Anesthesiologists' acquisition of hepatitis B virus infection: Risk and prevention.

Abstract:

:Occupational exposure remains a serious problem for medical staff, especially those working in operation rooms. Hepatitis B virus (HBV) is prevalent in patients undergoing surgery, and anesthesiologists are at risk of occupational acquisition of blood-borne HBV infection. To the best of our knowledge, there are no data about HBV prevalence and vaccinations, as well as attitudes toward sharp injuries and gloving among anesthesiologists in China, where the HBV prevalence is high. To clarify these, the present study was conducted.An electronic questionnaire including HBV markers, gloving during practice, and reporting patterns of sharp injuries was created and sent to anesthesiologists.After excluding 10 uncompleted questionnaires, 1739 questionnaires were included in the final analysis. Of all analyzed anesthesiologists, 1599 (91.9%) had experienced sharp injuries, and 1313 (75.5%) had experienced >1 sharp injury. Considering HBV vaccination histories, 1381 anesthesiologists (79.4%) received 3 vaccination doses, and only half of the immunized anesthesiologists received reminder HBV vaccination doses after work before exposure. There were 696 anesthesiologists (40.0% of all participants) who were ever exposed to HBV, and nearly two-thirds of them (440) were exposed to HBV more than once. There was a more positive attitude toward gloving and double-gloving to reduce HBV exposure.The incidence of occupational HBV exposure among anesthesiologists is high, and its threat should be considered. HBV vaccinations and adherence to postexposure guidelines are recommended. The high prevalence of sharp injuries during anesthesia practice highlights the importance of safe anesthesia practices, such as gloving or double-gloving, especially when in contact with high-risk body fluids.

journal_name

Medicine (Baltimore)

journal_title

Medicine

authors

Tian J,Tan F,Lai L,Deng Y,Chi X,Geng H,Zhu Q

doi

10.1097/MD.0000000000016416

subject

Has Abstract

pub_date

2019-07-01 00:00:00

pages

e16416

issue

29

eissn

0025-7974

issn

1536-5964

pii

00005792-201907190-00025

journal_volume

98

pub_type

杂志文章

相关文献

MEDICINE文献大全
  • Causes and prognosis of chronic intestinal pseudo-obstruction in 48 subjects: A 10-year retrospective case series.

    abstract::The aim of the study was to evaluate the prognosis and survival of pediatric subjects with chronic intestinal pseudo-obstruction (CIPO) and investigate the independent risk factors affecting their prognosis.This was a retrospective case series of all pediatric subjects suffering from CIPO and treated at the Pediatric ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000012150

    authors: Lu W,Xiao Y,Huang J,Lu L,Tao Y,Yan W,Cao Y,Cai W

    更新日期:2018-09-01 00:00:00

  • Effectiveness of neuromuscular electrical stimulation combined with rehabilitation training for treatment of post-stroke limb spasticity.

    abstract:BACKGROUND:This study aims to systematically explore the effectiveness of neuromuscular electrical stimulation (NMES) combined with rehabilitation training (RT) for the treatment of post-stroke limb spasticity (PSLS). METHODS:We will search Cochrane Library, MEDILINE, EMBASE, CINAHL, AMED, PsycINFO, WOS, Scopus, OpenG...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000017261

    authors: He YL,Gao Y,Fan BY

    更新日期:2019-09-01 00:00:00

  • Effect of multiple clinical factors on recurrent angina after percutaneous coronary intervention: A retrospective study from 398 ST-segment elevation myocardial infarction patients.

    abstract::Recurrent angina (RA) has an important influence on health status of patients after percutaneous coronary intervention (PCI). This study aimed to retrospectively investigate the effect of multiple clinical factors on both short-term and long-term development of RA.A total of 398 ST-segment elevation myocardial infarct...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000005015

    authors: Zhang J,Liu C,Pan C,Bai M,Zhang J,Peng Y,Zheng D,Zhang Z

    更新日期:2016-10-01 00:00:00

  • Characteristics and outcomes of patients hospitalized with interstitial lung diseases in Spain, 2014 to 2015.

    abstract::To assess characteristics and outcomes of patients hospitalized with interstitial lung diseases (ILD) and to analyze patient's comorbidities, procedures, and in-hospital outcomes.We identified patients hospitalized with idiopathic pulmonary fibrosis and others ILD such as hypersensitivity pneumonitis, cryptogenic orga...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000015779

    authors: Pedraza-Serrano F,Jiménez-García R,López-de-Andrés A,Hernández-Barrera V,Sánchez-Muñoz G,Puente-Maestu L,de-Miguel-Díez J

    更新日期:2019-05-01 00:00:00

  • Sphincter-preserving surgery for low-middle rectal cancer: Can we predict feasibility with high-resolution magnetic resonance imaging?

    abstract::The study proposed to evaluate the feasibility of predicting sphincter-sparing surgery (SSS) preoperatively in low-middle rectal cancer by using magnetic resonance (MR).The study included both retrospective and prospective design. In the retrospective design, the distance from lower edge of tumor to upper margin of th...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000007418

    authors: Zhu HB,Wang L,Li ZY,Li XT,Zhang XY,Sun YS

    更新日期:2017-07-01 00:00:00

  • A new intensive conditioning regimen for allogeneic hematopoietic stem cell transplantation in patients with refractory or relapsed acute myeloid leukemia.

    abstract::To explore the efficacy, and safety of the intensive conditioning regimen consisting of cladribine, cytarabine (Ara-C), and granulocyte colony-stimulating factor (G-CSF) plus modified busulfan (Bu) combined with cytoxan (Cy) (BuCy), prior to allogeneic hematopoietic stem cell transplantation (allo-HSCT) in patients wi...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000010228

    authors: Wang J,Zhao J,Fei X,Yin Y,Cheng H,Zhang W,Gu J,Yang F,Yang Y,Xue S,Tian Z,He J,Zhang S,Wang X

    更新日期:2018-04-01 00:00:00

  • Correlation analysis and clinical significance of CA125, HE4, DDI, and FDP in type II epithelial ovarian cancer.

    abstract::Ovarian cancer is one of the common female malignant tumors. The early diagnosis and treatment of ovarian cancer has been a research hotspot. Therefore, we aimed to investigate the correlations between the levels of carbohydrate antigen 125 (CA125), human epididymis protein 4 (HE4), D-dimer (DDI), and fibrinogen degra...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000023329

    authors: Qiao L,Chen X,Xi X,Chen X,Zhang P,Dong H,Wu X,Chen X

    更新日期:2020-12-04 00:00:00

  • Efficacy and safety of Xiaofeng powder (xiao feng san) in treating urticaria: A protocol for a systematic review and meta-analysis of randomized controlled trials.

    abstract:BACKGROUND:Urticaria is a common skin disease that has a high impact on a patient's daily life. Xiaofeng powder (XFP) is one of the most commonly used Chinese herbal formula in China for urticaria. However, due to the lack of systematic evaluations, its clinical efficacy remains controversial. This meta-analysis was pe...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000013039

    authors: Chen G,Zhao J,Chen T,Zhang Z,Huang C,Xu Z,Xu H

    更新日期:2018-11-01 00:00:00

  • Electro-acupuncture attenuates inflammatory responses and intraabdominal pressure in septic patients: A randomized controlled trial.

    abstract:BACKGROUND:A pathological increase in intraabdominal pressure (IAP) and inflammatory responses have negative effects on splanchnic, respiratory, cardiovascular, renal, and neurological function in septic patients with intestinal dysfunction. Electro-acupuncture (EA) has been evidenced to have a bidirectional neuron-end...

    journal_title:Medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/MD.0000000000010555

    authors: Meng JB,Jiao YN,Xu XJ,Lai ZZ,Zhang G,Ji CL,Hu MH

    更新日期:2018-04-01 00:00:00

  • Comparative Assessment of the Anticoagulant Activity of Rivaroxaban and Dabigatran in Patients With Nonvalvular Atrial Fibrillation: A Noninterventional Study.

    abstract::There is a shortage of data in everyday clinical practice about the anticoagulant effects caused by the new oral anticoagulants (NOAs). Our aim was to estimate the intensity of anticoagulant activity induced by rivaroxaban 20 mg qd and dabigatran 110 mg bid among patients with nonvalvular atrial fibrillation (NV-AF).W...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000003037

    authors: Tsantes AE,Kyriakou E,Ikonomidis I,Katogiannis K,Papadakis I,Douramani P,Kopterides P,Kapsimali V,Lekakis J,Tsangaris I,Bonovas S

    更新日期:2016-04-01 00:00:00

  • The effect of sex hormones on normal breast tissue metabolism: Evaluation by FDG PET/CT.

    abstract::This study investigated the effect of sex hormones on F-fluorodeoxyglucose (FDG) uptake in normal breast tissue.The retrospective study included 249 premenopausal women (median age, 45 years) who were diagnosed with unilateral breast cancer and underwent FDG positron emission tomography/computed tomography and hormone...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000016306

    authors: Jung Y,Kim TH,Kim JY,Han S,An YS

    更新日期:2019-07-01 00:00:00

  • Predictive factors for hospitalization of nonurgent patients in the emergency department.

    abstract::Nonurgent emergency department (ED) patients are a controversial issue in the era of ED overcrowding. However, a substantial number of post-ED hospitalizations were found, which prompted for investigation and strategy management. The objective of this study is to identify risk factors for predicting the subsequent hos...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000004053

    authors: Ng CJ,Liao PJ,Chang YC,Kuan JT,Chen JC,Hsu KH

    更新日期:2016-06-01 00:00:00

  • Capillary hemangioma arising from the lesser omentum in an adult: A case report.

    abstract:RATIONALE:Although capillary hemangiomas, common lesions involving the proliferation of small capillary vessels and a single layer of endothelial cells, can arise in any organ, they are rarely reported in the greater or lesser omentum. Here in, we report a case of capillary hemangioma arising from the lesser omentum in...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000018693

    authors: Nagano H,Goi T,Taguchi S,Tsubaki T,Tsuchiyama T,Uematsu H,Noriki S

    更新日期:2020-01-01 00:00:00

  • Intravenous versus topical tranexamic acid in primary total hip replacement: A meta-analysis.

    abstract:BACKGROUND:As the prevalence of total hip arthroplasty (THA) is increasing, it is usually associated with considerable blood loss. Tranexamic acid (TXA) has been reported to reduce perioperative blood loss in hip joint arthroplasty. But the best route of TXA administration continues to be controversial. So, we conducte...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000005573

    authors: Zhang P,Liang Y,Chen P,Fang Y,He J,Wang J

    更新日期:2016-12-01 00:00:00

  • Superb microvascular imaging evaluating joint lesion scores in rheumatoid arthritis compared with power Doppler imaging: A meta-analysis.

    abstract:BACKGROUND:To compare superb microvascular imaging with power Doppler imaging for evaluating joint lesion scores in rheumatoid arthritis based on high quality clinical cohort or case control studies. METHODS:We searched Medline (via PubMed), Web of Science, Cochrane Library, Embase, and Chinese Biomedical Literature D...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000022185

    authors: Lin M,Wang C

    更新日期:2020-09-11 00:00:00

  • Efficacy and safety of endovascular coiling vs surgical clipping for patients with ruptured carotid-ophthalmic aneurysm: A protocol for systematic review and meta-analysis.

    abstract:BACKGROUND:Carotid-ophthalmic aneurysms are relatively rare, and represent 1% of all intracranial aneurysms. Generally, endovascular coiling and surgical clipping are the 2 most commonly used methods to treat ruptured carotid-ophthalmic aneurysms, it provides the most favorable outcome for a patient. This study aims to...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000023235

    authors: Feng GJ,Gao F,Huang XY,Hati P,Yang XP,Wu HX

    更新日期:2020-11-20 00:00:00

  • Postoperative changes of liver enzymes can distinguish between biliary stricture and graft rejection after living donor liver transplantation: A longitudinal study.

    abstract::There is no known useful clinical parameter that can specifically predict a biliary stricture and differentiate it from other related complications after living donor liver transplantations (LDLT). The aims of this study were to determine whether the changes of liver enzymes can predict postoperative biliary stricture...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000006892

    authors: Woo YS,Lee KH,Lee KT,Lee JK,Kim JM,Kwon CHD,Joh JW,Kang D,Cho J

    更新日期:2017-10-01 00:00:00

  • Association of Bisphenol A Exposure With Hypertension and Early Macrovascular Diseases in Chinese Adults: A Cross-Sectional Study.

    abstract::Bisphenol A (BPA) is an environmental endocrine disruptor that has been associated with cardiovascular outcomes in previous observational studies. We aimed to examine the relationships of urinary BPA levels with hypertension and early macrovascular diseases.This is a cross-sectional study. From June through August 200...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000001814

    authors: Wang T,Xu M,Xu Y,Lu J,Li M,Chen Y,Wang W,Lai S,Bi Y,Ning G

    更新日期:2015-10-01 00:00:00

  • Effect of Probiotics on Blood Lipid Concentrations: A Meta-Analysis of Randomized Controlled Trials.

    abstract::Previous clinical studies have reported mixed results regarding the effect of probiotics on lipid metabolism. Therefore, we conducted a meta-analysis of randomized controlled trials to quantify the direction and magnitude of the potential effect of probiotics on blood lipid concentrations.Eligible studies were randomi...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000001714

    authors: Cho YA,Kim J

    更新日期:2015-10-01 00:00:00

  • Survival time and prognostic factors of patients with initial noncurative colorectal liver metastases.

    abstract::The true survival benefit of different curative strategies involving type of operative procedure and timing for patients with initial noncurative colorectal liver metastases remains uncertain. The goal of this study was to examine the effect of primary tumor resection on patients' survival and to clarify the predictiv...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000008831

    authors: Liu Q,Hao L,Lou Z,Gao X,Gong H,Hong Y,Fu C,Zhang W

    更新日期:2017-12-01 00:00:00

  • Different dosages of mifepristone versus enantone to treat uterine fibroids: A multicenter randomized controlled trial.

    abstract:BACKGROUND:To evaluate the efficacy and safety of 10 mg and 25 mg mifepristone per day compared with 3.75 mg enantone in treating uterine fibroids. METHODS:This is a Multicenter randomized controlled trial. A total of 501 subjects with symptomatic uterine fibroids were enrolled and randomized into the group of 10mg, 2...

    journal_title:Medicine

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/MD.0000000000006124

    authors: Liu C,Lu Q,Qu H,Geng L,Bian M,Huang M,Wang H,Zhang Y,Wen Z,Zheng S,Zhang Z

    更新日期:2017-02-01 00:00:00

  • Successful closure of ileostomy in a patient with intestinal Behçet's disease after therapy with adalimumab: A case report.

    abstract:RATIONALE:Behçet's disease (BD) is a chronic immune-mediated inflammatory disorder involving multiple organ systems. In BD, intestinal ulcers can present as a refractory lesion capable of perforation, which makes the choice of treatment difficult. PATIENT CONCERNS:A 34-year-old male who was diagnosed with intestinal B...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000014624

    authors: Yan Z,Cui BB,Yu YY,Yin G,Cen XM,Xie QB

    更新日期:2019-03-01 00:00:00

  • Successful treatment of a rare extended retroperitoneal necrotizing soft tissue infection caused by extended-spectrum beta-lactamase-producing Escherichia coli: A case report.

    abstract:RATIONALE:Retroperitoneal necrotizing soft tissue infection (NSTI) is a rare but life-threatening disease. Here, we present a case of extended retroperitoneal NSTI caused by extended-spectrum beta-lactamase (ESBL)-producing Escherichia coli (E coli). PATIENT CONCERNS:The patient complained of progressive redness, swel...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000005576

    authors: He R,Qi X,Wen B,Li X,Guo L

    更新日期:2016-12-01 00:00:00

  • Analysis of risk factors for perioperative death in patients undergoing aortic valve replacement using biological valves.

    abstract:BACKGROUND:Aortic valve disease has become one of the important factors affecting human health. Aortic valve disease is a progressive disease, if not actively treated, the prognosis is poor. Aortic valve replacement (AVR) surgery is an important treatment for aortic valve disease. At present, the AVR surgery using biol...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000023909

    authors: Li Q,Gao H,Ji Q,Song J,Li L,Liu X

    更新日期:2020-12-24 00:00:00

  • Multiple versus single doses of dexamethasone in total hip arthroplasty: A protocol of randomized controlled trial.

    abstract:BACKGROUND:Reduction of post-operative pain, nausea, and vomiting in patients undergoing total hip arthroplasty (THA) may facilitate earlier discharge from hospital and reduce healthcare costs. The recommended dose regimen of dexamethasone in THA has not been determined. The purpose of this study was performed to compa...

    journal_title:Medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/MD.0000000000020147

    authors: Zhang B,Sun S,Sheng B

    更新日期:2020-05-01 00:00:00

  • Clinicopathological features, surgical treatments, and survival outcomes of patients with small bowel adenocarcinoma.

    abstract::To date, because of their rarity, the clinicopathological features and surgical outcomes of small bowel adenocarcinomas (SBAs) have been insufficiently explored. We evaluated the clinicopathological features and long-term outcomes of patients who underwent surgery for SBA.This retrospective study (from 1999 to 2016) e...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000007713

    authors: Zhang S,Yuan W,Zhang J,Chen Y,Zheng C,Ma J,Jiang Q,Zhao Y,Xu Q,Wang C

    更新日期:2017-08-01 00:00:00

  • Evaluation of cell-mediated immune response by QuantiFERON Monitor Assay in kidney transplant recipients presenting with infective complications.

    abstract::The net level of immunosuppression in kidney transplant recipients is difficult to assess. QuantiFERON Monitor (QFM) is an in vitro diagnostic test that detects interferon-γ (IFN-γ) release in peripheral blood. The aim of our study was to compare QFM testing results in stable kidney transplant recipients and kidney tr...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000021010

    authors: Margeta I,Mareković I,Pešut A,Zelenika M,Dorotić M,Mrnjec I,Knotek M

    更新日期:2020-07-02 00:00:00

  • Spontaneous adrenal hematoma in pregnancy: A case report.

    abstract:RATIONAL:Spontaneous adrenal hematoma in pregnancy is a very rare condition. Herein we present an additional rare case of unilateral spontaneous adrenal hematoma in a pregnant woman, aiming to share this experience and summarize the signal characteristics of simple adrenal hematoma in magnetic resonance imaging (MRI). ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000013329

    authors: Yang L,Zhu YC,Liu RB

    更新日期:2018-11-01 00:00:00

  • Using an informatics education strategy to resolve the dilemma of teaching transplantation in medical institutions: Multidisciplinary medical team perspectives.

    abstract::In Taiwan, the current survival rate 1 year after transplantation exceeds 80%. However, the number of organ/tissue donors per year in Taiwan is extremely low, resulting in increased mortality. This is also true in Europe and in the United States. Recently, data from the Taiwan Organ Registry and Sharing Center showed ...

    journal_title:Medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/MD.0000000000012809

    authors: Hsieh MH,Shih FJ,Sheu SJ,Wang SS,Shih FJ

    更新日期:2018-10-01 00:00:00

  • The timing of urinary catheter removal after gynecologic surgery: A meta-analysis of randomized controlled trials.

    abstract::The present study aimed to assess the effect of removing an indwelling urinary catheter at different times on urinary retention and urinary infection in patients undergoing gynecologic surgery.Electronic databases including PubMed, EMbase, the Cochrane Central Register of Controlled Trials, and Ovid from inception to ...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000018710

    authors: Huang H,Dong L,Gu L

    更新日期:2020-01-01 00:00:00