Knowledge, attitudes and practices toward prevention of hepatitis B virus infection among medical students at Northern Border University, Arar, Kingdom of Saudi Arabia

Authors

  • Jawaher Ali Alhowaish Resident, Department of Family Medicine, King Fahd Hospital of the University, Alkhobar, Saudi Arabia

Keywords:

Knowledge; Hepatitis B; Medical student; Northern Border University; Arar; Saudi Arabia

Abstract

Background and aim: Health care workers’ risk of occupational exposure to HBV is a chief concern, particularly with young students in the health profession.

This study was carried out to assess the knowledge regarding symptoms, risk factors and prevention of hepatitis B virus infection among medical students.

Methods: A cross-sectional study was carried out from November 01, 2016 to May 30, 2017 on medical students at the Northern Border University (Arar, Kingdom of Saudi Arabia). Data were collected from 200 students from all academic years using pre-designed questionnaire which included questions designed to fulfill the study objectives.

Results: Regarding students’ knowledge about hepatitis B infection, 81% of them knew that carriers could transmit infection, 89.5% of them knew that it could not be spread by casual contact, 80% by contact with open wound, 96.5% by contaminated blood and body fluids, 92.5% by unsterilized syringe, needle and surgical instruments and 79.5% by unsafe sex. In total, 86.5% of students knew that a vaccine could prevent HBV infection, 95% knew it had been laboratory tested, 64% knew HBV had post exposure prophylaxis and only 55% knew that it could be cured. In all, 75.5% of students knew that HBV caused liver cancer. Regarding attitude, 23% of students said they had no concern of being infected with HBV, 86.5% agreed that HBV vaccine was safe and effective and 90% believed that following infection, control guidelines would protect them from being infected by HBV at work. Regarding practice, only 56.5% of students had screened for HBV infection 22% had had a needle prick injury but 68% would report that injury. Furthermore, 69.5% have received HBV vaccine but only 38% of them had received 3 doses. 

Conclusion: The students' knowledge of the hepatitis B virus was found to be good. We recommend improving knowledge, attitude and practice of the public as well as students, through health education campaigns and settings.

References

Schillie S, Murphy TV, Sawyer M, Ly K, Hughes E, Jiles R, et al. CDC guidance for evaluating health‑care

personnel for hepatitis B virus protection and for administering post exposure management. MMWR

Recomm Rep. 2013; 62: 1‑19. PMID: 24352112.

Abedi F, Madani H, Asadi A, Nejatizadeh A. Significance of blood‑related high‑risk behaviors and

horizontal transmission of hepatitis B virus in Iran. Arch Virol. 2011; 156: 629‑35. doi: 10.1007/s00705- 010-0902-y. PMID: 21229276.

Hepatitis B. Fact sheet N°204. WHO. 2014.

Fairley CK, Read TR. Vaccination against sexually transmitted infections. Curr Opin Infect Dis. 2012; 25

(1): 66–72. doi: 10.1097/QCO.0b013e32834e9aeb. PMID: 22143117.

Hughes RA. Drug injectors and the cleaning of needles and syringes. Eur Addict Res. 2000; 6 (1): 20–30.

doi: 10.1159/000019005. PMID: 10729739.

Buddeberg F, Schimmer BB, Spahn DR. Transfusion-transmissible infections and transfusion-related

immunomodulation. Best Pract Res Clin Anaesthesiol. 2008; 22 (3): 503–17. doi:

1016/j.bpa.2008.05.003. PMID: 18831300.

Wilkins T, Zimmerman D, Schade RR. Hepatitis B: Diagnosis and treatment. Am Fam Physician. 2010; 81:

–72. PMID: 20387772.

Causse X, Delaunet A, Si Ahmed SN. Anaes practice guidelines for vaccination against hepatitis B virus:

Impact on general practitioners. Gastroenterol Clin Biol. 2009; 33: 1166–70. doi:

1016/j.gcb.2009.10.010. PMID: 19942392.

Rachiotis G, Goritsas C, Alikakou V, Ferti A, Roumeliotou A. Vaccination against hepatitis B virus in

workers of a general hospital in Athens. Med Lav. 2005; 96(1): 80–6. PMID: 15847111.

Molinari J. Infection control. Its evolution to the current standard precautions. J Am Dent Assoc. 2003;

(5): 569–74. doi: 10.14219/jada.archive.2003.0222.

World Health Organization. Health Care Worker Safety. Available from:

http://www.who.int/occupational_health/activities/1am_hcw.pdf.

Hutin Y, Hauri A, Chiarello L, Catlin M, Stilwell B, Ghebrehiwet T, et al. Best infection control practices

for intradermal, subcutaneous, and intramuscular needle injections. Bull World Health Organ. 2003; 7:

–500.

Alqahtani JM, Abu-Eshy SA, Mahfouz AA, El-Mekki AA, Asaad AM. Seroprevalence of hepatitis B and C

virus infections among health students and health care workers in the Najran region, southwestern Saudi

Arabia: the need for national guidelines for health students. BMC Public Health. 2014; 14: 577. doi:

1186/1471-2458-14-577. PMID: 24912684, PMCID: PMC4059075.

Al-Ajlan A. Prevalence of hepatitis B and C among students of health colleges in Saudi Arabia. East

Mediterr Health J. 2011; 17: 759-62. PMID: 22256410.

Mueller A, Stoetter L, Kalluvya S, Stich A, Majinge C, Weissbrich B, et al. Prevalence of Hepatitis B Virus

Infection among Health Care Workers in a Tertiary Hospital in Tanzania. BMC Infect Dis. 2015; 15: 386.

doi: 10.1186/s12879-015-1129-z. PMID: 26399765, PMCID: PMC4581415.

Noubiap JJ, Nansseu JR, Kengne KK, Ndoula ST, Agyingi LA. Occupational exposure to blood, hepatitis

B vaccine knowledge and uptake among medical students in Cameroon. BMC Med Educ. 2013; 13: 148.

doi: 10.1186/1472-6920-13-148.

Abdela A, Woldu B, Haile K, Mathewos B, Deressa T. Assessment of Knowledge, Attitudes and Practices

toward Prevention of Hepatitis B Virus Infection among Students of Medicine and Health Sciences in

Northwest Ethiopia. BMC Research Notes. 2016; 9(1): 410. doi: 10.1186/s13104-016-2216-y. PMID:

, PMCID: PMC4992214.

Reang T, Chakraborty T, Sarker M, Tripura A. A study of knowledge and practice regarding Hepatitis B

among nursing students attending tertiary care hospitals in Agartala city. Int J Res Med Sci. 2015; 3(7):

-9. doi: 10.18203/2320-6012.ijrms20150244.

Lohouès-Kouacou MJ, Assi C, Ouattara A, Bonao SG, Koné S, Soro D, et al. [Hepatitis B knowledge

among secondary school students in Côte d'Ivoire]. Sante Publique. 2013; 25(2): 227-32. PMID: 23964548.

Ali A, Khan S, Malik SM, Haris Iqbal M, Aadil M. Comparison of Knowledge and Attitudes Regarding

Hepatitis B Among Healthcare Professionals in Pakistan. Cureus. 2017; 9(2): e1049. doi:

7759/cureus.1049. PMID: 28367387, PMCID: PMC5364084.

Rehman R, Iqbal A, Syed S, Kamran A. Evaluation of integrated learning program of undergraduate

medical students. Pak J Physiol. 2011; 7: 37–41.

Al-Hazmi AH. Knowledge, Attitudes, and Practice of Medical Students Regarding Occupational Risks of

Hepatitis B Virus in College of Medicine, Aljouf University. Ann Med Health Sci Res. 2015; 5(1): 13-9.

doi: 10.4103/2141-9248.149765. PMID: 25745570, PMCID: PMC4350056.

Oliveira LC, Pontes JP. Frequency of hepatitis B immunity and occupational exposures to body fluids

among Brazilian medical students at a public university. Rev Inst Med Trop Sao Paulo. 2010; 52: 247–52.

doi: 10.1590/S0036-46652010000500005.

Dannetun E, Tegnell A, Torner A, Giesecke J. Coverage of hepatitis B vaccination in Swedish healthcare

workers. J Hosp Infect. 2006; 63: 201-4. doi: 10.1016/j.jhin.2006.01.014. PMID: 16621139.

Ahmed MS, Chowdhury OA, Chowdhury AR, Khatoon M. Seroprevalence of HBs antibody among the

newly admitted medical students in Bangladesh and seroconversion one year after vaccination. Bangladesh

Med Res Counc Bull. 2010; 36: 41–2. doi: 10.3329/bmrcb.v36i1.5264. PMID: 21280561.

Denic LM, Ostric I, Pavlovic A, Dimitra KO. Knowledge and occupational exposure to blood and body

fluids among health care workers and medical students. Acta ChirIugosl. 2012; 59: 71–5. doi:

2298/ACI1201071M. PMID: 22924308.

Odusanya OO, Meurice FP, Hoet B. Nigerian medical students are at risk for hepatitis B infection. Trans R

Soc Trop Med Hyg. 2007; 101: 465–8. doi: 10.1016/j.trstmh.2006.08.001. PMID: 17011004.

Mesfin YM, Kibret KT. Assessment of Knowledge and Practice towards Hepatitis B among Medical and

Health Science Students in Haramaya University, Ethiopia. PLoS One. 2013; 8(11): e79642. doi:

1371/journal.pone.0079642. PMID: 24278151, PMCID: PMC3836877.

Muhammad A, Waseem R, Zulfikar AG. Hepatitis B vaccination coverage in medical studentsat a medical

college of Mirpurkhas. J Pak Med Assoc. 2011; 61(7): 680–2.

Bharti K, Lala MK. A study of knowledge, attitude and practice of hepatitis-B infection among the

laboratory technicians in the civil hospital, Ahmedabad, Gujarat. Health line. 2012; 3(1): 63–5.

Biju IK, Sattar A, Kate M. Incidence and awareness of hepatitis B infection among paramedical students.

Indian J Gastroenterol. 2002; 21(1): 104–5.

Al-Dabbas M, Abu-Rmeileh NM. Needle stick injury among interns and medical students in the occupied

Palestine territory. East Mediterr Health J. 2012; 18(7): 700–706. PMID: 22891516.

Okeke EN, Ladep NG, Agaba EI, Malu AO. Hepatitis B vaccination status and needle stick injuries among

medical students in a Nigerian University. Niger J Med. 2008; 17(3): 330–2. doi:

4314/njm.v17i3.37404.

Published

2022-02-12