Advertisement

Hepatology International

, Volume 12, Issue 6, pp 520–522 | Cite as

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

  • Ankur Jindal
Point of View
  • 46 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 [6] [7].

Patient to HCW transmission of HBV is high [8] (30% in HBeAg + , ~ 6% in HBeAg—after a single needle-stick injury). Most reports occurred before...

References

  1. 1.
    Henderson DK, Dembry L, Fishman NO, Grady C, Lundstrom T, Palmore TN, et al. SHEA guideline for management of healthcare workers who are infected with hepatitis B virus, hepatitis C virus, and/or human immunodeficiency virus. Infect Control Hosp Epidemiol. 2010;31:203–32.CrossRefGoogle Scholar
  2. 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. 3.
    Statement on the surgeon and hepatitis. B infection. American college of surgeons. Bull Am Coll Surg. 1995;80:33–5.Google Scholar
  4. 4.
    Elavia AJ, Banker DD. Hepatitis B virus infection in hospital personnel. Natl Med J India. 1992;5(6):265–8.PubMedGoogle Scholar
  5. 5.
    Sukriti Pati NT, Sethi A, Agrawal K, Agrawal K, Kumar GT, et al. Low levels of awareness, vaccine coverage, and the need for boosters among health care workers in tertiary care hospitals in India. J Gastroenterol Hepatol. 2008;23(11):1710–5.CrossRefGoogle Scholar
  6. 6.
    Poujol I, Floret N, Servant-Delmas A, Marquant A, Laperche S, Antona D, et al. Hepatitis B virus transmission from a nurse to a patient, France, 2005. Euro Surveill. 2008;13(21):18877.CrossRefGoogle Scholar
  7. 7.
    Incident Investigation Teams and Others. Transmission of hepatitis B to patients from four infected surgeons without hepatitis B e antigen. N Engl J Med. 1997;336(3):178–84.CrossRefGoogle Scholar
  8. 8.
    Sarin SK, Kumar M, Lau GK, Abbas Z, Chan HL, Chen CJ, et al. Asian-Pacific clinical practice guidelines on the management of hepatitis B: a 2015 update. Hepatol Int. 2016;10(1):1–98.CrossRefGoogle Scholar
  9. 9.
    Garner JS. Hospital infection control practices advisory committee. Guideline for isolation precautions in hospitals. Infect Control Hosp Epidemiol. 1996;17(5):53–80.CrossRefGoogle Scholar
  10. 10.
    Lewis JD, Enfield KB, Sifri CD. Hepatitis B in healthcare workers: transmission events and guidance for management. World J Hepatol. 2015;7(3):488–97.CrossRefGoogle Scholar
  11. 11.
    Schalm SW, Buster EH. Management of hepatitis B virus infected health care workers based on HBV DNA levels. J Clin Virol. 2003;27(3):231–4.CrossRefGoogle Scholar
  12. 12.
    Ceylan B, Yardimci C, Fincanci M, Eren G, Tozalgan U, Muderrisoglu C, et al. Comparison of tenofovir and entecavir in patients with chronic HBV infection. Eur Rev Med Pharmacol Sci. 2013;17:2467–73.PubMedGoogle Scholar
  13. 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. 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. 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

Copyright information

© Asian Pacific Association for the Study of the Liver 2018

Authors and Affiliations

  1. 1.Department of HepatologyInstitute of Liver and Biliary SciencesNew DelhiIndia

Personalised recommendations