Doctors are more prone to get needle stick injury while giving i/v   injection and during suturing process. HIV, Hepatitis B  and Hepatitis C  are  three  important   fatal  infections  transmitted  by  needle  stick  injury. The transmission rate of  Hepatitis  B infection  is  nearly about  30%  whereas transmission  of  HIV   is  only  0.3%  and  Hepatitis  C   only 1.8%  and Hepatitis B being fatal can very well be prevented by proper vaccination and prophylaxis. After infection with HBV, 10% of the patients develop chronic hepatitis and about 15%-25% develop cirrhosis. Half of these individuals later develop hepatic decompensation or hepatocellular carcinoma. The study was conducted in Medical College Hospital,  from May 2014 to July 2014. It was a descriptive, cross-sectional questionnaire based study. Consent was taken before the distribution of the questionnaire. All doctors were included in the study i.e. Obstetrician/Gynaecologists, Superspecialists, Anaesthetists, Paediatricians, Orthopaedician, Surgeons and Physicians. Forms were distributed among 345 doctors.  Out of 345 distributed forms, 208 were returned with a response rate of 60.28%.A total of 208 doctors, (age range 30-58 years) responded to the questionnaire.  Amongst them 74 % have been vaccinated and 26 % have not completed the required course of vaccination. The most commonly cited reasons for non-vaccination found in our study were forgetting dosage schedule(43.9%), and never thought of due to busy work pattern.  It is seen that most of the young doctors have been vaccinated against HBV and the reason cited by them was as per government norms they had to get vaccinated during their under graduate and  post graduate admissions. OG consultants (100%), super-specialists (90%) and anaesthetists (90%) were more likely to have received completed vaccination, 85 % of the paediatricians  were completely vaccinated  and the complete vaccination status  was about 80% among  surgeons, orthopaedicians,   physicians. Needle stick injury was reported in 44.8 % of the doctors.  Needle  stick  injury  reporting was fairly adequate and  88% of doctors  were aware of post exposure prophylaxis. Post vaccination  antibody testing for anti HBs levels were known only to few doctors(13%). It is mandatory to identify low or non responders(anti Hbs <10mlU/ml)  since they are not protected  and post exposure prophylaxis should be initiated promptly  after needle stick injuries and other exposures.

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