Owen M, Crusinberry C S, Perez R E
Clin Ther. 1987;9(3):296-9.
A prospective survey was conducted in a 200-bed community hospital that averages approximately 250 deliveries per month. One hundred consenting obstetric patients were screened for hepatitis B surface antigen (HBsAg). Additionally, hospital physicians were encouraged to order an entire hepatitis serological profile on high-risk obstetric patients, as defined by the Centers for Disease Control; six additional patients were screened by these physicians. Of the 106 patients screened, two (1.9%) were found to have HBsAg. Both were among the six high-risk patients, indicating a 33% prevalence of HBsAg among high-risk obstetric patients and a zero prevalence among low-risk patients. The results appear to support the need for screening of high-risk obstetric patients for hepatitis B. Moreover, vaccination against hepatitis B is advisable for obstetric health-care personnel, who are frequently exposed to blood and extravascular fluids.
在一家拥有200张床位的社区医院进行了一项前瞻性调查，该医院平均每月约有250例分娩。对100名同意参与的产科患者进行了乙肝表面抗原（HBsAg）筛查。此外，鼓励医院医生按照疾病控制中心的定义，为高危产科患者开具全套肝炎血清学检查；另外有6名患者经这些医生筛查。在筛查的106名患者中，有2名（1.9%）被发现患有HBsAg。这两名患者均在6名高危患者之中，表明高危产科患者中HBsAg的患病率为33%，低危患者中患病率为零。结果似乎支持对高危产科患者进行乙肝筛查的必要性。此外，对于经常接触血液和血管外液体的产科医护人员，建议接种乙肝疫苗。
