Szpalski M, Grumbers A F, Cukier D
Département de Chirurgie Orthopédique, Centre Hospitalier Molière Longchamp, Bruxelles.
Acta Chir Belg. 1992 Jul-Aug;92(4):159-63.
Risk of professional transmission of hepatitis B is known since the seventies. Recently the possibility of HIV transmission during surgical practice was demonstrated. It was interesting to assess Belgian surgeons and anesthetists opinion about this risk and about the precautions taken. An opinion survey was performed with a representative sample of Belgian surgeons and orthopedists (340) as well as anesthetists (100). Risks of transmission of HIV and possible elementary precautions are not well known. The rate of vaccination against hepatitis B is low, specially in smaller hospitals. However the frequency of injuries during practice is high in surgeons as well as in anesthetists. This study shows that important information efforts about the risks of HIV infection and the possible precautions to be taken are still necessary. Information about the need for vaccination against hepatitis B should also be done, considering the high incidence of operative injuries.
自20世纪70年代以来，人们就知道乙型肝炎职业传播的风险。最近，有证据表明在外科手术过程中存在HIV传播的可能性。评估比利时外科医生和麻醉师对这种风险以及所采取预防措施的看法很有意思。对比利时外科医生、骨科医生（340名）和麻醉师（100名）的代表性样本进行了一项意见调查。HIV传播风险和可能的基本预防措施并不为人所熟知。乙型肝炎疫苗接种率较低，特别是在较小的医院。然而，外科医生和麻醉师在操作过程中受伤的频率都很高。这项研究表明，关于HIV感染风险和可能采取的预防措施，仍有必要大力开展宣传工作。考虑到手术损伤的高发生率，也应该开展关于乙型肝炎疫苗接种必要性的宣传。
