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[通过隐形眼镜试戴套装传播乙型肝炎的风险]

[Risk of transmission of hepatitis B through contact lens fitting set].

作者信息

Maass G, Claas W, Schliermann T, Conrads H

出版信息

Ophthalmologica. 1979;178(3):148-55. doi: 10.1159/000308815.

DOI:10.1159/000308815
PMID:471432
Abstract

8 out of 19 cases of acute or chronic hepatitis, with positive hepatitis B surface antigen (HBsAg) had HBsAg-positive tears. In 25 healthy HBsAg carriers, no HBsAg was found in the tears. The HBsAg concentration in the tears of hepatitis patients was less than 1% of the HBsAg in their blood. Contact lenses (soft hydrophilic, silicone) experimentally contaminated with HBsAg were practically free of it after the usual cleaning and washing with a commercial contact lens cleaning fluid. No adsorption of HBsAg was found on hydrophilic soft lenses; a minimal adsorption on silicone lenses could not be entirely excluded, but practically it was without any importance. In 14 samples of 79 storage fluids of a contact lens fitting set HBsAg was found. The cause of this contamination is not clear.

摘要

19例急性或慢性乙型肝炎表面抗原(HBsAg)阳性患者中,有8例泪液HBsAg阳性。25例健康HBsAg携带者泪液中未检测到HBsAg。肝炎患者泪液中的HBsAg浓度低于其血液中HBsAg浓度的1%。用市售隐形眼镜清洁液对实验性污染HBsAg的隐形眼镜(软性亲水、硅水凝胶)进行常规清洁和冲洗后,其上的HBsAg基本清除。未发现HBsAg吸附于亲水性软性隐形眼镜;硅水凝胶镜片上有极少量吸附不能完全排除,但实际上无任何影响。在79份隐形眼镜试戴套装储存液样本中,有14份检测到HBsAg。这种污染的原因尚不清楚。

相似文献

1
[Risk of transmission of hepatitis B through contact lens fitting set].[通过隐形眼镜试戴套装传播乙型肝炎的风险]
Ophthalmologica. 1979;178(3):148-55. doi: 10.1159/000308815.
2
[Detection of HBsAg and HBeAg in cleaning, rinsing and storage solutions of contact lenses and in tear fluid of carriers of HBsAg (author's transl)].[在隐形眼镜的清洁、冲洗及储存溶液中以及 HBsAg 携带者的泪液中检测 HBsAg 和 HBeAg(作者译)]
Klin Monbl Augenheilkd. 1979 Oct;175(4):502-8.
3
Hepatitis B surface antigen in human tears.人泪液中的乙型肝炎表面抗原。
Arch Ophthalmol. 1978 Apr;96(4):674-6. doi: 10.1001/archopht.1978.03910050370014.
4
Hepatitis B surface antigen in tears and aqueous humor. A comparative study of serum hepatitis B surface antigen levels.泪液和房水中的乙型肝炎表面抗原。血清乙型肝炎表面抗原水平的比较研究。
Ophthalmologica. 1992;204(1):19-22. doi: 10.1159/000310261.
5
[Contact lens-fitting, a hepatitis risk? (author's transl)].隐形眼镜验配,存在肝炎风险?(作者译)
Klin Monbl Augenheilkd. 1977 May;170(5):754-6.
6
Risk of post-transfusion infection with the hepatitis delta virus. A multicenter study.输血后感染丁型肝炎病毒的风险。一项多中心研究。
N Engl J Med. 1985 Jun 6;312(23):1488-91. doi: 10.1056/NEJM198506063122305.
7
Detection of hepatitis B surface antigen in aqueous humor.房水中乙型肝炎表面抗原的检测
Acta Ophthalmol (Copenh). 1990 Apr;68(2):205-8. doi: 10.1111/j.1755-3768.1990.tb01905.x.
8
[Specific circulating immune complexes in patients with hepatitis B].
Zhonghua Min Guo Wei Sheng Wu Ji Mian Yi Xue Za Zhi. 1987 May;20(2):119-26.
9
Markers of hepatitis B infection in Tari District, Southern Highlands Province, Papua New Guinea.巴布亚新几内亚南部高地省塔里地区的乙型肝炎感染标志物。
P N G Med J. 1992 Sep;35(3):197-201.
10
Study of the human blood-tear barrier and the biochemical changes in the tears of 30 contact lens wearers (50 eyes).30名隐形眼镜佩戴者(50只眼)的人血-泪屏障及泪液生化变化研究。
Ophthalmologica. 1984;188(2):100-5. doi: 10.1159/000309348.

引用本文的文献

1
Status of hepatitis B virus in the aetiology of uveitis in Great Britain.英国葡萄膜炎病因中乙肝病毒的状况。
Br J Ophthalmol. 1983 Oct;67(10):685-7. doi: 10.1136/bjo.67.10.685.
2
Detection of HBs antigen, DNA polymerase activity, and hepatitis B virus DNA in tears: relevance to hepatitis B transmission by tears.泪液中乙肝表面抗原、DNA聚合酶活性及乙肝病毒DNA的检测:与泪液传播乙肝的相关性
Br J Ophthalmol. 1989 May;73(5):333-6. doi: 10.1136/bjo.73.5.333.