Berry A J, Isaacson I J, Hunt D, Kane M A
Anesthesiology. 1984 Jan;60(1):6-9. doi: 10.1097/00000542-198401000-00003.
The prevalence of hepatitis B viral markers is increased in some groups of medical workers who are exposed to blood from patients carrying the virus, but this has not been studied critically in physicians and others who administer anesthesia. Physician anesthesiologists (M.D.) and nurse anesthetists and anesthesia assistants (non-M.D.) at four university-affiliated hospitals were evaluated for hepatitis B markers as determined by seropositivity for hepatitis B surface antigen, antibody to the hepatitis B surface antigen, or antibody to the hepatitis B core antigen. In the 86 subjects (38 M.D., 48 non-M.D.) who represented 80.4% of possible participants, the overall prevalence of serologic markers of hepatitis B was 23.3%. The frequency did not differ between M.D. (23.7%) and non-M.D. (22.9%) groups or between men (20.3%) and women (26.9%). Of 81 subjects who had no clinical history of hepatitis, 16 (19.8%) had positive serologic markers. The frequency of seropositivity increased with time since graduation from medical school (M.D.) or nursing school or college (non-M.D.). The prevalence of serologic markers of hepatitis B virus in this study of anesthesia personnel is five to eight times that of the general population but is similar to that of other medical workers who frequently are exposed to blood.
在接触携带乙肝病毒患者血液的部分医护人员群体中，乙肝病毒标志物的流行率有所上升，但对于麻醉医生及其他从事麻醉工作的人员，尚未对此进行严格研究。对四所大学附属医院的麻醉科医生（医学博士）、麻醉护士及麻醉助理（非医学博士）进行了乙肝标志物评估，评估依据为乙肝表面抗原、乙肝表面抗原抗体或乙肝核心抗原抗体的血清学阳性结果。在代表了80.4%可能参与者的86名受试者（38名医学博士，48名非医学博士）中，乙肝血清学标志物的总体流行率为23.3%。医学博士组（23.7%）和非医学博士组（22.9%）之间以及男性（20.3%）和女性（26.9%）之间的频率并无差异。在81名无肝炎临床病史的受试者中，16名（19.8%）血清学标志物呈阳性。血清学阳性频率随自医学院（医学博士）或护理学校或学院（非医学博士）毕业时间的增加而上升。在这项针对麻醉人员的研究中，乙肝病毒血清学标志物的流行率是普通人群的五到八倍，但与其他经常接触血液的医护人员相似。
