Hepatitis B-positive health-care workers: why they should not switch to non-exposure-prone jobs
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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...
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