Goodman W, Gallagher N, Sherrard D J
Nephron. 1981;29(3-4):107-9. doi: 10.1159/000182324.
An epidemic of HBsAg positive hepatitis involving the dialysis unit of the Seattle Veterans Administration Medical Center is described. 6 patients and 4 staff members were affected: there were four patient deaths. The source of HBsAg was identified as a chronic in-center peritoneal dialysis patient in whom both serum and peritoneal fluid were persistently HBsAg positive. Surveillance data documented heavy population exposure to HBsAg at the time of this patient's presence in the dialysis setting. We have subsequently identified 2 other patients with HBsAg positive peritoneal effluent. Peritoneal dialysis of HBsAg positive individuals represents a significant risk for the transmission of HBsAg and clinical hepatitis.
本文描述了西雅图退伍军人管理局医疗中心透析单元发生的一起乙肝表面抗原（HBsAg）阳性肝炎疫情。6名患者和4名工作人员受到感染，其中4名患者死亡。HBsAg的来源被确定为一名慢性院内腹膜透析患者，其血清和腹膜液中HBsAg持续呈阳性。监测数据表明，在该患者接受透析治疗期间，大量人员接触到了HBsAg。随后，我们又发现了另外2名腹膜液HBsAg阳性的患者。对HBsAg阳性个体进行腹膜透析存在传播HBsAg和引发临床肝炎的重大风险。
