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Titolo:
Hepatitis A among health workers in Paris hospitals
Autore:
Domart, M; Mlika-Cabanne, N; Henzel, D; Pouliquen, A; Florentin, A; Marande, JL; Xerri, B; Aufrere, A; Larouze, B;
Indirizzi:
Hop Raymond Poincare, Serv Med Travail, AP HP, Graches, France Hop RaymondPoincare Graches France Med Travail, AP HP, Graches, France Hop Bichat, Dept Univ Sante Trop, Paris, France Hop Bichat Paris FranceHop Bichat, Dept Univ Sante Trop, Paris, France Hop Cochin, AP HP, Med Serv, Paris, France Hop Cochin Paris FranceHop Cochin, AP HP, Med Serv, Paris, France Hop Bichat, Inst Med & Epidemiol Africaines, Paris, France Hop Bichat Paris France Inst Med & Epidemiol Africaines, Paris, France Banque Sang, Paris, France Banque Sang Paris FranceBanque Sang, Paris, France Hop Robert Debre, AP HP, Serv Med Travail, Paris, France Hop Robert DebreParis France e, AP HP, Serv Med Travail, Paris, France Labs Smithkline Beecham, Nanterre, France Labs Smithkline Beecham Nanterre France kline Beecham, Nanterre, France
Titolo Testata:
JOURNAL OF MEDICAL VIROLOGY
fascicolo: 4, volume: 58, anno: 1999,
pagine: 321 - 324
SICI:
0146-6615(199908)58:4<321:HAAHWI>2.0.ZU;2-M
Fonte:
ISI
Lingua:
ENG
Soggetto:
VIRAL-HEPATITIS; CARE WORKERS; A VIRUS; OUTBREAK; VACCINATION; PREVALENCE; SEROPREVALENCE; INFECTION;
Keywords:
hepatitis A; health workers; epidemiology; hepatitis A vaccine;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
25
Recensione:
Indirizzi per estratti:
Indirizzo: Larouze, B Hop Bichat Claude Bernard, IMEA, 46 Rue Henri Huchard, F-75018 Paris, France Hop Bichat Claude Bernard 46 Rue Henri Huchard Paris France F-75018
Citazione:
M. Domart et al., "Hepatitis A among health workers in Paris hospitals", J MED VIROL, 58(4), 1999, pp. 321-324

Abstract

To design a vaccination strategy against hepatitis A among hospital employees, we carried out a serological survey of hepatitis A virus (HAV) infection in 10 university hospitals in the Paris area. Subjects under 60 years ofage were consecutively enrolled by occupational health services and testedfor IgG to HAV by ELISA. Of the 1,516 subjects recruited, 926 were health workers (HW), 322 clerks, and 268 cooks or kitchen employees. Among HW and clerks the HAV seroprevalence was 53.8% (95% CI: 44.0-65.6), increasing with age and being higher among employees of African or Caribbean origin than those from Europe (83.6% vs 45.6%, P < .001). Age correlated closely with the duration of hospital work, so only age was taken into account for further analysis. The HAV seroprevalences among HW and clerks originating from Europe were close (46.8% vs 42.6%) and remained so after adjustment for age. HAV seroprevalences in HW caring for adults and those caring for children were also similar (45.2% vs 40.1%). Seroprevalence was higher in assistant nurses than in nurses (51.3% vs. 39.8%, P < .02). Among cooks and kitchen employees, 53.4% were HAV-seropositive. This study shows that hospital employees need not routinely be vaccinated against HAV; the decision should be taken by the occupational physician according to the type of work, but shouldbe routine for cooks and kitchen employees. The need for prevaccinal screening for anti-HAV should be assessed in the light of employees' geographical origin and age. J. Med. Virol. 58:321-324, 1999. (C) 1999 Wiley-Liss, Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/11/20 alle ore 09:37:15