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常规产科乙型肝炎表面抗原筛查的必要性。

Necessity for routine obstetric screening for hepatitis B surface antigen.

作者信息

Greenspoon J S, Martin J, Greenspoon R L, McNamara B T

机构信息

Department of Obstetrics and Gynecology, University of Southern California, Los Angeles County Medical Center.

出版信息

J Reprod Med. 1989 Sep;34(9):655-8.

PMID:2530344
Abstract

Routine serologic testing of pregnant women in a predominantly Hispanic population at the Los Angeles County Medical Center revealed that 8 of 2,000 were positive for hepatitis B surface antigen (HBSAg). Only two of the eight women had a risk factor as currently defined by the Centers for Disease Control. Screening of all pregnant women is necessary to identify those HBSAg-positive women capable of transmitting the hepatitis B virus to their infants. All the other obstetric surveys reviewed support the need to screen obstetric patients and to provide immunoprophylaxis to the infants at risk of perinatal infection. This policy is necessary to prevent perinatal transmission of hepatitis B virus and is cost effective.

摘要

在洛杉矶县医疗中心对以西班牙裔为主的人群中的孕妇进行的常规血清学检测显示,2000名孕妇中有8名乙肝表面抗原(HBSAg)呈阳性。这8名女性中只有两人有目前疾病控制中心定义的风险因素。对所有孕妇进行筛查,以识别那些能够将乙肝病毒传播给婴儿的HBSAg阳性女性是必要的。所有其他经审查的产科调查都支持对产科患者进行筛查,并为有围产期感染风险的婴儿提供免疫预防的必要性。这项政策对于预防乙肝病毒的围产期传播是必要的,而且具有成本效益。

相似文献

1
Necessity for routine obstetric screening for hepatitis B surface antigen.常规产科乙型肝炎表面抗原筛查的必要性。
J Reprod Med. 1989 Sep;34(9):655-8.
2
Prevention of hepatitis B infection in newborns through mass screening and delayed vaccination of all infants of mothers with hepatitis B surface antigen.通过对乙肝表面抗原阳性母亲的所有婴儿进行大规模筛查和延迟接种来预防新生儿感染乙肝。
Pediatrics. 1989 Jun;83(6):1041-8.
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The need and value of routine screening of all pregnant women for hepatitis B surface antigen.对所有孕妇进行乙肝表面抗原常规筛查的必要性和价值。
Acta Med Croatica. 1995;49(4-5):161-4.
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Antibody response to postexposure prophylaxis in infants born to hepatitis B surface antigen-positive women.对乙肝表面抗原阳性母亲所生婴儿进行暴露后预防的抗体反应。
Pediatr Infect Dis J. 2003 Feb;22(2):123-9. doi: 10.1097/01.inf.0000048677.32881.fa.
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Combined passive and active immunization for interruption of perinatal transmission of hepatitis B virus in Taiwan.台湾地区采用被动免疫与主动免疫相结合的方法阻断乙型肝炎病毒的围产期传播
Hepatogastroenterology. 1985 Apr;32(2):65-8.
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Prevention of perinatal hepatitis B through enhanced case management--Connecticut, 1994-95, and the United States, 1994.通过加强病例管理预防围产期乙型肝炎——康涅狄格州,1994 - 1995年,以及美国,1994年
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Program to prevent perinatal hepatitis B virus transmission in a health-maintenance organization--Northern California, 1990-1995.1990 - 1995年北加利福尼亚一家健康维护组织预防围产期乙型肝炎病毒传播项目
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引用本文的文献

1
Prevention of perinatal hepatitis B virus transmission in an obstetric/infant population.产科/婴儿群体中围产期乙型肝炎病毒传播的预防
Can J Infect Dis. 1993 Sep;4(5):288-91. doi: 10.1155/1993/986932.
2
Assessing prenatal hepatitis B screening in Illinois with an inexpensive study design adaptable to other jurisdictions.采用适用于其他辖区的低成本研究设计评估伊利诺伊州的产前乙肝筛查情况。
Am J Public Health. 1999 Jan;89(1):19-24. doi: 10.2105/ajph.89.1.19.
3
Proposal for routine antenatal screening at 14 weeks for hepatitis B surface antigen. Dutch Study Group on Prevention of Neonatal Hepatitis.
关于在孕14周进行乙型肝炎表面抗原常规产前筛查的提议。荷兰预防新生儿肝炎研究组。
BMJ. 1995 Nov 4;311(7014):1197-9. doi: 10.1136/bmj.311.7014.1197.