Hepatitis B virus infected health care workers in the Netherlands, 2000-2008

Daha, Thea; Bilkert-Mooiman, M. A. J.; Ballemans, C.; Frijstein, G.; Keeman, J. N.; Man, Robert A. de; Steenbergen, Jim van; Weers-Pothoff, G.; Zaaijer, Hans L.

doi:10.1007/s10096-009-0744-2

Cited by 6 publications

(11 citation statements)

References 8 publications

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“…Often at the heart of outbreak management are quarantine, isolation, and social distancing measures, which clearly involve tensions with respect to autonomy and deprive persons from contact with their loved ones and otherwise undermine their quality of life ( 25 ). Restrictions to healthcare staff (e.g., a surgeon who seems to be a hepatitis B virus carrier) are well-accepted ways to prevent bloodborne nosocomial infections ( 27 ). However, 4 differences stood out, suggesting that there is something ethically noteworthy about carriage of multidrug-resistant organisms.…”

Section: Resultsmentioning

confidence: 99%

Ethics of Infection Control Measures for Carriers of Antimicrobial Drug–Resistant Organisms

Rump¹,

Timen²,

Hulscher³

et al. 2018

Emerg. Infect. Dis.

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Many countries have implemented infection control measures directed at carriers of multidrug-resistant organisms. To explore the ethical implications of these measures, we analyzed 227 consultations about multidrug resistance and compared them with the literature on communicable disease in general. We found that control measures aimed at carriers have a range of negative implications. Although moral dilemmas seem similar to those encountered while implementing control measures for other infectious diseases, 4 distinct features stand out for carriage of multidrug-resistant organisms: carriage presents itself as a state of being; carriage has limited relevance for the health of the carrier; carriage has little relevance outside healthcare settings; and antimicrobial resistance is a slowly evolving threat on which individual carriers have limited effect. These features are of ethical relevance because they influence the way we traditionally think about infectious disease control and urge us to pay more attention to the personal experience of the individual carrier.

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Section: Resultsmentioning

confidence: 99%

Ethics of Infection Control Measures for Carriers of Antimicrobial Drug–Resistant Organisms

Rump¹,

Timen²,

Hulscher³

et al. 2018

Emerg. Infect. Dis.

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“…59 The European consensus threshold level is 10,000 HBV DNA copies/ml, while the British threshold level is 1000 copies/ml and the Dutch threshold level is 1,00,000 copies/ml. 60 However, with the availability of inhibitors of HBV polymerase for chronic HBV infection treatment, HBV DNA may be durably suppressed in HBV-infected HCWs. Thus, as illustrated by Buster et al 61 prolonged antiviral therapy for HBV-infected HCWs is a viable option instead of work restriction, provided that the level of HBV DNA is monitored regularly.…”

Section: Hbvmentioning

confidence: 99%

Blood-borne viruses in health care workers: Prevention and management

Deuffic-Burban

Delarocque-Astagneau²,

Abiteboul³

et al. 2011

Journal of Clinical Virology

110

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“…Vaccination of health care workers (HCWs) is particularly important given their risk of exposure to blood-borne viral infections, particularly HBV, hepatitis C virus (HCV), and HIV, and vaccine-preventable diseases [ 7 – 9 ]. These risks are further heightened in developing countries in endemic regions such as Africa and Asia, including China [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Health care workers in Pearl River Delta Area of China are not vaccinated adequately against hepatitis B: a retrospective cohort study

Zheng

Zhang

et al. 2015

BMC Infect Dis

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BackgroundsHealth-care workers’ (HCWs) exposure to bodily fluids puts them at risk of hepatitis B virus HBV infection. This study investigated HBV vaccination practices and outcomes in HCWs and assessed postvaccination seroprotection across HCWs in different departments.MethodsA survey of HCWs in a Chinese public general hospital was carried out with a retrospective cohort of 1420 hospital HCWs (458 males and 962 females). HBV vaccination status (10-μg/dose used) was investigated in the cohort from vaccination records from the period of 1988 to 2008. Blood samples were collected and tested for hepatitis B surface antigen (HBsAg) and HBV antibodies (anti-HBs).ResultsThe overall vaccination (complete course) and HBsAg carrier rates among HCWs were 40.42 % (574/1420) and 6.13 % (87/1420), respectively. Vaccination rates differed by department, with HCWs in internal medicine (39.5 %) and emergency (42.0 %) departments having particularly low rates. The natural infection rate was 7.53 % (107/1420) among HCWs. HCWs in the department of infectious diseases (vaccination rate, 57.8 %) had the highest rate of antibody produced by natural infection (88.2 %).ConclusionThe vaccination rate was a disappointingly low among HCWs in Pearl River Delta Area of China. HCWs working in infectious diseases departments and technicians were at particularly likely to have been infected with HBV. A concerted effort is needed to bring vaccination rates up among Chinese HCWs in Pearl River Delta Area of southern China.

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Hepatitis B virus infected health care workers in the Netherlands, 2000-2008

Abstract: In response to the confirmed transmission of hepatitis B virus (HBV)

Cited by 6 publications

References 8 publications

Ethics of Infection Control Measures for Carriers of Antimicrobial Drug–Resistant Organisms

Ethics of Infection Control Measures for Carriers of Antimicrobial Drug–Resistant Organisms

Blood-borne viruses in health care workers: Prevention and management

Health care workers in Pearl River Delta Area of China are not vaccinated adequately against hepatitis B: a retrospective cohort study

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