Erschienen in:
01.06.2013 | Case Report
A case of acute hepatitis B related to previous gynecological surgery in Japan
verfasst von:
Shinya Sugimoto, Shuichi Nagakubo, Tsuyoshi Ito, Yuya Tsunoda, Satoshi Imamura, Toshihide Tamura, Yuichi Morohoshi, Yuji Koike, Yuriko Fujita, Syoko Ito, Setsuko Fujita, Natsuo Tachikawa, Hirokazu Komatsu
Erschienen in:
Journal of Infection and Chemotherapy
|
Ausgabe 3/2013
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Abstract
A 41-year-old woman became ill with acute hepatitis B after gynecological surgery performed by a surgeon who was hepatitis B surface antigen positive. The surgeon was positive for hepatitis B e antigen, and HBV DNA concentrations in the serum, saliva, and sweat of the surgeon were very high. HBV genotype and partial HBV DNA sequences from the HBV-infected surgeon were identical to those in the HBV-infected patient. Extensive research by the committee including infection control and prevention specialists judged the source of infection to be a surgeon infected with HBV. Transmission of HBV from a healthcare worker to patients who are not immune to HBV can actually happen. This case report illustrates the importance of a stringent policy of a nationwide HBV universal vaccination program.