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Abstract
The hepatitis B risk for hospital employees is a function of their own prior experience
with this disease and their frequency of exposure to patient blood, plus characteristics
of the hospital's patient population, services, and prevention policies. Assessment
of the hospital's risk includes consideration of costs associated with employee cases
of hepatitis B, employee turnover rates, frequency of exposure incidents, and costs
for preexposure and postexposure hepatitis B prevention policies. Benefits occur for
both employee and hospital when the risk of hepatitis B transmission is minimized.
Each institution must remember that it does not operate in isolation; its policies
will be compared to those of other health care organizations. Participation in community
efforts to develop local standards is advisable, but administrators should also recognize
the possibility of having unique groups of high-risk employees in their own hospital.
Analysis of each of the twelve issues will provide hospital decision-makers with information
needed to select appropriate hepatitis B prevention strategies for their institution.
This information should help in the development of a plan that will balance the costs
and benefits of hepatitis B vaccine and, at the same time, protect employees from
this occupational health problem.
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References
- Occupational exposure to hepatitis B virus in hospital personnel: Infection or immunization?.Am J Epidemiol. 1982; 115: 26-39
- Viral hepatitis as an occupational hazard in the health care profession.in: Vyas G.N. Cohen S.N. Schmid R. Viral hepatitis: Etiology, epidemiology, pathogenesis and prevention. Franklin Institute Press, Philadelphia1978
- Epidemiology of hepatitis B in hospital personnel.Am J Epidemiol. 1975; 101: 59-64
- Hepatitis B in a medical center.JOM. 1981; 23: 338-342
- The newly licensed hepatitis B vaccine: Characteristics and indications for use.JAMA. 1982; 247: 2012-2015
- Health-care workers positive for hepatitis B surface antigen: Are their contacts at risk?.N Engl J Med. 1975; 292: 454-457
- Inactivated hepatitis B virus vaccine.Morbid Mortal Weekly Rep. 1982; 31: 317-331
- Screening hospital patients for hepatitis B surface antigen.Am J Clin Pathol. 1977; 67: 257-259
- Admission screening for hepatitis B surface antigen in a university hospital.South Med J. 1978; 71: 624-629
- Hepatitis B immunity in hospital staff targeted for vaccination: Role of screening tests in immunization programs.JAMA. 1982; 248: 2266-2269
- Prevention of nosocomial viral hepatitis, type B (hepatitis B).Ann Intern Med. 1975; 83: 838-845
- Viral hepatitis.John Wiley & Sons, Inc, New York1978
- Incidence and costs of hepatitis B in health care personnel in Arizona.Arizona Med. 1983; 40: 835-838
- Indications for use of hepatitis B vaccine, based on cost-effectiveness analysis.N Engl J Med. 1982; 307: 644-652
- Cost effectiveness of serotesting before hepatitis vaccination (letter).N Engl J Med. 1982; 307: 503
Dandoy S, Kirkman-Lift BL, Krakowski FM: Hepatitis B exposure incidents in community hospitals. Am J Public Health (in press).
- Needlestick and puncture wounds: Definition of the problem.Am J Infect Control. 1980; 8: 101-106
- Epidemiology of needlestick injuries in hospital personnel.Am J Med. 1981; 70: 928-932
- Immune globulins for protection against viral hepatitis.Morbid Mortal Weekly Rep. 1981; 30: 423-428
- Hepatitis B exposure of multiple hospital employees: Five case studies.Arch Intern Med. 1984; 144: 720-723
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© 1984 Published by Elsevier Inc.