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[透析中心病毒性肝炎对患者及医护人员的意义——一项为期5年的回顾]

[Significance of viral hepatitis in a dialysis center for patients and health personnel--a 5-year review].

作者信息

Stradtmann H, Wiese M

机构信息

Klinik für Anästhesie und Intensivtherapie, des Bezirkskrankenhauses St. Georg Leipzig.

出版信息

Z Gesamte Inn Med. 1987 Nov 1;42(21):612-4.

PMID:3124362
Abstract

As a nosocomial infection the virus hepatitis is now as ever of importance in dialysis centres. In a 5-year study (1980-1985) in the dialysis centre of the County Hospital St. Georg Leipzig we found an annual incidence of 14 to 20% in patients and in 25 out of 26 members of the staff signs of an overcome infection could be proved. In these cases above all younger persons with an average age of 31 years were affected about 1.5 years after the beginning of work. For patients the entry into the transplant recipient register retarded by on an average 9.4 months, for patients already registered a transient reincorporation of 12.4 months was the result. Despite the active inoculation against the virus hepatitis B on account of the further existing endangering by the NANB hepatitis and possible inoculation eruptions in the immune-disturbed dialysis patients the observation of a strong hygiene regimen is necessary.

摘要

作为一种医院感染,病毒性肝炎在透析中心一直都很重要。在莱比锡圣格奥尔格县医院透析中心进行的一项为期5年(1980 - 1985年)的研究中,我们发现患者的年发病率为14%至20%,并且在26名工作人员中有25人被证实有过感染迹象。在这些病例中,主要是平均年龄为31岁的年轻人,在开始工作约1.5年后受到感染。对于患者而言,进入移植受者登记册的时间平均推迟了9.4个月,对于已经登记的患者,结果是平均有12.4个月的暂时重新纳入时间。尽管对乙型病毒性肝炎进行了积极接种,但由于非甲非乙型肝炎仍然存在进一步的危险,以及免疫功能紊乱的透析患者可能出现接种反应,因此必须严格遵守严格的卫生制度。

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