Hostname: page-component-77c89778f8-5wvtr Total loading time: 0 Render date: 2024-07-21T14:58:19.987Z Has data issue: false hasContentIssue false

Human Immunodeficiency Virus Testing Experience and Hepatitis B Vaccination and Testing Status of Healthcare Workers in South Carolina: Implications for Compliance With US Public Health Service Guidelines

Published online by Cambridge University Press:  21 June 2016

Ludwig A. Lettau*
Affiliation:
Department of Hospital Epidemiology, Division of Medical Education and Research, Greenville Hospital System, Greenville, South Carolina
Dawn W. Blackhurst
Affiliation:
Department of Hospital Epidemiology, Division of Medical Education and Research, Greenville Hospital System, Greenville, South Carolina
Connie Steed
Affiliation:
Department of Hospital Epidemiology, Division of Medical Education and Research, Greenville Hospital System, Greenville, South Carolina
*
Greenville Hospital System, 701 Grove Road, Greenville, SC 2960.5

Abstract

Objective:

To assess the previous human immunodeficiency virus (HIV) testing experience and the hepatitis B (HB) vaccination and testing status of healthcare workers potentially involved in invasive surgical procedures.

Design:

Anonymous questionnaire survey.

Setting:

Tertiary care and community-teaching medical center and affiliated healthcare facilities in Greenville County, South Carolina.

Participants:

Physicians (including residents in training), dentists, nurses and surgical technicians working in the operating room and labor/delivery areas.

Results:

Of 506 responding physicians and dentists (65% of the sample), 60% previously had had a test for HIV, and 72% had received HB vaccine. Testing had occurred most often because of a requirement by an insurance company or because of blood donation. Eighty percent of tested respondents had their most recent test within 2 years of the time of the survey (August 1991). Of 145 responding nurses and surgical technicians (73% of the sample), 26% had had a test for HIV and 77% had received HB vaccine.

Conclusions:

The majority of surgeons and dentists in Greenville County, South Carolina, already have been tested for HIV for a variety of reasons and thus are aware of their HIV infection status, at least as of the time of the most recent test. The majority of local healthcare workers who are potentially involved with invasive surgical procedures have received HB vaccine. Programs developed in response to recent US Public Health Service guidelines should take HIV testing of healthcare workers for any reason into consideration and should emphasize HB vaccination and testing for vaccine-induced HB immunity

Type
Original Articles
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1992

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Centers for Disease Control. Update: transmission of HIV infection during invasive dental procedures-Florida. MMWR. 1991;40:377381.Google Scholar
2. Newsweek. July 1, 1991:4957.Google Scholar
3. Centers for Disease Control. Recommendations for preventing transmission of human immunodeficiency virus and hepatitis B virus to patients during exposure-prone invasive procedures. MMWR. 1991;40:19.Google Scholar
4. Centers for Disease Control. Preliminary analysis: HIV serosurvey of orthopedic surgeons, 1991. MMWR. 1991;40(RR-8):309312.Google Scholar
5. Snedecor, GW, Cochran, WG. Statistical methods. Ames, Ia: Iowa State University Press;1980;200204.Google Scholar
6. Chamberland, ME, Petersen, L, Munn, V et al. Health-care workers who donate blood: surveillance for occupationally-acquired HIV-1 infection. Presented at the 31st Interscience Conference on Antimicrobial Agents and Chemotherapy; September 30, 199l; Chicago, Ill.Google Scholar
7. Klein, RS, Phelan, JA, Freeman, K, et al. Low occupational risk of human immunodeficiency virus infection among dental professionals. N Engl J Med. 1988;318:8690.CrossRefGoogle ScholarPubMed
8. Siew, C, Gruninger, SE, Hojvat, SA. Screening dentists for HIV and hepatitis B. N Engl J Med. 1988;318:14001401.Google Scholar
9. Flynn, NM, Pollet, SM, Van Home, JR, Elvebakk, R, Harper, SD, Carlson, JR. Absence of HIV antibody among dental professionals exposed to infected patients. West J Med. 1987;146:439442.Google Scholar
10. Centers for Disease Control. Recommendations of the Immunization Practices Advisory Committee: update on hepatitis B prevention. MMWR. 1987;36:353366.Google Scholar
11. Scully, C, Pantlin, L, Samaranayake, LP, Dowell, TB. Increasing acceptance of hepatitis B vaccine by dental personnel but reluctance to accept hepatitis B carrier patients. Oral Surg Oral Med Oral Pathol. 1990;69:4547.Google Scholar
12. Hashimoto, F, Hunt, WC, Brusuelas, P. Physician acceptance of the hepatitis B vaccine at a university medical center. Am J Public Health. 1988;78:973974.Google Scholar
13. Manian, FA. Hepatitis vaccination among physicians: a decade later. Infect Control Hosp Epidemiol. 1991;12:576.Google Scholar
14. Centers for Disease Control. Protection against viral hepatitis: recommendations of the Immunization Practices Advisory Committee (ACIP). MMWR. 1990;39(RR-2):126.Google Scholar