HEPATITIS-B VACCINATION STATUS AND KNOWLEDGE,ATTITUDE AND PRACTICE OF HIGH RISK HEALTH CARE WORKER ABOUT BODY SUBSTANCE ISOLATION

Background: hbv infection is occupational risk for health care worker (hcw). they play an important role in dissemination of hepatitis b in society. this study aimed to assess hepatitis b vaccination status of high transmitter risk group and their knowledge attitude and practice regarding body substance isolation.method: this questioner based cross sectional study was conducted in january 2013 to march 2014. 400 hcw comprising of 55% male and 45% female belonging to four groups 100 each doctor,nurse,operation theatre and clinical laboratory technician working at different tertiary hospitals in karachi-pakistan were included in the study.results: 28% doctors,20% nurses,64% operation theatre and 68% lab-technician were fully immunized. among rest 31% were unaware of vaccine,45% did not consider themselves among high risk group,15% expected management to get them vaccinated,9% found it expensive. biosafety practices were correctly performed by 42%. 29% performed injection safe practice,10% aseptic rules and 19% properly sterilized equipment. blood spill was immediately cleaned by 80% among them 48% applied disinfectant,40% cleaned it water and detergent,12% cleaned and disinfected. blood samples disposal was 52% in any available container,17% in dustbin and 30% in biohazard bags. in case of accidental needle stick exposure 62 encouraged bleeding,19% applied alcohol,11% washed with water,8% waited for medical help. regarding discarding used syringe 42% used engineered device,44% common container,10% bent needles and 4% one handed scoop technique. warning symbols were identified by 32% amongst them 30% identified biohazard,8% harmful,12% inflammable and 50% danger signs.conclusion: to prevent hcw from hepatitis their complete immunization should be mandatory and rigid bsi protocol monitored daily.