Assessment of doctors’ knowledge, attitude and practice for hepatitis C virus infection control guidelines in Egypt
More details
Hide details
Department of Pediatrics, Faculty of Medicine, Suez Canal University, Ismailia, Egypt
Social Research Center, American University, Cairo, Egypt
Medical Microbiology and Immunology Department, Faculty of Medicine, Suez Canal University, Ismailia, Egypt
Department of Clinical Pathology, Faculty of Medicine, Suez Canal University, Ismailia, Egypt
Department of Infectious and Endemic Diseases, Faculty of Medicine, Suez Canal University, Ismailia, Egypt
Department of Infectious and Endemic Diseases, Faculty of Medicine, Suez University, Suez, Egypt
Submission date: 2018-12-01
Final revision date: 2019-03-25
Acceptance date: 2019-03-25
Publication date: 2019-07-18
Arch Med Sci Civil Dis 2019;4(1):34-40
Hepatitis C virus is a blood-borne infection and one of the major global problems. In Egypt, the prevalence is reported to be the highest. Infection through unsafe medical procedures is considered now the primary cause of infection. The study aims to assess the knowledge, attitude and practice of doctors regarding infection control guidelines in Ismailia governorate.

Material and methods:
A cross sectional study was conducted on a sample of physicians (355) in Ismailia governorate using a questionnaire to collect data on their knowledge and attitude concerning the control measures related to their years of experiences.

Most of the physicians (89.6%) regardless of their years of experience have had contact with blood products. Those who had a history of needle stick injury accounted for 56.3%, with a statistically significant difference as to the highest number being middle career physicians. Concerning knowledge about infection control policies in their hospitals, it was relatively low among all groups.

Despite all efforts exerted by the infection control professionals, infections still remain a major unpleasant side effect of health care, often causing harm to patients.. Although Egypt has made great progress in implementing the infection control procedures and policies, there is still a huge problem as the practices of physicians do not really reflect their knowledge and they still do not follow the infection control policies. Education, monitoring, improved availability of resources and disciplinary measures are necessary to improve infection control in health facilities that should be applied to all physicians.

Russmann S, Dowlastshahi E, Printzen G, Habicht S, Reichen J, Zimmermann H. Prevalence and associated factors of viral hepatitis and transferrin elevations in 5036 patients admitted to the emergency room of a Swiss university hospital: cross-sectional study. BMC Gastroenterol 2007; 7: 5.
Centers for Disease Control and Prevention. Progress toward prevention and control of hepatitis C virus infection-Egypt 2001-2012. MMWR 2012; 61: 545-9.
Thomas DL. Global control of hepatitis C: where challenge meets opportunity. Nat Med 2013; 19: 850-8.
Organization, W.H. Hepatitis C Fact Sheet WHO/164, Revised April 2014, Geneva: WHO 2014.
Negro F, Alberti A. The global health burden of hepatitis C virus infection. Liver Int 2011; 31 Suppl 2: 1-3.
The Egyptian Ministry of Health. National Viral Hepatitis Committee. Plan of action for the prevention, care and treatment of viral Hepatitis, Egypt 2014-2018. Cairo, MOH. 2014 December 2014.
El-Zanaty F, Way A. Egypt Demographic and Health Survey 2008. Cairo, Egypt: Ministry of Health, 2009 El-Zanaty and Associates, and Macro International.
Shepard CW, Finelli L, Alter MJ. Global epidemiology of hepatitis C virus infection. Lancet Infect Dis 2005; 5: 558-67.
Zuure F, Davidovich U, Kok G, et al. Evaluation of a risk assessment questionnaire to assist hepatitis C screening in the general population. Euro Surveill 2010; 15: 19539.
McGinn T, O’Connor-Moore N, Alfandre D, Gardenier D, Wisnivesky J. Validation of a hepatitis C screening tool in primary care. Arch Intern Med 2008; 168: 2009-13.
Centers for Disease Control and Prevention. Recommendations for the identification of chronic hepatitis C virus infection among persons born during 1945–1965. MMWR Recomm Rep 2012; 61: 1-32.
Joukar F, Mansour-Ghanaei F, Soati F, Meskinkhodaoukar P. knowledge levels and attitudes of health care professionals toward patients with hepatitis C infection. World J Gastroenterol 2012; 18: 2238-44.
Centers for Disease Control and Prevention. Progress toward prevention and control of hepatitis C virus infection-Egypt 2001-2012. MMWR Morb Mortal Wkly Rep 2012; 61: 545-9.
Global Burden of Hepatitis C Working Group. Global burden of disease (GBD) for hepatitis C. J Clin Pharmacol 2004; 44: 20-9.
Averhoff FM, Glass N, Holtzman D. Global burden of hepatitis C: considerations for healthcare providers in the United States. Clin Infect Dis 2012; 55: S10-5.
Prati D. Transmission of hepatitis C virus by blood transfusions and other medical procedures: a global review. J Hepatol 2006; 45: 607-16.
Kabir A, Tabatabaei SV, Khaleghi S, et al. Knowledge, attitudes and practice of Iranian medical specialists regarding hepatitis B and C. Hepat Month 2010; 10: 176-82.
Kandeel AM, Talaat M, Afifi SA, et al. Case control study to identify risk factors for acute hepatitis C virus infection in Egypt. BMC Infect Dis 2012; 12: 294.
Holla R, Unnikrishnan B, Ram P, et al. Occupational exposure to needle stick injuries among health care personnel in a tertiary care hospital: a cross sectional study. J Community Med Health Educ 2014; S2: 004.
Afridi AAK, Kumar A, Sayani R. Needle stick injuries – risk and preventive factors: a study among health care workers in tertiary care hospitals in Pakistan. Global J Health Sci 2013; 5: 85-92.
Rampal L, Zakaria R, Sook LW, Zain AM. Needle stick and sharps injuries and factors associated among health care workers in a Malaysian hospital. Eur J Soc Sci 2010; 13: 354-62.
Kermode M, Jolley D, Langkham B, Thomas M, Crofts N. Occupational exposure to blood and risk of blood-borne virus infection among health care workers in rural north Indian health care settings. Am J Infect Control 2005; 33: 34-41.
Wada K, Narai R, Skata Y, et al. Occupational exposure to blood or body fluids as a result of needle stick injuries and other sharp device injuries among medical residence in Japan. Infect Control Hosp Epidemiol 2007; 289: 507-8.
Park S, Jeang L, Huh J, et al. Needle-stick and sharp injuries in a tertiary hospital in the Republic of Korea. Am.
J Infect Control 2008; 36: 439-43.
Gupta A, Ananad S, Sastry J, et al. High risk for occupational exposure to HIV and utilization of post-exposure prophylaxis in a teaching hospital in Pune, India. BMC Infect Dis 2008; 8: 142-52.
Karani H, Rangiah S, Ross AJ. Occupational exposure to blood-borne or body fluid pathogens among medical interns at Addington Hospital, Durban. S Afr Fam Pract 2011; 53: 462-6.
Journals System - logo
Scroll to top