Evidence map›Paper›PMID 41121017›Full record

ArticleBMC infectious diseases2025

Sero-prevalence of hepatitis B among health facility staff in Salima district, Malawi - a cross-sectional study.

George Dalitso Limwado, Yamikani Nuka, Kondwani Mpinga, Yanja Mawindo, Mark Chakwiya, Luciano Abraham, Victor Chikwapulo, Mzee Chalira, Dzimkambani Kambalame, Flexon Ngulinga and 2 more

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Article in BMC infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

12 authors.

George Dalitso LimwadoSalima District Hospital, P.O. Box 53, Salima, Malawi. glimwado@gmail.com.
Yamikani NukaSalima District Hospital, P.O. Box 53, Salima, Malawi.
Kondwani MpingaPartners in Health/ Abwenzi Pa Za Umoyo, Neno, Malawi.
Yanja MawindoSalima District Hospital, P.O. Box 53, Salima, Malawi.
Mark ChakwiyaSalima District Hospital, P.O. Box 53, Salima, Malawi.
Luciano AbrahamSalima District Hospital, P.O. Box 53, Salima, Malawi.
Victor ChikwapuloResearch Department, Ministry of Health, Lilongwe, Malawi.
Mzee ChaliraInternal Medicine Department, Kamuzu Central Hospital, Lilongwe, Malawi.
Dzimkambani KambalamePublic Health Institute of Malawi, Ministry of Health, Lilongwe, Malawi.
Flexon NgulingaNational Cancer Center, Kamuzu Central Hospital, Lilongwe, Malawi.
Collins MitamboViral Hepatitis Unit, Ministry of Health, Lilongwe, Malawi.
Yonasi ChiseSalima District Hospital, P.O. Box 53, Salima, Malawi.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsHepatitis B (HBV) poses a significant public health challenge in Malawi with a pooled prevalence of 8% in the general population. This study aimed to determine the prevalence of HBV infection among healthcare workers in Salima District, Malawi, and assess the severity of positive cases.

methodsIn September 2020, a cross-sectional study was conducted in all public health facilities across Salima District and screened 854 healthcare workers for hepatitis B virus (HBV) using antigen point-of-care tests. Data on demographics and risk history were collected. Those who tested positive were linked to care, and further assessments were carried out by medical officers. Family members of positive cases were also screened for HBV. Descriptive statistics were used to summarize the data, with categorical variables presented as frequencies and percentages, and quantitative variables as means with standard deviations. The relationship between demographic factors and HBV prevalence was analyzed using unadjusted prevalence ratios (PR).

resultsThe prevalence of HBV infection among healthcare workers was 2.93% (25 infections, 95% CI: 1.90-4.29%). Infections were more common among males (95% CI: 0.81-5.98%), married participants (95% CI: 0.13-1.07%), and those unvaccinated against HBV. Environmental health personnel (95% CI: 0.78-69.46%) exhibited the highest chronic HBV prevalence. All positive cases were enrolled in the HBV clinic within two weeks of diagnosis, and none had signs of severe liver disease. DISCUSSION: Despite lower prevalence than the general population, HBV infection rates remain concerning among healthcare workers, particularly those in non-clinical roles. The lack of vaccination history is a notable risk factor for infection.

conclusionThe study underscores the elevated prevalence of HBV infection among healthcare workers in the Salima District, emphasizing the importance of vaccination and prompt linkage to care.

Indexed as

Health PersonnelHepatitis BAdultCross-Sectional StudiesFemaleHealth FacilitiesHepatitis B virusHumansMalawiMaleMiddle AgedPrevalenceRisk FactorsSeroepidemiologic StudiesYoung AdultHealthcare workersHepatitis b infectionPrevalence

Identifiers

PMID41121017
PMCPMC12541988

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