Global Occupational Exposure to Blood and Body Fluids among Healthcare Workers: Systematic Review and Meta-Analysis

Background. Occupational exposure to blood and body fluids has become a serious public health problem for healthcare workers and is a major risk for the transmission of various infections such as human immune-deficiency virus, hepatitis B virus, and hepatitis C virus. This systematic review and meta...

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Main Authors: Dechasa Adare Mengistu, Gebisa Dirirsa, Elsai Mati, Dinku Mekbib Ayele, Kefelegn Bayu, Wegene Deriba, Fekade Ketema Alemu, Yohannes Mulugeta Demmu, Yohanis Alemeshet Asefa, Abraham Geremew
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Canadian Journal of Infectious Diseases and Medical Microbiology
Online Access:http://dx.doi.org/10.1155/2022/5732046
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author Dechasa Adare Mengistu
Gebisa Dirirsa
Elsai Mati
Dinku Mekbib Ayele
Kefelegn Bayu
Wegene Deriba
Fekade Ketema Alemu
Yohannes Mulugeta Demmu
Yohanis Alemeshet Asefa
Abraham Geremew
author_facet Dechasa Adare Mengistu
Gebisa Dirirsa
Elsai Mati
Dinku Mekbib Ayele
Kefelegn Bayu
Wegene Deriba
Fekade Ketema Alemu
Yohannes Mulugeta Demmu
Yohanis Alemeshet Asefa
Abraham Geremew
author_sort Dechasa Adare Mengistu
collection DOAJ
description Background. Occupational exposure to blood and body fluids has become a serious public health problem for healthcare workers and is a major risk for the transmission of various infections such as human immune-deficiency virus, hepatitis B virus, and hepatitis C virus. This systematic review and meta-analysis aims to determine the career time and previous one-year global pooled prevalence of occupational exposure to blood and body fluids among healthcare workers. Methods. For the review, the articles published in English were searched using the electronic databases (SCOPUS/Science Direct, PubMed, Web of Science, Google Scholar, CINAHL, MEDLINE, Cochrane Library, DOAJ, and MedNar) with a combination of Boolean logic operators (AND, OR, and NOT), Medical Subject Headings (MeSH), and keywords. A quality assessment was conducted to determine the relevance of the articles using JBI critical appraisal tools. Furthermore, several steps of assessment and evaluation were taken to select and analyze the relevant articles. Results. Of the 3912 articles identified through the electronic database search, 33 that met the inclusion criteria were included in the final analysis. The current study found that the global pooled prevalence of blood and body fluids among healthcare workers during career time and in the previous one year accounted for 56.6% (95% CI: 47.3, 65.4) and 39.0% (95% CI: 32.7, 45.7), respectively. Based on subgroup analysis by publication year, survey year, and World Health Organization regions, the highest prevalence of blood and body fluid exposure in the last 12 months was observed among articles published between 2004 and 2008 (66.3%), conducted between 2003 and 2008 (66.6%), and conducted in the Southeast Asia Region (46.9%). The highest career time prevalence was 60.6%, 71.0%, and 68.4% for articles published between 2015 and 2020, conducted between 2015 and 2019, and reported in the African region, respectively. Conclusion. The current study revealed a high prevalence of occupational exposure to blood and body fluids among healthcare workers and suggests the need to improve occupational health and safety services in healthcare systems globally.
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spelling doaj-art-31a9fdb70b5f4a8a949dc2e93346984d2025-02-03T05:53:28ZengWileyCanadian Journal of Infectious Diseases and Medical Microbiology1918-14932022-01-01202210.1155/2022/5732046Global Occupational Exposure to Blood and Body Fluids among Healthcare Workers: Systematic Review and Meta-AnalysisDechasa Adare Mengistu0Gebisa Dirirsa1Elsai Mati2Dinku Mekbib Ayele3Kefelegn Bayu4Wegene Deriba5Fekade Ketema Alemu6Yohannes Mulugeta Demmu7Yohanis Alemeshet Asefa8Abraham Geremew9Department of Environmental HealthDepartment of Environmental HealthDepartment of Environmental HealthDepartment of Environmental HealthDepartment of Environmental HealthDepartment of Environmental HealthDepartment of Environmental HealthDepartment of Environmental HealthDepartment of Environmental HealthDepartment of Environmental HealthBackground. Occupational exposure to blood and body fluids has become a serious public health problem for healthcare workers and is a major risk for the transmission of various infections such as human immune-deficiency virus, hepatitis B virus, and hepatitis C virus. This systematic review and meta-analysis aims to determine the career time and previous one-year global pooled prevalence of occupational exposure to blood and body fluids among healthcare workers. Methods. For the review, the articles published in English were searched using the electronic databases (SCOPUS/Science Direct, PubMed, Web of Science, Google Scholar, CINAHL, MEDLINE, Cochrane Library, DOAJ, and MedNar) with a combination of Boolean logic operators (AND, OR, and NOT), Medical Subject Headings (MeSH), and keywords. A quality assessment was conducted to determine the relevance of the articles using JBI critical appraisal tools. Furthermore, several steps of assessment and evaluation were taken to select and analyze the relevant articles. Results. Of the 3912 articles identified through the electronic database search, 33 that met the inclusion criteria were included in the final analysis. The current study found that the global pooled prevalence of blood and body fluids among healthcare workers during career time and in the previous one year accounted for 56.6% (95% CI: 47.3, 65.4) and 39.0% (95% CI: 32.7, 45.7), respectively. Based on subgroup analysis by publication year, survey year, and World Health Organization regions, the highest prevalence of blood and body fluid exposure in the last 12 months was observed among articles published between 2004 and 2008 (66.3%), conducted between 2003 and 2008 (66.6%), and conducted in the Southeast Asia Region (46.9%). The highest career time prevalence was 60.6%, 71.0%, and 68.4% for articles published between 2015 and 2020, conducted between 2015 and 2019, and reported in the African region, respectively. Conclusion. The current study revealed a high prevalence of occupational exposure to blood and body fluids among healthcare workers and suggests the need to improve occupational health and safety services in healthcare systems globally.http://dx.doi.org/10.1155/2022/5732046
spellingShingle Dechasa Adare Mengistu
Gebisa Dirirsa
Elsai Mati
Dinku Mekbib Ayele
Kefelegn Bayu
Wegene Deriba
Fekade Ketema Alemu
Yohannes Mulugeta Demmu
Yohanis Alemeshet Asefa
Abraham Geremew
Global Occupational Exposure to Blood and Body Fluids among Healthcare Workers: Systematic Review and Meta-Analysis
Canadian Journal of Infectious Diseases and Medical Microbiology
title Global Occupational Exposure to Blood and Body Fluids among Healthcare Workers: Systematic Review and Meta-Analysis
title_full Global Occupational Exposure to Blood and Body Fluids among Healthcare Workers: Systematic Review and Meta-Analysis
title_fullStr Global Occupational Exposure to Blood and Body Fluids among Healthcare Workers: Systematic Review and Meta-Analysis
title_full_unstemmed Global Occupational Exposure to Blood and Body Fluids among Healthcare Workers: Systematic Review and Meta-Analysis
title_short Global Occupational Exposure to Blood and Body Fluids among Healthcare Workers: Systematic Review and Meta-Analysis
title_sort global occupational exposure to blood and body fluids among healthcare workers systematic review and meta analysis
url http://dx.doi.org/10.1155/2022/5732046
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