[Prevalence of Hepatitis B serologic markers among the personnel of the institution for children with deficiencies].

Revista de sanidad e higiene publica Pub Date : 1993-05-01
A Arnedo Pena, J M Cortés Edo, M D Latorre Ibáñez, F González Morán, J B Bellido Blasco, J Querol San Juan, F Guillén Grima, L Safont Adsuara, C Calvo Mas, P Monparler Carrasco
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Abstract

Background: The risk of infection by the hepatitis B virus (HBV) in institutions for children with deficiencies has been established in several studies. The purpose of this work was to know the prevalence of HBV markers, among the employees in an institution of that kind, and its association with several risk factors.

Methods: A transveral epidemiologic survey has been carried out to determine the markers prevalence of infection by hepatitis B virus (HBV) and its association with certain risk factors, among the 200 workers of an institution for children with deficiencies. Determinations, by radioimmunoassay were: HBs Ag, anti-HBs and anti HBe.

Results: The participation was 95%, with a prevalence of any marker of 7.9% (IC95 + 4.1-11.7). No HBs Ag carriers were detected, taking occupation as an indicator variable with three categories: Trades and auxiliary health personnel versus teachers, the logistic regression analysis showed odds ratios, adjusted for age, sex and working time, for trades and auxiliary health personnel, respectively.

Conclusions: Vaccination is the preventive recommendation for HBV in these institutions, because of the difficulty to find other factors associated to HBV. The possibility of introducing a universal vaccination is controversial.

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[缺陷儿童机构工作人员乙型肝炎血清学标志物的流行程度]。
背景:在一些研究中已经确定了在儿童缺乏机构中感染乙型肝炎病毒(HBV)的风险。这项工作的目的是了解HBV标志物的流行程度,在这类机构的雇员中,以及它与几个危险因素的关系。方法:在一家缺陷儿童机构的200名工作人员中进行了一项横向流行病学调查,以确定乙型肝炎病毒(HBV)感染的标志物患病率及其与某些危险因素的关系。放射免疫法测定:HBs抗原、抗HBs和抗HBe。结果:参与率为95%,任一标志物的患病率为7.9% (IC95 + 4.1-11.7)。未检出HBs Ag携带者,以职业为指标变量,分行业和辅助卫生人员与教师三类,logistic回归分析显示,行业和辅助卫生人员分别经年龄、性别和工作时间调整后的优势比。结论:由于难以发现与HBV相关的其他因素,这些机构推荐接种疫苗预防HBV。普及疫苗接种的可能性是有争议的。
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