Goh K T, Chan Y W, Wong L Y, Kong K H, Oon C J, Guan R
Quarantine & Epidemiology Department, Ministry of the Environment, Singapore.
Trans R Soc Trop Med Hyg. 1988;82(6):908-10. doi: 10.1016/0035-9203(88)90038-7.
A seroepidemiological survey of the prevalence of hepatitis B virus (HBV) markers was conducted in a group of 693 dental personnel in Singapore where HBV infection is endemic. The overall prevalence of HBsAg (4.5%) and anti-HBc (29%) was no higher than that in the general population. However, dentists had a significantly higher HBsAg prevalence (11.4%) compared with that in the general population (4.2%) (P less than 0.01) and of other categories of dental personnel (3.1%) (P less than 0.001). Similarly, the anti-HBc prevalence of the dentists (45.6%) was significantly higher than that of the general population (29.7%) (P less than 0.01) and of other categories of dental personnel (25.7%) (P less than 0.0001). It appears that dentists in the endemic area have a definite occupational risk of acquiring HBV infection.
在新加坡乙肝病毒(HBV)感染呈地方性流行,对693名牙科工作人员进行了一项关于HBV标志物流行情况的血清流行病学调查。HBsAg总体流行率(4.5%)和抗-HBc总体流行率(29%)并不高于普通人群。然而,与普通人群(4.2%)相比,牙医的HBsAg流行率显著更高(11.4%)(P<0.01),与其他类别的牙科工作人员(3.1%)相比也显著更高(P<0.001)。同样,牙医的抗-HBc流行率(45.6%)显著高于普通人群(29.7%)(P<0.01),与其他类别的牙科工作人员(25.7%)相比也显著更高(P<0.0001)。看来在该地方性流行地区,牙医有明确的职业感染HBV的风险。