Background and Aim: Currently, the Hepatitis B virus is known as one of most common infectious agents in the world. Vaccination is the safest and the most effective way to prevent Hepatitis B. The widespread vaccination against Hepatitis B can increase immunity level in employees. It also decreases the costs by omitting the need for anti-hepatitis B immunoglobulin (HbsAb), used to increase the immunity level of employees. The purpose of this study was to evaluate the blood HBsAb titer among high-risk employees at Kamyaran Healthcare Network in 2017 and the next interventions.
Material and Method: In this descriptive- analytical study, high-risk employees at Kamyaran Healthcare Network filled a demographic questionnaire. In addition, blood samples were taken from them. Then, the level of HBsAb was measured using ELISA method. In the study, the exclusion criteria were vaccination less than three times and/or unwillingness to donate a blood sample. 159 high-risk employees from a total of 550 employees at Kamyaran Healthcare Network. Were excluded from the study. The collected data were analysed according to descriptive statistics, K square's test, and Fisher's exact test. SPSS software was used to conduct the statistical analyses.
Results: There were statistical significant differences in the HbsAb Titer among the studied groups of healthcare workers. Additionally, There were statistical significant differences in the HbsAb Titer when the times to get vaccine were compared (get vaccinated less than one year: 96.3 %, get vaccinated 1-5 years: 91.8 %, get vaccinated 10-15 years: 78.2 %, and get vaccinated ≥ 15 years: 61.8 %). There was a statistical significant difference in HbsAb Titer between diabetic and non-diabetic employees. No statistical significant difference in the HbsAb Titer was found between smokers and non-smokers.
Conclusion: The population immunity level was 85.7%, which is in accordance with the results of other studies. The immunity was not induced in 14.2 % of the population after Hepatitis B vaccination. Thus, it is recommended to perform a complementary vaccination for the healthcare employees, especially for practical nurses.
Type of Study:
Research |
Subject:
General Received: 2019/04/16 | Accepted: 2019/07/14 | ePublished: 2019/10/2