彰化基督教医院麻醉人员与医院管理人员乙型肝炎病毒感染的血清流行病学分析

W T Hung, M H Tsai, C Y Shen, C Y Lin
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引用次数: 0

摘要

对医院工作人员来说,病毒传播是一种常见而严重的职业危害。这些受感染的医院工作人员除了身体不适外,还可能通过血液、粘液或分泌物污染将疾病传染给患者。本研究旨在了解麻醉医师与医院行政人员之间乙型肝炎病毒感染状况。以46名麻醉师(研究组)和90名医院管理人员(对照组)为研究对象。从1990年10月至12月,对每个参与者进行了乙型肝炎病毒感染血清学和生化试验。为了调查个人对乙型肝炎感染的认识,每个人都被要求在抽血后填写一份问卷。我们还检索了所有参与者的年度乙型肝炎血清学结果图表,以了解血清转换的发生率。136例参与者中,HbsAg携带者20例(14.7%)。所有参与者中只有28人(20.6%)无感染且血清阴性。然而,无论是HbsAg阳性还是血清阴性的发生率,两组间均无统计学差异(P > 0.05)。在790次人年观察中,血清转化发生率为10例(1.27%)。研究组血清转换率是对照组的2倍(2.2倍),差异无统计学意义(P < 0.05)。20名(19.9%)血清阳性参与者知道自己是乙型肝炎携带者或曾被感染。从血清学检测数据来看,麻醉师对感染或带菌者的认识总体上优于医院管理人员。(摘要删节250字)
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Seroepidemiological analysis of hepatitis B virus infection between anesthesia personnel and hospital administration staffs in Changhua Christian Hospital].

For hospital personnel, transmission of virus is a common and serious occupational hazard. Other than suffering from physical discomfort, these infected hospital staffs may also transmit the disease to patients through their blood, mucous or secretion contamination. The purpose of this study is intended to understand the condition of hepatitis B virus infection between anesthetists and hospital administration staffs. Forty-six anesthetists (study group) and 90 hospital administration staffs (control group) were volunteers of the study. Blood samples for serologic and biochemical test of hepatitis B virus infection in each participant were proceeded from October to December 1990. To investigate personal recognition about hepatitis B infection, each was requested to fill up a questionnaire after blood sampling. We also retrieved the chart of all participators for their annual hepatitis B serologic result in order to find out the incidence of seroconversion. Among the 136 participators, 20 (14.7%) were HbsAg carriers. Only 28 (20.6%) of all the participators were free from infection and seronegative. However, it was found that there was no significant difference (P greater than 0.05) between the two groups, no matter in HbsAg positive or seronegative incidence. There was 10 (1.27%) incidence of seroconversion during 790 times of person-year observation. Though not significant (P less than 0.05), there was a double fold (2.2 times) seroconversion rate in the study group than that of the control group. Twenty (19.9%) seropositive participators knew that they are hepatitis B carrier or had been infected. Generally, anesthetists seemed better than hospital administration staffs in realizing that they were infected or carrier from the data of serological test.(ABSTRACT TRUNCATED AT 250 WORDS)

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