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巴西巴伊亚联邦大学医护人员和学生的乙型肝炎病毒流行率和疫苗接种反应。

Hepatitis B virus prevalence and vaccination response in health care workers and students at the Federal University of Bahia, Brazil.

机构信息

Graduate Program in Immunology, PPGIm-UFBA, Brazil.

出版信息

Ann Hepatol. 2012 May-Jun;11(3):330-7.

Abstract

UNLABELLED

BACKGROUND AND RATIONALE FOR THE STUDY: Hepatitis B (HB) is one of the most prevalent occupational infections in health attendance environments. According to the Brazil Ministry of Health, health professionals must be vaccinated against the hepatitis B virus (HBV) and provide laboratory proof of immunization.

AIMS

To evaluate the seroprevalence of HBV infection and to analyze the response to vaccine by measuring serum antibodies against HBV surface antigen (anti-HBs) levels in a sample of students and health professionals at the Federal University of Bahia.

RESULTS

As part of this cross-sectional study, a campaign against occupational HB was launched in 2007 and vaccination and blood samples were collected for analysis of the following serological markers: HBV surface antigen (HBsAg) and anti-HBs (measured by enzyme-linked immunoassay) and total antibodies against HBV core antigen (anti-HBc). The study sample comprised 766 people. Global seropositivity for HBV was 1.7%: 0.5% in the students and 8.8% in the professionals. In a group of volunteers, a serological profile compatible with postvaccine immunity was shown by 95% of volunteers with proof of vaccination and by 81.8% of volunteers without proof of vaccination.

CONCLUSIONS

In conclusion, this study shows that it is important to promote vaccination campaigns and improve knowledge and awareness about HB among health care workers and higher education students.

摘要

背景和研究背景

乙型肝炎(HB)是卫生保健环境中最常见的职业感染之一。根据巴西卫生部的规定,卫生专业人员必须接种乙型肝炎病毒(HBV)疫苗,并提供免疫接种的实验室证明。

目的

评估乙型肝炎病毒感染的血清流行率,并通过测量乙型肝炎表面抗原(抗-HBs)水平来分析学生和联邦大学卫生专业人员样本中疫苗的反应。

结果

作为这项横断面研究的一部分,2007 年发起了一项针对职业性乙型肝炎的运动,并采集了疫苗接种和血液样本,用于分析以下血清学标志物:乙型肝炎表面抗原(HBsAg)和抗-HBs(通过酶联免疫吸附试验测量)以及乙型肝炎核心抗原的总抗体(抗-HBc)。研究样本包括 766 人。HBV 的全球血清阳性率为 1.7%:学生为 0.5%,专业人员为 8.8%。在一组志愿者中,95%有疫苗接种证明的志愿者和 81.8%无疫苗接种证明的志愿者显示出与疫苗接种后免疫相符的血清学特征。

结论

总之,这项研究表明,促进疫苗接种运动以及提高卫生保健工作者和高等教育学生对乙型肝炎的认识和了解非常重要。

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