意大利乙型肝炎的预防：特定类型急性病毒性肝炎监测的经验教训。SEIEVA协作组
Prevention of hepatitis B in Italy: lessons from surveillance of type-specific acute viral hepatitis. SEIEVA Collaborating Group.
作者信息
Mele A, Stazi M A, Gill O N, Pasquini P
机构信息
Istituto Superiore di Sanità, Dept. of Epidemiology and Biostatistics, Rome, Italy.
出版信息
Epidemiol Infect. 1990 Feb;104(1):135-41. doi: 10.1017/s0950268800054613.
The relative contribution of various risk factors to the incidence of acute hepatitis B in Italy was estimated using a special surveillance system (SEIEVA) for type-specific acute viral hepatitis. At present 146 health departments (USLs) which contain 21% of the Italian population participate in SEIEVA out of the total of 650. Data on 2460 hepatitis B cases and 708 hepatitis A cases were compared. Hospitalization, surgical intervention, dental therapy, other percutaneous exposures, barber shop shaving, i.v. drug abuse and household contact with HBsAg carriers were associated with acute hepatitis B and a large number of cases were attributable to these risk factors. Because the control programme based on vaccination will not be effective in the short term at reducing hepatitis B incidence, other additional interventions are recommended.
利用针对特定类型急性病毒性肝炎的特殊监测系统（SEIEVA），估算了意大利各种风险因素对急性乙型肝炎发病率的相对贡献。目前，在总共650个卫生部门中，有146个（占意大利人口的21%）参与了SEIEVA。对2460例乙型肝炎病例和708例甲型肝炎病例的数据进行了比较。住院治疗、外科手术干预、牙科治疗、其他经皮暴露、理发店剃须、静脉注射药物滥用以及与乙肝表面抗原携带者的家庭接触均与急性乙型肝炎相关，大量病例可归因于这些风险因素。由于基于疫苗接种的防控计划在短期内无法有效降低乙型肝炎发病率，因此建议采取其他额外干预措施。
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