Stalder G A
Schweiz Med Wochenschr. 1977 May 7;107(18):614-7.
It is highly desirable for the subject with HBsAg-positive blood and his contacts to be aware of the attendant infectivity. It appears that only blood containing DANE particles is infective. Today it is known that the blood of patients with chronic active hepatitis, of HBsAg-positive patients under immunosuppression, and during the early phase of acute viral hepatitis, contains large amounts of DANA particles. Therefore, from clinical data and histological evaluation of the liver it is possible to deduce the level of infectivity risk in a given patient. It is still an open question whether DNA-polymerase, HBc-antigen or the E-antigen provide helpful information on the infectivity of HBsAg blood.
乙肝表面抗原(HBsAg)阳性者及其接触者非常有必要了解随之而来的传染性。似乎只有含有 Dane 颗粒的血液具有传染性。如今已知,慢性活动性肝炎患者、免疫抑制状态下的 HBsAg 阳性患者以及急性病毒性肝炎早期患者的血液中含有大量 Dane 颗粒。因此,根据临床数据和肝脏组织学评估,有可能推断出特定患者的感染风险水平。DNA 聚合酶、乙肝核心抗原(HBc 抗原)或 E 抗原是否能为 HBsAg 血液的传染性提供有用信息,仍是一个悬而未决的问题。