Usmani Rabia Arshed, Rana Maaz Suhail, Wazir Muhammad Saleem, Sarwer Huda, Fazli Huda, Pervaiz Muhammad Ali, Tahir Irum, Sajjad Rabbiya
Department of Public Health Practice, Institute of Public Health, Lahore, Pakistan.
J Ayub Med Coll Abbottabad. 2010 Apr-Jun;22(2):36-9.
Hepatitis B is the most common serious infection of the liver and can lead to premature death from liver cancer or liver failure. Of the two billion people who have been infected with Hepatitis B virus, more than 350 million have chronic infection. The objectives of this study were to assess the Hepatitis B vaccination status, reasons for non-compliance and the risk of exposure to doctors at a tertiary care hospital.
Three hundred and twenty-two doctors were selected from the various departments of the hospital by simple random sampling. They were given a self-administered questionnaire after taking verbal consent. Some doctors refused to fill-in the questionnaire while some others were on leave during the time of study and the remaining 215 doctors responded to the questionnaire.
A total of 215 doctors, (age range 22-59 years) responded to the questionnaire. Amongst them 11.6% had not received even a single dose of Hepatitis B vaccine while 14.4% had not completed the required course of vaccination. Most common reason cited by doctors for non-immunisation was that they had not thought about it. Consultants were more likely of the other doctors to have received completed vaccination (83.9% versus 69.9%) (p<0.05). They were also significantly more likely to know their antibody titre after completing vaccination. Needle stick injuries were common. One hundred and forty-five doctors in the study admitted having received at least one needle prick/sharp injury. Of them, 51.6% had received a needle prick/sharp injury more than once.
Despite the availability of an effective vaccine in the market doctors continue to remain non-vaccinated. It is the lack of awareness and carelessness on part of doctors coupled with the negligence of the risk that has led them being incompletely vaccinated. There is a need to ensure that every doctor is completely vaccinated against Hepatitis B before he/she enters professional practice.
乙型肝炎是最常见的严重肝脏感染疾病，可导致因肝癌或肝衰竭而过早死亡。在已感染乙肝病毒的20亿人中，超过3.5亿人患有慢性感染。本研究的目的是评估一家三级护理医院医生的乙肝疫苗接种状况、未接种的原因以及接触风险。
通过简单随机抽样从医院各科室选取322名医生。在获得口头同意后，给他们发放一份自行填写的问卷。一些医生拒绝填写问卷，另一些医生在研究期间休假，其余215名医生对问卷做出了回应。
共有215名医生（年龄范围22 - 59岁）对问卷做出了回应。其中，11.6%的医生甚至未接种过一剂乙肝疫苗，14.4%的医生未完成所需的疫苗接种疗程。医生未接种疫苗最常见的原因是他们没有考虑过。与其他医生相比，顾问医生更有可能完成疫苗接种（83.9%对69.9%）（p<0.05）。他们在完成疫苗接种后也更有可能知道自己的抗体滴度。针刺伤很常见。研究中的145名医生承认至少有过一次针刺/锐器伤。其中，51.6%的医生不止一次受到针刺/锐器伤。
尽管市场上有有效的疫苗，但医生仍未接种疫苗。是医生缺乏意识和粗心大意，再加上对风险的疏忽，导致他们未完全接种疫苗。有必要确保每位医生在进入专业实践之前都完全接种乙肝疫苗。
