Berry A J, Isaacson I J, Kane M A, Schatz G C, Clark B T, Beaupre P, Derrer S, Kapur P, Thompson J, Martin D
Anesth Analg. 1985 Jul;64(7):672-6.
Practicing anesthesiologists are at high risk of hepatitis B infection, but the risk for anesthesia residents has not been assessed. Anesthesia residents at seven universities were surveyed to study the epidemiology of hepatitis B in these trainees. Hepatitis B virus markers in serum were measured and data from questionnaires were used to determine characteristics of anesthetic practice, effectiveness of strategies for hepatitis B virus infection control, and nonvocational hepatitis B risk factors. Of 267 participants, 12.7% (range of the seven centers, 8.7%-22.7%) had serum markers for hepatitis B virus. The seropositivity (17.8%) in anesthesia residents who had completed more than 12 months of nonanesthesia postgraduate clinical training, or who had practiced medicine in another specialty prior to anesthesia, was greater than in the other trainees (9.4%). Based on their risk and the ineffectiveness of current control measures, anesthesia residents who lack hepatitis B virus immunity should be vaccinated prior to or as early as possible in their training.
执业麻醉医师感染乙型肝炎的风险很高，但麻醉住院医师的感染风险尚未得到评估。对七所大学的麻醉住院医师进行了调查，以研究这些学员中乙型肝炎的流行病学情况。检测了血清中的乙型肝炎病毒标志物，并利用问卷调查数据来确定麻醉操作特点、乙型肝炎病毒感染控制策略的有效性以及非职业性乙型肝炎风险因素。在267名参与者中，12.7%（七个中心的范围为8.7%-22.7%）有乙型肝炎病毒血清标志物。完成超过12个月非麻醉专业研究生临床培训或在从事麻醉工作之前曾在其他专业行医的麻醉住院医师的血清阳性率（17.8%）高于其他学员（9.4%）。鉴于他们面临的风险以及当前控制措施的无效性，缺乏乙型肝炎病毒免疫力的麻醉住院医师应在培训前或尽早接种疫苗。
