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Hepatitis B vaccination in correctional health care workers.

Authors
Gershon-RR; Mitchell-C; Sherman-MF; Vlahov-D; Lears-MK; Felknor-S; Lubelczyk-RA
Source
Am J Infect Control 2005 Nov; 33(9):510-518
NIOSHTIC No.
20029734
Abstract
Data on bloodborne pathogen risk among health care workers (HCWs) employed in the correctional setting are sparse, even though the prevalence of bloodborne infections, including hepatitis B virus (HBV), among inmates is high. To address this, we determined prevalence and correlates of hepatitis B virus vaccination status in correctional health care workers (CHCWs) employed in 3 state correctional health care facilities. A confidential, self-administered cross-sectional survey was performed. Four hundred eleven (69.8%) of 588 eligible participants completed the survey. Of these, 264 (64.2%) reported receiving a primary hepatitis B (HB) vaccine series. Vaccination rates varied by state and by job category. Parenteral exposures were not uncommon; 8.6% (n = 24) of clinical CHCWs and 2.0% (n = 7) of nonclinical CHCWs reported one or more needlesticks in the 6-month period prior to the study. Among clinical staff, vaccination correlated with licensure (RN or MD) and race (white) and in nonclinical staff with history of close contact with HBV infected inmates and with needlestick injury. Although the HB vaccination rate among CHCWs was generally high, given their potential risk of exposure to HBV, universal vaccination should be encouraged and should include those nonclinicians with job duties that may involve potential exposure to blood/body fluids.
Keywords
Hepatitis; Vaccines; Health-care; Health-care-personnel; Bloodborne-pathogens; Risk-factors; Risk-analysis; Health-care-facilities; Occupational-exposure; Needlestick-injuries
Contact
Robyn R. M. Gershon, DrPH, MT, MHS, Mailman School of Public Health, Columbia University, 600 West 168th St, 4th Floor, New York, NY 10032
CODEN
AJICDC
Publication Date
20051101
Document Type
Journal Article
Email Address
rg405@columbia.edu
Funding Amount
148530
Funding Type
Grant
Fiscal Year
2006
NTIS Accession No.
NTIS Price
Identifying No.
Grant-Number-R01-OH-003459
Issue of Publication
9
ISSN
0196-6553
Source Name
American Journal of Infection Control
State
MD; NY
Performing Organization
Johns Hopkins University, Baltimore, Maryland
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