Shanks N J, Rowlands D F
King Khalid National Guard Hospital, Jeddah, Kingdom of Saudi Arabia.
J R Soc Med. 1993 Mar;86(3):154-5.
Doctors represent a high risk category for contracting hepatitis B virus. We report obstacles to our vaccination programme. Thirty per cent of the doctors (mainly Middle Eastern origin) were naturally immune to hepatitis, 29% received vaccination on completion of their pre-employment medical. However, 32% did not present for vaccination despite a total of 224 letters being dispatched, an average of 5.5 letters per doctor. Three medical staff were found to be HbsAg positive. More encouragement is required for those doctors who fail to attend for immunization. Measures such as: being a pre-requisite for employment, or withholding pay could be considered in high risk areas.
医生是感染乙肝病毒的高风险人群。我们报告了我们的疫苗接种计划所面临的障碍。30%的医生（主要来自中东地区）对肝炎具有天然免疫力，29%的医生在入职前体检完成后接种了疫苗。然而，尽管总共发出了224封信，平均每位医生5.5封信，但仍有32%的医生未前来接种。发现三名医务人员乙肝表面抗原呈阳性。对于那些未参加免疫接种的医生，需要给予更多鼓励。在高风险地区，可以考虑采取一些措施，如将接种作为就业的先决条件，或停发工资。
