Hedberg J C, Gaub J
Medicinsk afdeling, Centralsygehuset i Esbjerg.
Ugeskr Laeger. 1995 Oct 9;157(41):5701-3.
During 11 months from July 1993 to May 1994 the Department of Internal Medicine at Esbjerg Centralsygehus saw 19 patients with acute hepatitis A, B and/or C. In a normal year one to three patients are admitted with acute viral hepatitis. Sixteen of the patients reported intravenous drug use, half of them only sporadically, i.e. once or twice a month. Acute hepatitis A, B and C were seen in seven different combinations, the most frequent being acute hepatitis B in a hepatitis C antibody positive patient. The occurrence of acute hepatitis A in this group of patients may be due to parenteral transmission. Among 10 patients tested for HIV antibodies, none were found to be positive. In Esbjerg, which is the fifth largest city in Denmark, an automat with clean needles and syringes was installed six months after the culmination of the epidemic.
1993年7月至1994年5月的11个月期间,埃斯比约中心医院内科收治了19例急性甲型、乙型和/或丙型肝炎患者。正常年份,因急性病毒性肝炎入院的患者为1至3例。16名患者报告有静脉注射吸毒史,其中一半只是偶尔吸毒,即每月1至2次。急性甲型、乙型和丙型肝炎出现了7种不同的组合,最常见的是丙型肝炎抗体阳性患者合并急性乙型肝炎。该组患者中急性甲型肝炎的发生可能是由于肠道外传播。在接受HIV抗体检测的10名患者中,未发现阳性病例。在丹麦第五大城市埃斯比约,疫情高峰6个月后安装了一台提供清洁针头和注射器的自动售货机。