resende, V. L. S., Abreu, M. H. G., Paiva, S. M., Teixeira, R., & Pordeus, I. A. (2010). Concerns regarding hepatitis B vaccination and post-vaccination test among Brazilian dentists. Virology Journal, 7, 154.
Rossato, E. M., & Ferreira, J. (2012). Acidentes com perfurocortantes e cobertura vacinal contra hepatite B entre trabalhadores da Saúde no Município de Santa Rosa, Estado do Rio Grande do Sul, Brasil, 2008. Epidemiologia e Serviços de saúde, 21(3), 487-496.
São Paulo (Estado). (2006). Decreto nº 51.433, de 28 de dezembro de 2006. Cria unidade na Coordenadoria de Regiões de Saúde, da Secretária de Saúde, altera a denominação e dispõe sobre a reorganização das Direções Regionais de Saúde. Diário Oficial do Estado de São Paulo.
Souza, F. D. O., & Araújo, T. M. D. (2018). Exposição ocupacional e vacinação para hepatite B entre trabalhadores da atenção primária e média complexidade. Revista Brasileira de Medicina do Trabalho, 16(1), 36-43.
Souza, F. O., Freitas, P. S. P., Araújo, T. M, & Gomes, M. R. (2015). Hepatitis B and Anti-HBS vaccination among health workers. Cadernos Saúde Coletiva, 23(2), 172-179.
Teixeira, B. S., Matias, G. L., Xavier, B. L. Q., Moreira, M. R. C., & Assis, L. M. (2020) Perfil vacinal e sorológico para hepatite B de acadêmicos de enfermagem. Brazilian Journal of Development, 6(11), 86310- 86327.
Tipple, A. F. V., Silva, E. A. C., Teles, S. A., Mendonça, K. M., Souza, A. C. S., & Melo, D. S. (2013). Acidente com material biológico no atendimento pré-hospitalar móvel: realidade para trabalhadores da saúde e não saúde. Revista Brasileira de Enfermagem, 66, 378-384.
Wakayama, B., Garbin, C. A. S., Garbin, A. J. I., Saliba, T. A., & Garbin, A. J. I. (2019). Hepatitis B immunization analysis: tracking of antibody levels among dental patients. The Journal of Contemporary Dental Practice, 20(1), 13-19.
World Health Organization. (2015). Guidelines for the prevention, care and treatment of pearsons with chronic hepatitis B infection.
World Health Organization. (2017). Guidelines on hepatitis B and C testing.
Yang, S., Tian, G., Cui, Y., Ding, C., Deng, M., & Yu, C. (2016) Factors influencing immunologic response to hepatitis B vaccine in adults. Scientific Reports, 6, 27251.
Yuan, Q., Wang, F., Zheng, H., Zhang, G., Miao, N., Sun, X., & Cui, F. (2019). Hepatitis B vaccination coverage among health care workers in China. PloS one, 14(5), e0216598.
Zikang, W.u., Hongdan, Bao., Jun, Yao., Yongdi, Chen., Shunshun, Lu., & Jing, Li. (2019). Suitable hepatitis B vaccine for adult immunization in China: a systematic review and meta-analysis. Hum Vaccin Immunother,15 (1), 220-227.
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Copyright (c) 2021 Julia Arruda Batista; Clea Adas Saliba Garbin; Bruno Wakayama; Tânia Adas Saliba ; Artênio José Saliba Garbin ; Artênio José Isper Garbin
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