A Multicenter Study of the Epidemiology of Hepatitis B in Anesthesia Residents

Berry, Arnold J.; Isaacson, Ira J.; Kane, Mark; Schatz, Gary C.; Clark, Brian T.; Beaupre, Paul N.; Derrer, S. A.; Kapur, Patricia A.; Thompson, Joyce; Martin, David T.

doi:10.1213/00000539-198507000-00004

Cited by 18 publications

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“…A previous study demonstrated that during 100 anaesthetic sessions, there were 25 episodes in which potential contamination of an open skin lesion by oral secretions occurred [5]. The prevalence of previous hepatitis B virus positivity was suggested to be higher in anaesthetists who wear protective gloves only while performing sterile procedures [6]. The occupational risks of hepatitis C and human immunodeficiency virus (HIV) are important and the modes of occupation transmission are similar to hepatitis B; however, at present, no effective vaccine exists.…”

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Visible and occult blood contamination of laryngeal mask airways and tracheal tubes used in adult anaesthesia

Parker

Day

2000

Anaesthesia

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SummaryWe have studied changes in upper airway re¯ex sensitivity following general anaesthesia using dilute ammonia vapour as a chemical stimulant in 16 patients undergoing elective laparoscopic gynaecological surgery. We measured the threshold concentration of ammonia vapour required to elicit a transient reduction of inspiratory¯ow caused by glottic closure, de®ned as a glottic stop. Measurements of upper airway re¯ex sensitivity and auditory reaction time were obtained before surgery, and at 60 and 120 min after recovery. Auditory reaction time was depressed signi®cantly at 60 min but was similar to baseline values 120 min after recovery. Upper airway re¯ex sensitivity remained signi®cantly reduced at 60 and 120 min despite the return of auditory reaction time to normal. The lack of correlation between upper airway re¯ex sensitivity and auditory reaction time suggests that central nervous system depression alone does not explain the delayed recovery in airway reactivity.

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Visible and occult blood contamination of laryngeal mask airways and tracheal tubes used in adult anaesthesia

Parker

Day

2000

Anaesthesia

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“…In the final study of this series, we involved seven academic medical centers and found an hepatitis B virus seropositivity rate of 12.7% in 267 anesthesia residents. 7 The primary conclusions from the three studies were that anesthesia professionals, including residents in clinical training, were at extremely high risk for occupational infection with hepatitis B virus, that the vaccine should be offered as the primary prevention strategy, and that other changes in practice were necessary to prevent exposure to blood and body fluids carrying bloodborne pathogens. 8…”

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Berry

2023

Anesthesiology

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The Prevalence of Hepatitis B Markers in Anesthesia Personnel. By Berry AJ, Isaacson IJ, Hunt D, Kane MA. Anesthesiology 1984; 60:6–9 The prevalence of hepatitis B viral markers has increased in some groups of medical workers who are exposed to blood from patients carrying the virus, but this has not been studied critically in physicians and others who administer anesthesia. Physician anesthesiologists (M.D.) and nurse anesthetists and anesthesia assistants (non-M.D.) at four university-affiliated hospitals were evaluated for hepatitis B markers as determined by seropositivity for hepatitis B surface antigen, antibody to the hepatitis B surface antigen, or antibody to the hepatitis B core antigen. In the 86 subjects (38 M.D., 48 non-M.D.) who represented 80.4% of possible participants, the overall prevalence of serologic markers of hepatitis B was 23.3%. The frequency did not differ between M.D. (23.7%) and non-M.D. (22.9%) groups or between men (20.3%) and women (26.9%). Of 81 subjects who had no clinical history of hepatitis, 16 (19.8%) had positive serologic markers. The frequency of seropositivity increased with time since graduation from medical school (M.D.) or nursing school or college (non-M.D.). The prevalence of serologic markers of hepatitis B virus in this study of anesthesia personnel is five to eight times that of the general population but is similar to that of other medical workers who frequently are exposed to blood.

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Viral Hepatitis

Strunin¹

1986

Anesthesiology 1986

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A Multicenter Study of the Epidemiology of Hepatitis B in Anesthesia Residents

Cited by 18 publications

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Visible and occult blood contamination of laryngeal mask airways and tracheal tubes used in adult anaesthesia

Visible and occult blood contamination of laryngeal mask airways and tracheal tubes used in adult anaesthesia

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Viral Hepatitis

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