Hepatitis B-positive health-care workers: why they should not switch to non-exposure-prone jobs
- 65 Downloads
Presence of hepatitis B (HBV) infection alone should not deny a health-care professional to practice clinical medicine. No current global or regional guidelines recommend the absolute prohibition of exposure-prone invasive medical, surgical or dental procedures or practices by eligible health-care professionals, unless HBV infection is left unmonitored [1, 2, 3]. The hepatitis B prevalence in health-care workers (HCWs) has been steadily declining globally and is likely comparable to general population. There is a wide variation in the regional or national prevalence of HBV infection among HCWs worldwide. Several authors have reported it to range from 10% in 1992 to 1% in 2008 [4, 5]. Despite this, HBV-infected HCWs represent a potential risk to their patients and the transmission of HBV from HCWs to patients has been well documented  .
Patient to HCW transmission of HBV is high  (30% in HBeAg + , ~ 6% in HBeAg—after a single needle-stick injury). Most reports occurred before...
- 2.Centers for Disease Control and Prevention (CDC). Updated CDC recommendations for the management of hepatitis B virus infected health-care providers and students. MMWR Recomm Rep. 2012;61:1–12.Google Scholar
- 3.Statement on the surgeon and hepatitis. B infection. American college of surgeons. Bull Am Coll Surg. 1995;80:33–5.Google Scholar
- 13.Division of Nosocomial and Occupational Infections, Bureau of Infectious Diseases, Laboratory Center for Disease Control, Health Protection Branch. Health Canada. Proceedings of the consensus conference on infected health care workers risk for transmission of bloodborne pathogens. Can Commun Dis Rep 1998; 24(Suppl 4): 1–-22.Google Scholar
- 14.Gunson RN, Shouval D, Roggendorf M, Zaaijer H, Nicholas H, Holzmann H, et al. Hepatitis B virus (HBV) and hepatitis C virus (HCV) infections in health care workers (HCWs): guidelines for prevention of transmission of HBV and HCV from HCW to patients. J Clin Virol. 2003;27:213–30.CrossRefGoogle Scholar
- 15.Centers for Disease Control, (CDC). Update: universal precautions for prevention of transmission of human immunodeficiency virus, hepatitis B virus, and other bloodborne pathogens in health-care settings. MMWR Morb Mortal Wkly Rep. 1988;37(377–82):387–8.Google Scholar