Year 2019, Volume 17, Issue 1, Pages 38 - 49 2019-04-30

Tıp, hemşirelik ve sağlık meslek yüksekokulu öğrencileri Hepatit B’den korunuyor mu: Hatay’dan kesitsel bir çalışma, Türkiye
Are the students in medicine, nursing and allied health higher schools protected from Hepatitis B: A cross-sectional study from Hatay, Turkey

Tacettin İnandı [1] , Nazan Savaş [2] , Ersin Peker [3] , Nizami Duran [4] , Hande Harmancı [5]

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Amaç:  Hepatit B önemli bir halk sağlığı sorunudur ve sağlık çalışanları dahil pek çok grup hepatit B açısından risk altındadır. Bu çalışmada tıp, hemşirelik ve sağlık meslek yüksekokulu öğrencilerinin anti-hepatit B antikor düzeylerini ve iğne batması sıklığını belirlemek amaçlanmıştır. Yöntem: Çalışmanın evreni ve örneklemi 2015 yılında Mustafa Kemal Üniversitesi Tıp, Hemşirelik ve Sağlık Meslek Yüksek Okulu ilk ve son sınıfında okuyan 973 öğrencidir. Öğrencilerden % 63’üne ulaşılabildi ve bunların % 67.7’sinden kan örneği alındı. Serum örneklerindeki hepatit B yüzey antikoru değerleri “enzyme-linked immunosorbent assay”  yöntemiyle çalışıldı, antikor titresi 10 mIU/mL üzeri pozitif kabul edildi. Bulgular: Öğrencilerin yaş ortalaması ve standart sapması 20.9±2.7 olup % 68.5’i kadın idi. Anti-HBs pozitifliği % 54.5 olarak elde edildi. Anti-HBs pozitifliğindeki farklılık cinsiyet, yaş grubu ve okul açısından farksız iken, aşılı olanlarda diğerlerine göre daha yüksek idi (p<0.05). Katılımcıların % 29.0’unda iğne batması öyküsü vardı. En yüksek sıklık sağlık acil ve anestezi bölümü öğrencilerinde idi (p<0.001). Son sınıf öğrencilerinde iğne batması daha sık gözlendi. Sonuç: Öğrencilerin yaklaşık yarısında anti-HBs negatiftir ve çalışma ortamında yaralanma riskleri yüksektir. Buna karşın hepatit B’den korunmak amacı ile staj yapmakta olan öğrenciler için açık bir politika yoktur. Sağlık kuruluşlarında staj yapan öğrencileri işyeri risklerinden koruyacak bir politika gereklidir.  

Aim:  Hepatitis B is an important public health problem and many groups, including health workers, are at risk for hepatitis B.  We aimed to determine the hepatitis B surface antibody levels and frequency of needlestick injury among health occupations students. Method: The study population and sample were 973 students in Mustafa Kemal University, Medical, Nursing and Health Vocational High School in 2015. Of the students, %63 were reached, and 67.7% of them gave blood samples. Anti-HBS values were calculated by enzyme-linked immunosorbent assay and an antibody titer over 10 mIU/mL was accepted as positive. Results: The mean age was 20.9 ± 2.7 and 68.5% were female. Anti-HBs positivity was 54.5%, and 37.3% of the vaccinated group was still anti-HBS negative. The difference in anti-hepatitis B positivity was not significant in terms of sex, age group and school, but it was higher in vaccinated students than in others (p <0.05). 29.0% of participants had a history of needle-stick injury. The highest percentage was in health emergency and anaesthesia departments (p <0.001). Needle-stick injury was observed more often in senior students.

Conclusion: Approximately half of the students were negative in terms of anti-HBs and injury risk at working places is extremely high. However, there is no clear hepatitis B policy for the students.  There is a policy need for all students in healthcare settings.

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Primary Language en
Subjects Health Care Sciences and Services
Journal Section Original Research
Authors

Orcid: 0000-0002-6837-7432
Author: Tacettin İnandı (Primary Author)
Institution: Mustafa Kemal Üniversitesi Tıp Fakültesi Halk Sağlığı Anabilim Dalı, Hatay
Country: Turkey


Orcid: 0000-0003-1427-6959
Author: Nazan Savaş
Institution: Mustafa Kemal Üniversitesi Tıp Fakültesi Halk Sağlığı Anabilim Dalı, Hatay
Country: Turkey


Orcid: 0000-0001-7041-9200
Author: Ersin Peker
Institution: Osmaniye Sağlık Müdürlüğü

Orcid: 0000-0002-2766-3491
Author: Nizami Duran
Institution: Mustafa Kemal Üniversitesi Tıp Fakültesi Mikrobiyoloji Anabilim Dalı

Orcid: 0000-0001-9750-6304
Author: Hande Harmancı
Institution: Dünya Sağlık Örgütü, Küresel Hepatit Programı, Komite Başkanı

Dates

Publication Date: April 30, 2019

Bibtex @research article { tjph403136, journal = {Turkish Journal of Public Health}, issn = {}, eissn = {1304-1088}, address = {Turkish Society of Public Health Specialists}, year = {2019}, volume = {17}, pages = {38 - 49}, doi = {10.20518/tjph.403136}, title = {Are the students in medicine, nursing and allied health higher schools protected from Hepatitis B: A cross-sectional study from Hatay, Turkey}, key = {cite}, author = {İnandı, Tacettin and Savaş, Nazan and Peker, Ersin and Duran, Nizami and Harmancı, Hande} }
APA İnandı, T , Savaş, N , Peker, E , Duran, N , Harmancı, H . (2019). Are the students in medicine, nursing and allied health higher schools protected from Hepatitis B: A cross-sectional study from Hatay, Turkey. Turkish Journal of Public Health, 17 (1), 38-49. DOI: 10.20518/tjph.403136
MLA İnandı, T , Savaş, N , Peker, E , Duran, N , Harmancı, H . "Are the students in medicine, nursing and allied health higher schools protected from Hepatitis B: A cross-sectional study from Hatay, Turkey". Turkish Journal of Public Health 17 (2019): 38-49 <http://dergipark.org.tr/tjph/issue/44103/403136>
Chicago İnandı, T , Savaş, N , Peker, E , Duran, N , Harmancı, H . "Are the students in medicine, nursing and allied health higher schools protected from Hepatitis B: A cross-sectional study from Hatay, Turkey". Turkish Journal of Public Health 17 (2019): 38-49
RIS TY - JOUR T1 - Are the students in medicine, nursing and allied health higher schools protected from Hepatitis B: A cross-sectional study from Hatay, Turkey AU - Tacettin İnandı , Nazan Savaş , Ersin Peker , Nizami Duran , Hande Harmancı Y1 - 2019 PY - 2019 N1 - doi: 10.20518/tjph.403136 DO - 10.20518/tjph.403136 T2 - Turkish Journal of Public Health JF - Journal JO - JOR SP - 38 EP - 49 VL - 17 IS - 1 SN - -1304-1088 M3 - doi: 10.20518/tjph.403136 UR - https://doi.org/10.20518/tjph.403136 Y2 - 2019 ER -
EndNote %0 Turkish Journal of Public Health Are the students in medicine, nursing and allied health higher schools protected from Hepatitis B: A cross-sectional study from Hatay, Turkey %A Tacettin İnandı , Nazan Savaş , Ersin Peker , Nizami Duran , Hande Harmancı %T Are the students in medicine, nursing and allied health higher schools protected from Hepatitis B: A cross-sectional study from Hatay, Turkey %D 2019 %J Turkish Journal of Public Health %P -1304-1088 %V 17 %N 1 %R doi: 10.20518/tjph.403136 %U 10.20518/tjph.403136
ISNAD İnandı, Tacettin , Savaş, Nazan , Peker, Ersin , Duran, Nizami , Harmancı, Hande . "Are the students in medicine, nursing and allied health higher schools protected from Hepatitis B: A cross-sectional study from Hatay, Turkey". Turkish Journal of Public Health 17 / 1 (April 2019): 38-49. https://doi.org/10.20518/tjph.403136
AMA İnandı T , Savaş N , Peker E , Duran N , Harmancı H . Are the students in medicine, nursing and allied health higher schools protected from Hepatitis B: A cross-sectional study from Hatay, Turkey. TurkJPH. 2019; 17(1): 38-49.
Vancouver İnandı T , Savaş N , Peker E , Duran N , Harmancı H . Are the students in medicine, nursing and allied health higher schools protected from Hepatitis B: A cross-sectional study from Hatay, Turkey. Turkish Journal of Public Health. 2019; 17(1): 49-38.