Mosley J W, Edwards V M, Casey G, Redeker A G, White E
N Engl J Med. 1975 Oct 9;293(15):729-34. doi: 10.1056/NEJM197510092931501.
To evaluate viral hepatitis as a hazard in general dentistry, we surveyed participants in an annual health-screening program at the 1972 American Dental Association session. Of 1245 practitioners, 0.9 per cent were positive for hepatitis B surface antigen, and 12.7 per cent were antibody positive. Of those who had had clinical hepatitis while studying or practicing dentistry, 43 per cent were seropositive. The frequency of evidence for prior infection with hepatitis B virus increased uniformly with increasing years of professional experience. The proportion of seropositive dentists did not vary with geographic region of the United States, or size of community. Only 10.5 per cent recognized illicit self-injection among patients, and their infection rate was not increased. These data indicate an increased frequency of infection with hepatitis B virus among general dentists, and are compatible with relatively uniform endemicity of subtype/ad strans of that agent in the general population for several decades.
为评估病毒性肝炎在普通牙科领域的危害,我们对参加1972年美国牙科协会年会年度健康筛查项目的人员进行了调查。在1245名从业者中,0.9%的人乙肝表面抗原呈阳性,12.7%的人抗体呈阳性。在学习或从事牙科工作期间患过临床型肝炎的人中,43%的人血清学呈阳性。既往感染乙肝病毒的证据频率随专业工作年限的增加而均匀上升。血清学呈阳性的牙医比例在美国不同地理区域或社区规模之间没有差异。只有10.5%的人认识到患者中的非法自我注射行为,且他们的感染率并未增加。这些数据表明普通牙医中感染乙肝病毒的频率增加,并且与该病原体的亚型/血清型在普通人群中几十年相对一致的地方性流行情况相符。