Lunding S, Nielsen T L, Nielsen J O
H:S Hvidovre Hospital, infektionsmedicinsk afdeling.
Ugeskr Laeger. 1998 Apr 20;160(17):2526-9.
As part of a nation-wide questionnaire survey among Danish doctors, the incidence of hepatitis B vaccination was studied. For each specialty the findings were related to the risk of hepatitis B exposure assessed by the incidence of percutaneous and mucocutaneous blood exposure (PCE and MCE). A total of 6256 of 9375 doctors (67%) responded and 6005 (64%) questionnaires were eligible for analysis. Only 34.3% of the doctors had been vaccinated against hepatitis B, ranging from 8.9% in Psychiatry to 56.9% in Obstetrics-Gynaecology. The annual incidence of PCE and MCE was high in surgical as well as non-surgical specialties with an average of 3.0 PCE and 3.9 MCE per person. In conclusion all doctors must be considered at risk of exposure to hepatitis B during part of or the entire career. The current level of hepatitis B vaccination is insufficient. Hepatitis B vaccination of all doctors before entering clinical work seems to be indicated.
作为丹麦医生全国问卷调查的一部分,对乙肝疫苗接种率进行了研究。对于每个专业,研究结果与通过经皮和粘膜皮肤血液暴露(PCE和MCE)发生率评估的乙肝暴露风险相关。9375名医生中有6256名(67%)做出回应,6005份(64%)问卷符合分析条件。只有34.3%的医生接种了乙肝疫苗,从精神病学的8.9%到妇产科的56.9%不等。外科和非外科专业的PCE和MCE年发生率都很高,平均每人每年有3.0次PCE和3.9次MCE。总之,所有医生在部分或整个职业生涯中都必须被视为有接触乙肝的风险。目前的乙肝疫苗接种水平不足。似乎有必要在所有医生进入临床工作前进行乙肝疫苗接种。