Scheiermann N, Kuwert E K
Dtsch Med Wochenschr. 1978 Jun 30;103(26):1065-7. doi: 10.1055/s-0028-1104815.
Considerable differences were discovered when 61 student technicians and 86 qualified laboratory staff were investigated for presence of hepatitis B (surface) antigen and hepatitis B (surface) antibodies in the blood. HBs antigen was not found in the trainees whereas 4.7% of the qualified personnel were HBs antigen positive. Anti-HBs could be demonstrated in 6.6% of the trainees and in 36.1% of qualified technicians. These data demonstrate the considerable risk of medical personnel from hepatitis B virus particularly in laboratories. For prophylaxis of virus hepatitis B in laboratory personnel special hygienic measures, routine blood investigations for HBs antigen and anti-HBs, the planned placing of anti-HBs positive personnel and the value of passive immunisation with anti-HBs immunoglobulins are stressed.
在对61名学生技术员和86名合格的实验室工作人员进行血液中乙肝(表面)抗原和乙肝(表面)抗体检测时,发现了相当大的差异。实习生中未发现乙肝表面抗原,而4.7%的合格人员乙肝表面抗原呈阳性。6.6%的实习生和36.1%的合格技术员可检测到乙肝表面抗体。这些数据表明医务人员感染乙肝病毒的风险相当大,尤其是在实验室。强调了针对实验室人员预防乙肝病毒的特殊卫生措施、对乙肝表面抗原和乙肝表面抗体进行常规血液检测、合理安排乙肝表面抗体阳性人员以及使用乙肝表面抗体免疫球蛋白进行被动免疫的重要性。