Department of Hospital Epidemiology and Infection Control, The Johns Hopkins Hospital, 425 Osler, 600 North Wolfe Street, Baltimore, MD 21287, USA.
Clin Liver Dis. 2010 Feb;14(1):153-68; x. doi: 10.1016/j.cld.2009.11.003.
Transmission of hepatitis B and C from health care workers to patients remains rare in developed medical care systems but may be more common in systems that are still developing. Since the 1970s, at least 69 health care workers infected with hepatitis B or C have been implicated in transmission of their infection. This likely underestimates the magnitude of the problem. In this article, risk factors associated with transmission are reviewed and infection prevention and control practices outlined. Management of infected providers is also discussed. National guidelines are compared, highlighting different countries' approaches to this complex challenge.
乙型肝炎和丙型肝炎在发达国家的医疗保健系统中从医护人员传播给患者的情况仍然很少见，但在仍在发展中的系统中可能更为常见。自 20 世纪 70 年代以来，至少有 69 名乙型肝炎或丙型肝炎感染者的医护人员被认为是其感染的传播者。这可能低估了问题的严重程度。本文回顾了与传播相关的危险因素，并概述了感染预防和控制措施。还讨论了受感染者的管理。对国家指南进行了比较，突出了不同国家对这一复杂挑战的不同方法。
