Deville J, Llanos A, Campos M, Philips I, Gotuzzco E, Kilpatrick M
Instituto de Medicina Tropical Alexander Von Humboldt, Universidad Peruana Cayetano Heredia, Lima-Perú.
Rev Gastroenterol Peru. 1989;9(1):24-8.
Viral Hepatitis is one of the leading causes of disease around the world. In Latin America is a severe public health problem. We conducted a case-control study in the Cayetano Heredia Hospital, Lima-Perú, seeking for risk factors for Hepatitis B infection. We found 0.41% of frequency of HBsAg and 8.13% of anti-HBs in the 492 persons screened. Contact with blood was confirmed as a risk factor for Hepatitis B infection; disposable needle-wash was also identified as a major risk factor. The personnel of the Sterilization Room is also in high risk for the infection. The nurse-aid personnel was also identified as a high risk group. We suggest that the needle wash is a risk factor very easy to remove, and also stopping the rotation of the auxiliary personnel could reduce the incidence of the infection in the personnel at risk.
病毒性肝炎是全球主要的疾病病因之一。在拉丁美洲,它是一个严重的公共卫生问题。我们在秘鲁利马的卡耶塔诺·埃雷迪亚医院进行了一项病例对照研究,以寻找乙型肝炎感染的危险因素。在筛查的492人中,我们发现HBsAg的频率为0.41%,抗-HBs的频率为8.13%。与血液接触被确认为乙型肝炎感染的一个危险因素;一次性针头冲洗也被确定为一个主要危险因素。消毒室工作人员也处于高感染风险中。护理辅助人员也被确定为高风险群体。我们建议,针头冲洗是一个很容易消除的危险因素,而且停止辅助人员的轮岗可以降低高危人员的感染发生率。