| 马静,黄昌霞,蒋豫图,王海涛,朱明宝.医院工作人员中病毒性肝炎的血清流行病学研究[J].Chinese journal of Epidemiology,1985,6(6):321-325 |
| 医院工作人员中病毒性肝炎的血清流行病学研究 |
| Seroepidemiological Study of Viral Hepatitis among Hospital Staffs |
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| Abstract: |
| 本文报告了对北京郊区一所部队综合性医院613名工作人员甲、乙型病毒性肝炎流行病学调查结果,并与同时期调查的京郊乔户营大队同年龄组社员292人的结果相比较。医院工作人员的HAV感染率显著低于对照(87.93%对99.66%)。与此相反,前者的HBV感染率显著高于后者(63.62%对49.32%)。消化科人员的感染率最高(80.39%)。HBV感染率随年龄、从事医疗工作年限、肝炎病史,接触HBsAg阳性病人频率增加而增加。工作区域影响着工作人员的HBV感染率。HBV感染率与性别、接触肝病病人等历史无相关。本结果支持医务人员的职业威胁来自HBV而不是HAV的论点。同时也看到我国医务人员HBV感染率只是高于一般人群,差异没有来自发达国家报告的数倍之差那么大。 |
| English Abstract: |
| This paper reports the results of a seroepidemiological study of viral hepatitis types A and B among 613 hospital personnel who worked in a large army general hospital in Beijing and the results were compared with those of 292 peasants, 17 and more years of age who lived at. the Qiao Huying Production Brigade in Beijing Suburb as a control group in 1982. The prevalence rate of HAV infection (87.93%) among the hospital personnel was significantly lower than that (99.66%) of the control. On the contrary, the prevalence rate of HBV infection (63.62%) among the former was significantly higher than that (49.32%) among the latter. The HBV infection rate was highest among the workers in the department of gastroentiology (80.39%) and lowest in the paramedical workers aged 17-19 years. (44.23%). The frequency of HBV infection increased in those who had frequently contact with potentially infectious blood or HBsAg positive patients and who had previous history of hepatitis. It also increased with the duration of working in their present occupation and with their age.It was, however, not related to their family contact with patients of liver diseases etc. These results support the hypothesis that the occupational hazard of the health workers does not come from HAV infection but from HBV infection. |
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