Garzillo Elpidio Maria, Arnese Antonio, Coppola Nicola, Corvino AnnaRita, Feola Daniela, Monaco Maria Grazia Lourdes, Signoriello Giuseppe, Marsella Luigi Tonino, Arena Paola, Lamberti Monica
Department of Experimental Medicine- University of Campania L. Vanvitelli, Naples, Italy.
Department of Mental and Physical Health and Preventive Medicine, University of Campania L. Vanvitelli, Naples, Italy.
J Infect Prev. 2020 Jan;21(1):23-27. doi: 10.1177/1757177419873043. Epub 2019 Sep 25.
The development of a vaccine against hepatitis B virus (HBV) is one of the improvements in strategy prevention during the last decades.
To evaluate HBV-related vaccine status in healthcare workers (HCW) exposed to biological risk.
The serum markers for HBV were collected from HCWs in two tertiary care hospitals in Naples (Italy). Multivariate statistical analysis was then performed to identify associated factors linked to the long-term immunogenicity of the HCWs.
All HBV vaccinated individuals were screened for whole marker patterns; all were HBsAg/anti-HBc negative. Of individuals, 20% had an anti-HB antibody titre < 10 IU/L. Multivariate statistical analysis highlighted that women were more protected than men (73.6% vs. 26.4%, < 0.05). Additionally, nurses seem to maintain a higher antibody titre than doctors and other staff, such as auxiliary technicians ( < 0.05).
Our data support the evidence of a strong immunogenicity against HBV, assessed through the circulating antibody titre, when prophylactic vaccination is conducted in non-infantile age, particularly for women. The outcome of the study supports the central role of occupational physicians within the hospital districts in terms of primary prevention and maximum protection of HCWs.
研发针对乙型肝炎病毒(HBV)的疫苗是过去几十年预防策略的改进之一。
评估暴露于生物风险的医护人员(HCW)中与HBV相关的疫苗接种状况。
从意大利那不勒斯的两家三级护理医院的医护人员中收集HBV血清标志物。然后进行多变量统计分析,以确定与医护人员长期免疫原性相关的因素。
对所有接种HBV疫苗的个体进行了全标志物模式筛查;所有个体HBsAg/抗-HBc均为阴性。其中,20%的个体抗-HB抗体滴度<10 IU/L。多变量统计分析表明,女性比男性受到的保护更好(73.6%对26.4%,<0.05)。此外,护士的抗体滴度似乎高于医生和其他工作人员,如辅助技术人员(<0.05)。
我们的数据支持以下证据:在非婴儿期进行预防性接种时,通过循环抗体滴度评估,对HBV具有强大的免疫原性,尤其是对女性。该研究结果支持了职业医生在医院区域内进行一级预防和最大程度保护医护人员方面的核心作用。