Zaaijer H L
Academisch Ziekenhuis Vrije Universiteit, afd. Medische Microbiologie en Infectiepreventie, Amsterdam.
Ned Tijdschr Geneeskd. 1999 Nov 20;143(47):2348-50.
A Dutch surgeon transmitted hepatitis B virus (HBV) to several of his patients (8 certain cases, 2 probable cases and 18 possible cases). To view this accident in the proper context, we estimated the incidence of HBV transmission in the Netherlands from surgeons to patients (1/37,000 surgical procedures) and from patients to non-immune surgeons (0.8%/surgeon/year). The incident as such is alarming because of the high frequency of HBV transmission that occurred. However, the number of infections involved was lower than the expected number of iatrogenic HBV infections in the Netherlands during the given period. It is advisable to quickly implement the WHO guidelines, demanding universal HBV vaccination of infants, and to organize vaccination of risk groups (including medical personnel) in the Netherlands.
一位荷兰外科医生将乙肝病毒（HBV）传染给了他的多位患者（确诊8例，疑似2例，可能18例）。为了正确看待这起事故，我们估算了荷兰外科医生将HBV传染给患者的发生率（每37,000例外科手术中有1例）以及患者将HBV传染给未免疫外科医生的发生率（每年每位外科医生0.8%）。就其本身而言，这起事件令人震惊，因为HBV传播的频率很高。然而，所涉及的感染病例数低于荷兰在给定时期内医源性HBV感染的预期病例数。建议迅速实施世界卫生组织的指导方针，要求对婴儿进行普遍的HBV疫苗接种，并在荷兰组织对包括医务人员在内的高危人群进行疫苗接种。
