Evidence map›Paper›PMID 29200524›Full record

SynthesisBulletin of the World Health Organization2017

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

Open access · diamondAbstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Bulletin of the World Health Organization, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 6 pooled it
6.2field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

60 citing papers in PubMed, 6 syntheses or guidelines pooled it, 124 citations in OpenAlex.

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  17. Hepatitis B immunisation and immune status of nurses in a regional hospital in central South Africa.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Asa AutaSchool of Pharmacy and Biomedical Sciences, University of Central Lancashire, Fylde Road, Preston, PR1 2HE, England.
Emmanuel O AdewuyiInstitute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia.
Amom Tor-AnyiinSchool of Health Sciences, Walden University, Minneapolis, United States of America.
David AzizSchool of Pharmacy and Biomedical Sciences, University of Central Lancashire, Fylde Road, Preston, PR1 2HE, England.
Esther OgboleBiochemistry and Chemotherapy Division, Nigerian Institute for Trypanosomiasis Research, Vom, Nigeria.
Brian O OgbonnaFaculty of Pharmaceutical Sciences, Nnamdi Azikiwe University, Awka, Nigeria.
Davies AdeloyeDepartment of Demography and Social Statistics, Covenant University, Ota, Nigeria.
Covenant University · NGNnamdi Azikiwe University · NGQueensland University of Technology · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo estimate the lifetime and 12-month prevalence of occupational exposure to body fluids among health-care workers in Africa.

methodsEmbase®, PubMed® and CINAHL databases were systematically searched for studies published between January 2000 and August 2017 that reported the prevalence of occupational exposure to blood or other body fluids among health-care workers in Africa. The continent-wide prevalence of exposure was estimated using random-effects meta-analysis.

findingsOf the 904 articles identified, 65 studies from 21 African countries were included. The estimated pooled lifetime and 12-month prevalence of occupational exposure to body fluids were 65.7% (95% confidence interval, CI: 59.7-71.6) and 48.0% (95% CI: 40.7-55.3), respectively. Exposure was largely due to percutaneous injury, which had an estimated 12-month prevalence of 36.0% (95% CI: 31.2-40.8). The pooled 12-month prevalence of occupational exposure among medical doctors (excluding surgeons), nurses (including midwives and nursing assistants) and laboratory staff (including laboratory technicians) was 46.6% (95% CI: 33.5-59.7), 44.6% (95% CI: 34.1-55.0) and 34.3% (95% CI: 21.8-46.7), respectively. The risk of exposure was higher among health-care workers with no training on infection prevention and those who worked more than 40 hours per week.

conclusionThe evidence available suggests that almost one half of health-care workers in Africa were occupationally exposed to body fluids annually. However, a lack of data from some countries was a major limitation. National governments and health-care institutions across Africa should prioritize efforts to minimize occupational exposure among health-care workers.

Indexed as

Body FluidsHealth PersonnelOccupational ExposureHumansInfectious Disease Transmission, Patient-to-Professional

Identifiers

PMID29200524
PMCPMC5710084
OpenAlexW2768144520

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.