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[一起与针灸相关的乙型肝炎暴发]

[An outbreak of hepatitis B associated with acupuncture].

作者信息

Zahger D, Moses A, Slater P E, Ben-Ishai P, Levental A, Bashary A, Costin C, Shouval D

出版信息

Harefuah. 1989 Mar 15;116(6):300-2.

PMID:2731794
Abstract

2 clusters of between 5 and 11 cases of hepatitis B virus infection were associated with acupuncture by a physician late in 1986. The source of the infection is believed to have been an Ethiopian immigrant, a known HBsAg carrier. While he was being operated on a nurse cut her finger on a scalpel blade. During the prodromal period of hepatitis which followed, she was treated by acupuncture. The acupuncture needles were supposedly sterilized by dry heat for 80 minutes at 200 degrees. However, there were apparently breaks in technique which were responsible for the spread of the infection to at least 4 other women, ranging in age from 26 to 80 years. We stress the need for strict enforcement of correct sterilization procedures whenever needles are used to pierce skin. This should be performed only by licensed practitioners of officially recognized occupations, some of which are not as yet covered by our national health regulations.

摘要

1986年末,有两起分别包含5至11例乙肝病毒感染病例的群体感染事件被认为与一名医生实施的针灸治疗有关。据信,感染源是一名埃塞俄比亚移民,他是一名已知的乙肝表面抗原携带者。在对他进行手术时,一名护士的手指被手术刀割伤。在随后出现肝炎前驱期症状时,她接受了针灸治疗。据说针灸针在200摄氏度下干热消毒80分钟。然而,显然存在技术失误,导致感染至少传播给了另外4名年龄在26岁至80岁之间的女性。我们强调,无论何时使用针具穿刺皮肤,都必须严格执行正确的消毒程序。这一操作应该仅由官方认可职业的持牌从业者进行,其中一些职业目前尚未涵盖在我国的卫生法规范围内。

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