Caruana-Dingli G, Berridge D C, Chamberlain J, Gould K, Harrison J
Department of General Surgery, Freeman Hospital, Newcastle upon Tyne, UK.
Br J Surg. 1994 Sep;81(9):1348-50. doi: 10.1002/bjs.1800810930.
Hepatitis B immunization and the use of protective measures against blood contamination were assessed in a group of clinicians associated with invasive procedures. A self-administered confidential questionnaire was sent to 140 surgeons and interventional cardiologists, of whom 105 (75 per cent) replied. Ninety-five respondents (90 per cent) were immunized against hepatitis B, most (63 per cent) by an occupational health department and the majority within 5 years of this study. Only 80 per cent had had their immunity tested after immunization. Barrier protective techniques were used infrequently, with 30 per cent of respondents wearing impermeable gowns, 14 per cent wearing visors and 9 per cent using double-gloving for all procedures. Department of Health guidelines on protection from hepatitis B were published after this survey and the implementation of these guidelines in an NHS trust hospital is discussed.
对一组从事侵入性操作的临床医生进行了乙肝疫苗接种情况以及针对血液污染防护措施使用情况的评估。向140名外科医生和介入心脏病专家发放了一份自行填写的保密调查问卷，其中105人（75%）回复。95名受访者（90%）接种了乙肝疫苗，大多数（63%）由职业健康部门接种，且多数在本研究开展的5年内接种。只有80%的人在接种后检测过免疫情况。屏障防护技术很少使用，30%的受访者在所有操作中穿不透水的手术衣，14%戴面罩，9%戴双层手套。本次调查之后发布了卫生部关于预防乙肝的指南，并讨论了在一家国民健康服务信托医院实施这些指南的情况。
