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[丙型肝炎在医护人员中的职业医学意义]

[Occupational medicine significance of hepatitis C in health care employees].

作者信息

Hofmann F, Michaelis M, Rieger M A, Hasselhorn H M, Berthold H

机构信息

Bergische Universität/Gesamthochschule Wuppertal, Lehrstuhl für Arbeitsphysiologie, Arbeitsmedizin und Infektionsschutz.

出版信息

Gesundheitswesen. 1997 Jul;59(7):452-60.

PMID:9333386
Abstract

Transmission of Hepatitis C virus (HCV) is similar to the one observed with hepatitis B virus. The most important route of infection in health care personnel is by needlestick injury. In the course of a literature review 44 publications on HCV prevalence or incidence among hospital employees were studied and an overall transmission incidence of 2.2% was found. As none of the publications dealt with the problem of chronic Hepatitis C, 245 persons with elevated transaminases occupied Freiburg University Hospital were tested for HCV antibodies. 3 out of 82 non-medical professionals and 19 out of 163 health care workers were anti HCV positive (RR = 3.22; p < 0.05). Charwomen in medical departments, nurses and dentists had a higher relative risk than physicians and technical assistants. As no HCV vaccine is available the only way of HCV-prevention is compliance with universal precautions.

摘要

丙型肝炎病毒(HCV)的传播与乙型肝炎病毒的传播情况相似。医护人员最重要的感染途径是针刺伤。在一次文献综述过程中,研究了44篇关于医院员工中HCV患病率或发病率的出版物,发现总体传播发生率为2.2%。由于没有出版物涉及慢性丙型肝炎问题,对弗赖堡大学医院245名转氨酶升高的人员进行了HCV抗体检测。82名非医学专业人员中有3人以及163名医护人员中有19人抗HCV呈阳性(相对危险度=3.22;p<0.05)。医疗部门的清洁女工、护士和牙医的相对危险度高于医生和技术助理。由于没有可用的HCV疫苗,预防HCV的唯一方法是遵守普遍预防措施。

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1
[Occupational medicine significance of hepatitis C in health care employees].[丙型肝炎在医护人员中的职业医学意义]
Gesundheitswesen. 1997 Jul;59(7):452-60.
2
[Prevalence of hepatitis C virus antibodies in hospital personnel and the general population].[医院工作人员和普通人群中丙型肝炎病毒抗体的流行情况]
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Seroepidemiology of hepatitis B virus markers among hospital health care workers. Analysis of certain potential risk factors.医院医护人员乙肝病毒标志物的血清流行病学。某些潜在危险因素分析。
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[Screening for hepatitis C of hospital personnel at the Szent László Hospital of Budapest].[布达佩斯圣拉兹洛医院医院工作人员丙型肝炎筛查]
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[Risk bloodborne infections in health care workers].医疗工作者血源感染风险
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Hepatitis B and C virus--prevalence and prevention in health care workers.乙型和丙型肝炎病毒——医护人员中的流行情况与预防
Trop Gastroenterol. 2002 Jul-Sep;23(3):125-6.
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HBV and HCV infection in Japanese dental care workers.日本牙科护理人员中的乙肝病毒和丙肝病毒感染
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Risk factors for hepatitis C virus transmission to health care workers after occupational exposure: a European case-control study.职业暴露后丙型肝炎病毒传播给医护人员的危险因素:一项欧洲病例对照研究。
Clin Infect Dis. 2005 Nov 15;41(10):1423-30. doi: 10.1086/497131. Epub 2005 Oct 6.
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[Risk of hepatitis C virus infection in medical occupations].[医疗职业中丙型肝炎病毒感染的风险]
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