Hepatitis B virus infected health care workers in the Netherlands, 2000-2008
| Autor: | R. A. de Man, G. Frijstein, M. A. J. Bilkert-Mooiman, J. E. van Steenbergen, J. N. Keeman, T. J. Daha, C. Ballemans, G. Weers-Pothoff, Hans L. Zaaijer |
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| Přispěvatelé: | Faculteit der Geneeskunde, Gastroenterology & Hepatology, Extramural researchers, Amsterdam institute for Infection and Immunity, Medical Microbiology and Infection Prevention |
| Rok vydání: | 2009 |
| Předmět: |
Microbiology (medical)
medicine.medical_specialty Hepatitis B virus Health Personnel medicine.disease_cause Article Infectious Disease Transmission Professional-to-Patient Orthohepadnavirus SDG 3 - Good Health and Well-being Health care medicine media_common.cataloged_instance Humans European union media_common Netherlands Cross Infection biology business.industry Transmission (medicine) General Medicine Guideline Hepatitis B biology.organism_classification medicine.disease Virology Infectious Diseases Family medicine DNA Viral business Viral hepatitis |
| Zdroj: | European journal of clinical microbiology & infectious diseases, 28(9), 1041-1044. Springer Verlag European Journal of Clinical Microbiology & Infectious Diseases, 28(9), 1041-1044. Springer-Verlag European Journal of Clinical Microbiology & Infectious Diseases |
| ISSN: | 1435-4373 0934-9723 |
| Popis: | In response to the confirmed transmission of hepatitis B virus (HBV) from a surgeon to several patients in the Netherlands, a 'Committee for Prevention of Iatrogenic Hepatitis B' was established in 2000. During the years 2000-2008, the committee reviewed 99 cases of HBV-infected health care workers. Fifty of them were found to perform exposure prone procedures (EPPs). Because of high levels of HBV DNA (> 100,000 copies/ml), a ban on performing EPPs was applied in 11/50 cases; 25/50 low-viremic health care workers were allowed to continue EPPs while their HBV load was being monitored; and 14/50 cases had stopped working or changed profession. In five restricted workers who started oral antiviral treatment, HBV replication was persistently suppressed, enabling the ban on EPPs to be lifted. Throughout the European Union different levels of HBV viremia have been chosen, above which health care workers are not allowed to perform EPPs. It remains unknown how this affects the safety of patients. Application in the Netherlands of a European or a British guideline would have, respectively, doubled or tripled the number of restricted health care workers |
| Databáze: | OpenAIRE |
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