Mejía Aliaga P
Centro Médico Naval Cirujano Santiago Tavara.
Rev Gastroenterol Peru. 1993;13(1):20-7.
Four hundred apparently healthy workers from different service areas of the Naval Medical Center "Cirujano Mayor Santiago Távara" constituted the basis for this epidemiological assessment for hepatitis B. Determination of serologic markers was done with an enzyme linked immunoabsorbent assay (ELISA). We evaluated hepatitis B surface antigen (HBsAg), total antibodies against hepatitis B core antigen IgG type (anti-HBc-IgG) and antibodies against hepatitis B core antigen IgM type (anti-HBc-IgM). Results showed that 11.75% of the samples studied had antibodies against the core antigen. Negative results were obtained for HBsAg and anti-HBc-IgM. We found correlation between blood contact and the prevalence of the total antibodies against hepatitis B core antigen IgG type in medical personnel. The total antibodies against hepatitis B core antigen IgG type was positive in function of previous history of hepatitis, time of occupation, and age. The results obtained in the present study confirm the increased risk of hepatitis B infection in health care personnel compared to general population. This seroepidemiological survey shows that hospital personnel of the Naval Medical Center has a lower prevalence of HBV infection that the prevalence found by other authors in the personnel of other hospitals in Perú.
来自海军医疗中心“Cirujano Mayor Santiago Távara”不同服务区域的400名表面健康的工人构成了此次乙肝流行病学评估的基础。采用酶联免疫吸附测定法(ELISA)进行血清学标志物检测。我们评估了乙肝表面抗原(HBsAg)、乙肝核心抗原IgG型总抗体(抗-HBc-IgG)和乙肝核心抗原IgM型抗体(抗-HBc-IgM)。结果显示,所研究样本中有11.75%含有核心抗原抗体。HBsAg和抗-HBc-IgM检测结果为阴性。我们发现医疗人员中血液接触与乙肝核心抗原IgG型总抗体患病率之间存在关联。乙肝核心抗原IgG型总抗体呈阳性与既往肝炎病史、工作时间和年龄有关。本研究所得结果证实,与普通人群相比,医护人员感染乙肝的风险更高。这项血清流行病学调查表明,海军医疗中心的医院工作人员乙肝病毒感染率低于秘鲁其他医院工作人员的感染率。