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Epidemiol Infect. 2014 Mar;142(3):662-70. doi: 10.1017/S0950268813001404. Epub 2013 Jun 13.

Are healthcare workers at higher risk of HIV infection than the general population in Burkina Faso?

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  • 1Pôle Epidémiologie et Biostatistique, Institut de Recherche Expérimentale et Clinique (IREC), Faculté de Santé Publique (FSP), Université catholique de Louvain (UCL), Bruxelles, Belgique.
  • 2Centre Muraz, Bobo-Dioulasso, Burkina Faso.
  • 3INSERM U1058 'Infection by HIV and by agents with muco-cutaneous tropism: from pathogenesis to prevention', Université Montpellier 1 & CHRU Montpellier, France.


In order to assess the HIV prevalence in healthcare workers (HCWs) in Burkina Faso, we conducted a national survey in 97 health facilities from urban and rural areas. Of 1570 HCWs who agreed to participate, 1013 (64·5%) provided a urine sample for HIV testing. The crude prevalence of HIV in HCWs was 3·5% (95% CI 2·3-4·6). HIV prevalence was 0·7% in students and trainees, 3·8% in nurses and midwives, 4·5% in administrative workers, and 4·6% in laboratory workers. After age and area standardization, men from the Demographic Health Survey (DHS) had a similar HIV prevalence (2·3%, 95% CI 1·4-2·9) as male HCWs (2·5%, 95% CI 1·1-4·0), while female HCWs were more infected (4·5%, 95% CI 2·5-6·0) than women from the DHS (2·1%, 95% CI 1·3-2·4). A voluntary counselling and testing (VCT) programme should be specifically implemented and adapted for female HCWs.

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