Original Research

Knowledge and uptake of occupational post-exposure prophylaxis amongst nurses caring for people living with HIV

Lufuno Makhado, Mashudu Davhana-Maselesele
Curationis | Vol 39, No 1 | a1593 | DOI: https://doi.org/10.4102/curationis.v39i1.1593 | © 2016 Lufuno Makhado, Mashudu Davhana-Maselesele | This work is licensed under CC Attribution 4.0
Submitted: 16 July 2015 | Published: 29 March 2016

About the author(s)

Lufuno Makhado, Department of Nursing Sciences, North-West University, Mmabatho, South Africa
Mashudu Davhana-Maselesele, Department of Nursing Sciences, North-West University, Mmabatho, South Africa


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Abstract

Background: Nurses caring for people living with HIV (PLWH) are at higher risk of exposure to the human immunodeficiency virus (HIV) by needle sticks, cuts, getting body fluids in their eyes or mouth and skin when bruised or affected by dermatitis.

Objectives: To determine knowledge, insight and uptake of occupational post-exposure prophylaxis (OPEP) amongst nurses caring for PLWH.

Method: A cross-sectional descriptive design was used in this study. Stratified random sampling was used to sample 240 nurses. The study was conducted in a regional hospital in Limpopo province. Both parametric and non-parametric statistics were employed to analyse data.

Results: A total of 233 nurses participated in the study. Sixty per cent (n = 138) of all nurses had a situation at work when they thought that they were infected by HIV and 100 (43%) nurses had experienced the situation once or more in the past 12 month. Approximately 40% did not know what PEP (post-exposure prophylaxis) is, and 22% did not know or were not sure if it was available in the hospital. Only few participants (n = 68, 29%) had sought PEP and most (n = 37, 54%) of them did not receive PEP when they needed it. There was a significant association between the knowledge and availability of PEP (r = 0.622).

Conclusion: The study recommend an urgent need for policy makers in the health sector to put in place policies, guidelines and programmes that will rapidly scale up PEP services in health care settings, so that preventable occupationally acquired HIV infection can be minimised amongst nurses.

Keywords: Post-Exposure Prophylaxis; Nurses; HIV, Occupational Exposure; PLWH


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Crossref Citations

1. Health-care workers’ occupational exposures to body fluids in 21 countries in Africa: systematic review and meta-analysis
Asa Auta, Emmanuel O Adewuyi, Amom Tor-Anyiin, David Aziz, Esther Ogbole, Brian O Ogbonna, Davies Adeloye
Bulletin of the World Health Organization  vol: 95  issue: 12  first page: 831  year: 2017  
doi: 10.2471/BLT.17.195735