BASELINE HEPATITIS B VACCINATION AND ANTI HBS LEVEL AMONG HEALTHCARE WORKERS IN A NEWLY COMMISSIONED GOVERNMENT DEDICATED ONCOLOGY HOSPITAL

Abstract

Intro: The risk of Healthcare worker (HCW) acquiring Blood borne virus infection as a result of an occupational exposure depends upon prevalence of the infectious agent, nature of exposure, virus type and titre, infectivity of source and exposed personnel's vaccination status. The objective of the study was to determine baseline HBV vaccination status and protective antibody level among HCW for occupational health institutional policy making and infection control. Methods: Data of 244 HCW working at Kalyan Singh Super Speciality Cancer Institute, Lucknow a newly commissioned govt autonomous dedicated oncology centre was reviewed for HBV vaccination and anti HBs titre. Data was recorded and fully vaccinated (FV) all 3 doses taken, partially vaccinated (PV) and nonvaccinated. Anti HBs titre of > 10mlU/mL was considered as protective Findings: The HCW comprised of faculty (22/244), residents (36/244) and other allied staff (186/244). Among faculty 81.81% were fully vaccinated, 4.54% were partially vaccinated and protective anti HBs titre was found in 31.81%. Among resident doctors fully vaccinated (66.66%), partially vaccinated (13.81%), not vaccinated for HBV (11.11%). Protective Anti HBs titre found in only 2.77%. Among allied staff 84.94% were non vaccinated, 8.60% partially vaccinated and only 6.45% fully vaccinated. Protective anti HBs titre was present in only 0.53%. Conclusion: This data is critical to gauze a baseline for occupational health policy comprising of HBV vaccination at entry level, in house vaccination facility and anti HBs titre in house availability to set target for safer work environment.