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牙医感染乙型肝炎或人类免疫缺陷病毒的职业风险是什么?

What is the dentist's occupational risk of becoming infected with hepatitis B or the human immunodeficiency virus?

作者信息

Capilouto E I, Weinstein M C, Hemenway D, Cotton D

机构信息

University of Alabama School of Public Health, Lister Hill Center for Health Policy, Birmingham, Ala. 35294.

出版信息

Am J Public Health. 1992 Apr;82(4):587-9. doi: 10.2105/ajph.82.4.587.

Abstract

Surveys have shown that dentists are reluctant to treat persons infected with the human immunodeficiency virus (HIV). However, dentists are much more willing to treat patients with infectious hepatitis B virus (HBV). This study shows that the annual cumulative risk of infection from routine treatment of patients whose seropositivity is undisclosed is 57 times greater from HBV than from HIV, and that the risk of dying from HBV infection is 1.7 times greater than the risk of HIV infection, for which mortality is almost certain.

摘要

调查显示,牙医不愿治疗感染人类免疫缺陷病毒(HIV)的患者。然而,牙医更愿意治疗感染乙型肝炎病毒(HBV)的患者。这项研究表明,对血清反应呈阳性但未披露的患者进行常规治疗,每年因HBV感染的累积风险比因HIV感染的累积风险高57倍,且因HBV感染死亡的风险比HIV感染死亡的风险高1.7倍,而HIV感染几乎肯定会导致死亡。

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本文引用的文献

1
Nosocomial viral hepatitis.医院内病毒性肝炎
Am J Med. 1981 Feb;70(2):439-44. doi: 10.1016/0002-9343(81)90785-3.
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Low occupational risk of human immunodeficiency virus infection among dental professionals.
N Engl J Med. 1988 Jan 14;318(2):86-90. doi: 10.1056/NEJM198801143180205.
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AIDS and dental practice.艾滋病与牙科诊疗
J Public Health Dent. 1988 Spring;48(2):68-73. doi: 10.1111/j.1752-7325.1988.tb03167.x.
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Infrequency of isolation of HTLV-III virus from saliva in AIDS.
N Engl J Med. 1985 Dec 19;313(25):1606. doi: 10.1056/NEJM198512193132512.

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