Abstract：
BACKGROUND: The hepatitis B virus (HBV) is one of the most important biological occupational hazards for healthcare workers. A high percentage of HBV infections are attributable to percutaneous occupational exposure. This study aimed to describe the HBV immunisation and current immune status of all the nurses employed in a regional hospital in central South Africa.
METHODS: A descriptive record review included all the nurses (N = 388) employed in a regional hospital in central South Africa from 01 January 2018 to 31 January 2020. A total of 289 health records were included in the study. Data were analysed using descriptive statistics. Logistic regression analysis was used to establish factors associated with full immunisation.
RESULTS: Most nurses were females (87.9%), working in medical (27.0%) wards. Only 20.4% of nurses received one dose of vaccine, while 51.2% received the three prescribed doses. However, 91.2% of nurses did not receive the vaccine at the correct intervals. Most of the tested nurses (71.0%) were immune. Immunisation status was significantly associated with religion (p 0.001) and schedule (p = 0.003). Nurses who were non-Christians were 35.9% less likely to be fully vaccinated compared to Christians.
CONCLUSIONS: Half of the nursing staff received three doses as prescribed. All nurses should receive the vaccine against HBV and their immune status monitored to minimise the risk of an infection. It is therefore recommended that proof of immunity should be a requirement.Contribution: This study found a high percentage of nurses with HBV antibodies, which will ensure workplace safety.
METHODS: A descriptive record review included all the nurses (N = 388) employed in a regional hospital in central South Africa from 01 January 2018 to 31 January 2020. A total of 289 health records were included in the study. Data were analysed using descriptive statistics. Logistic regression analysis was used to establish factors associated with full immunisation.
RESULTS: Most nurses were females (87.9%), working in medical (27.0%) wards. Only 20.4% of nurses received one dose of vaccine, while 51.2% received the three prescribed doses. However, 91.2% of nurses did not receive the vaccine at the correct intervals. Most of the tested nurses (71.0%) were immune. Immunisation status was significantly associated with religion (p 0.001) and schedule (p = 0.003). Nurses who were non-Christians were 35.9% less likely to be fully vaccinated compared to Christians.
CONCLUSIONS: Half of the nursing staff received three doses as prescribed. All nurses should receive the vaccine against HBV and their immune status monitored to minimise the risk of an infection. It is therefore recommended that proof of immunity should be a requirement.Contribution: This study found a high percentage of nurses with HBV antibodies, which will ensure workplace safety.
摘要：
背景：乙型肝炎病毒（HBV）是医护人员最重要的生物职业危害之一。高比例的HBV感染可归因于经皮职业暴露。本研究旨在描述在南非中部地区医院雇用的所有护士的HBV免疫接种和目前的免疫状态。
方法：描述性记录回顾包括2018年1月01日至2020年1月31日在南非中部地区医院雇用的所有护士（N=388）。该研究共纳入了289份健康记录。数据采用描述性统计分析。使用Logistic回归分析来建立与完全免疫相关的因素。
结果：大多数护士是女性（87.9％），在医疗病房工作(27.0%)。只有20.4%的护士接种了一剂疫苗,而51.2%的人接受了三种处方剂量。然而,91.2%的护士没有以正确的间隔接种疫苗。大多数被测试的护士（71.0％）免疫。免疫状态与宗教（p0.001）和时间表（p=0.003）显着相关。与基督徒相比，非基督徒护士接种疫苗的可能性要低35.9%。
结论：一半的护理人员按规定接受了三剂。所有护士都应接种HBV疫苗，并监测其免疫状态，以最大程度地降低感染风险。因此，建议必须提供豁免证明。贡献：这项研究发现有HBV抗体的护士比例很高，这将确保工作场所的安全。
方法：描述性记录回顾包括2018年1月01日至2020年1月31日在南非中部地区医院雇用的所有护士（N=388）。该研究共纳入了289份健康记录。数据采用描述性统计分析。使用Logistic回归分析来建立与完全免疫相关的因素。
结果：大多数护士是女性（87.9％），在医疗病房工作(27.0%)。只有20.4%的护士接种了一剂疫苗,而51.2%的人接受了三种处方剂量。然而,91.2%的护士没有以正确的间隔接种疫苗。大多数被测试的护士（71.0％）免疫。免疫状态与宗教（p0.001）和时间表（p=0.003）显着相关。与基督徒相比，非基督徒护士接种疫苗的可能性要低35.9%。
结论：一半的护理人员按规定接受了三剂。所有护士都应接种HBV疫苗，并监测其免疫状态，以最大程度地降低感染风险。因此，建议必须提供豁免证明。贡献：这项研究发现有HBV抗体的护士比例很高，这将确保工作场所的安全。
