Division of Healthcare Quality Promotion, Prevention and Response Branch, Centers for Disease Control and Prevention, 1600 Clifton Road, MS A-31, Atlanta, GA 30333, USA.
Clin Liver Dis. 2010 Feb;14(1):137-51; x. doi: 10.1016/j.cld.2009.11.004.
Current understanding of viral hepatitis transmission in United States health care settings indicates progress over the past several decades with respect to the risks from transfusions or blood products. Likewise, risks to health care providers from sharps injuries and other blood and body fluid exposures have been reduced as a consequence of widespread hepatitis B vaccination and the adoption of safer work practices. Increasing recognition of outbreaks involving patient-to-patient spread of hepatitis B and hepatitis C virus infections, however, has uncovered a disturbing trend. This article highlights the importance of basic infection control and the need for increased awareness of safe injection practices.
目前，美国医疗保健环境中对病毒性肝炎传播的认识表明，在过去几十年中，输血或血液制品相关风险已经取得了一定的进展。同样，由于乙型肝炎疫苗的广泛接种和更安全的工作实践，医护人员因锐器伤和其他血液及体液暴露而感染的风险也有所降低。然而，越来越多的乙型肝炎和丙型肝炎病毒感染患者之间传播的暴发事件的认识，揭示了一个令人不安的趋势。本文强调了基本感染控制的重要性，以及提高对安全注射操作认识的必要性。
