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医院工作人员中乙型肝炎的流行病学(作者译)

[Epidemiology of hepatitis B in hospital personnel (author's transl)].

作者信息

Bruguera M, Ardiaca C, Sementé M, Caballería J, Sánchez-Tapias J M, Rodés J

出版信息

Med Clin (Barc). 1980 Jan 10;74(1):1-4.

PMID:7351865
Abstract

This is a seroepidemiological study of infection by viral hepatitis type B affecting sanitary personnel in a general hospital with the objective of determining the occupational risk factor in the acquisition of this disease. Of the 791 subjects who participated in the study, 146 (18.5 percent) showed signs of present or past infection due to virus B (HBsAg or anti-HBs positive by RIA). Seropositivity in hospital personnel was significantly higher that observed in the population of 834 volunteer blood donors (12 percent). The greater frequency of signs of infection was observed in those who had frequent contact with blood and its derivates, and in those who had been working more than 5 years in the hospital. The occupational category with the greatest risk of acquisition of this infection is cleaning personnel, followed by physicians and nurses; and the work areas of greatest risk are the blood bank and the laboratory. The results of this epidemiological survey suggest that viral hepatitis acquired before the initiation of the hospital work are not predominantly B, while those acquired during hospital work are predominantly of type B.

摘要

这是一项关于乙型病毒性肝炎感染情况的血清流行病学研究,研究对象为一家综合医院的卫生人员,目的是确定感染该疾病的职业风险因素。在参与研究的791名受试者中,146名(18.5%)显示出目前或既往感染乙型肝炎病毒的迹象(通过放射免疫分析检测乙肝表面抗原或乙肝表面抗体呈阳性)。医院工作人员的血清阳性率显著高于834名志愿献血者人群中的观察值(12%)。在那些经常接触血液及其衍生物的人员以及在医院工作超过5年的人员中,观察到感染迹象的频率更高。感染这种疾病风险最高的职业类别是清洁人员,其次是医生和护士;风险最大的工作区域是血库和实验室。这项流行病学调查结果表明,在医院工作开始之前获得的病毒性肝炎并非主要为乙型,而在医院工作期间获得的则主要是乙型。

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