Human immunodeficiency virus infection: Vulnerability of doctors in surgical subspecialties of a tertiary health-care setting in Nigeria
Abdulrazaq Olanrewaju Taiwo1, Mansur Olayinka Raji2, Mike Adeyemi3, Ramat Oyebunmi Braimah4, Adebayo Aremu Ibikunle4, Moshood Folorunsho Adeyemi5, Aminu Umar Kaoje2, Taofeek Abiodun Amoo6
1 Department of Surgery, College of Health Sciences, Usmanu Danfodiyo University, Sokoto, Nigeria
2 Department of Community Medicine, College of Health Sciences, Usmanu Danfodiyo University, Sokoto, Nigeria
3 Department of Oral and Maxillofacial Surgery, College of Medicine, University of Lagos, Lagos, Nigeria
4 Department of Dental and Maxillofacial Surgery, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria
5 Department of Dental and Maxillofacial Surgery, University of Ilorin Teaching Hospital, Ilorin, Nigeria
6 Department of Oral and Maxillofacial Surgery, Lagos University Teaching Hospital, Lagos, Nigeria
Dr. Abdulrazaq Olanrewaju Taiwo
Department of Surgery, College of Health Sciences, Usmanu Danfodiyo University, Sokoto
Source of Support: None, Conflict of Interest: None
Introduction: Anxieties about the transmission of human immunodeficiency virus (HIV) infection in Nigeria are present both in general public and the surgical communities. Research on its effect on occupational health and safety is still evolving in Sub-Saharan Africa.
Materials and Methods: This was a cross-sectional study conducted in a tertiary referral hospital from October to December 2016. Doctors working in all surgical subspecialties area were included in the study. Data were stored and analyzed using Analyze-it version 2.25 Excel 12+ (2013). Multivariate analysis to determine predictors of vulnerability toward HIV infection was carried out. P = 0.05 or less was considered statistically significant.
Results: Of the 95 questionnaires returned, 74 were fully completed making a response rate of 77.9%. Males preponderance was observed (66 [89.2%)]), while there were only 8 (10.8%) females (male:female = 8.3:1). The age ranged from 24 to 53 years (mean age = 36.9 years ± 8.2 standard deviation). More than half of the doctors, i.e. 49 (66.2%) had operated on a known HIV/AIDS-infected patient. There was no correlation between perception of HIV occupational hazard with age, gender, specialty, practice years, and cadre (χ2 = 15.73, df = 17, P = 0.543). Twenty-three surgeons (31.1%) sustained needlestick injuries in the past 1 year and 19 (82.6%) confirmed having at least two episodes. Four (17.4%) had received free postexposure prophylaxis.
Conclusion: The findings from this series suggested that the hospital adherence to universal cross infection control measures is suboptimal. It is necessary for hospital to promote minimal invasive surgery.