Hepatitis B Transmission Between Dental or Medical Workers and Patients
Authors: ROBERT J. GERETY
Journal: Annals of Internal Medicine (1981)

Editorials1 August 1981Hepatitis B Transmission Between Dental or Medical Workers and PatientsROBERT J. GERETY, M.D., PH.D.ROBERT J. GERETY, M.D., PH.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-95-2-229 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptHepatitis B is a hazard for dental and medical workers who directly or indirectly acquire the infection from their patients. The risk is higher for urban dentists and physicians and increases with years of practice. Dentists, especially oral surgeons, are particularly at risk (1), as are physicians, especially surgeons and pathologists. In one study 14.4% of dentists and 16.0% of physicians had serologic evidence of past or current hepatitis B virus (HBV) infections compared to 4.4% of nonmedical, first-time volunteer blood donors (2). Among physicians, 22.4% in surgical subspecialties had serologic evidence of active or past HBV infections. High-risk hospital...References1. MOSLEYWHITE JE. Viral hepatitis as an occupational hazard of dentists. J Am Dent Assoc. 1975;90:992-7. CrossrefMedlineGoogle Scholar2. SMITHMAYNARDBERQUISTDOTOWEBSTERSHELLER JJKIHM. Comparative risk of hepatitis B among physicians and dentists. J Infect Dis. 1976;133:705-6. CrossrefMedlineGoogle Scholar3. BARKERMAYNARDPURCELL LJR. Hepatitis B virus infection in chimpanzees: titration of subtypes. J Infect Dis. 1975;132:451-8. CrossrefMedlineGoogle Scholar4. SPIEGELTABORPIZZOGERETY REPR. Hepatitis B surface antigen in spinal fluid. Med Pediatr Oncol. 1980;8:115-21. CrossrefMedlineGoogle Scholar5. ALTERPURCELLGERIN HRJ. Transmission of hepatitis B to chimpanzees by hepatitis B surface antigen-positive saliva and semen. Infect Immun. 1977;16:928-33. CrossrefMedlineGoogle Scholar6. MAYNARD J. Nosocomial viral hepatitis. Am J Med. 1981;70:439-44. CrossrefMedlineGoogle Scholar7. TABORGERETYMOTTWILBUR ERMJ. Prevalence of hepatitis B in a high-risk setting: a serologic study of patients and staff in a pediatric oncology unit. Pediatr. 1978;61:711-5. MedlineGoogle Scholar8. HADLERSORLEYACREE SDK. An outbreak of hepatitis B in a dental practice. Ann Intern Med. 1981;95:133-8. LinkGoogle Scholar9. RIMLANDPARKINMILLERSCHRACK DWGW. Hepatitis B outbreak traced to an oral surgeon. N Engl J Med. 1977;296:953-8. CrossrefMedlineGoogle Scholar10. LEVINMADDREYWANDSMENDELOFF MWJA. Hepatitis B transmission by dentists. JAMA. 1974;228:1139-40. CrossrefMedlineGoogle Scholar11. GARIBALDIRASMUSSENHOLMESGREGG RCAM. Hospital acquired serum hepatitis. Report of an outbreak. JAMA. 1972;219:1577-80. CrossrefMedlineGoogle Scholar12. GROBMOESCHLIN PP. Risk to contacts of a medical practitioner carrying HBsAg. N Engl J Med. 1975;293:197. Letter. CrossrefMedlineGoogle Scholar13. Acute hepatitis B associated with gynaecological surgery: report of a collaborative study by the Communicable Disease Surveillance Center of the Epidemiological Research Laboratory of the Central Public Health Laboratory together with a District Control-of-Infection Service. Lancet. 1980;1:1-6. MedlineGoogle Scholar14. SNYDMANHINDMANWINELANDBRYANMAYNARD DSMJJ. Nosocomial viral hepatitis B. A cluster among staff with subsequent transmission to patients. Ann Intern Med. 1976;85:573-7. LinkGoogle Scholar15. WILLIAMSPATTISONBERQUIST SCK. Dental infection with hepatitis B. JAMA. 1975;232:1231-3. CrossrefMedlineGoogle Scholar16. ALTERCHALMERSFREEMAN HTB. Health-care workers positive for hepatitis B surface antigen. Are their contacts at risk? N Engl J Med. 1975;292:454-7. CrossrefMedlineGoogle Scholar17. GERBERLEWINGERETYLE MERC. The lack of nurse-infant transmission of type B hepatitis in a special care nursery. J Pediatr. 1977;91:120-2. CrossrefMedlineGoogle Scholar18. PRINCESZMUNESSMANN AWM. Hepatitis B "immune" globulin: Effectiveness in prevention of dialysis-associated hepatitis. N Engl J Med. 1975;293:1063-7. CrossrefMedlineGoogle Scholar19. SEEFFHOOFNAGLE LJ. Immunoprophylaxis of viral hepatitis. Gastroenterology. 1979;77:161-82. CrossrefMedlineGoogle Scholar20. GERETYTABORPURCELLTYERYAR RERF. Summary of an international workshop on hepatitis B vaccines. J Infect Dis. 1979;140:642-8. CrossrefMedlineGoogle Scholar21. SZMUNESSSTEVENSHARLEY WCE. Hepatitis B vaccine. Demonstration of efficacy in a controlled clinical trial in a high-risk population in the United States. N Engl J Med. 1980;303:833-41. CrossrefMedlineGoogle Scholar22. CROSNIERJUNGERSCOUROUCÉ JPA. Randomized placebo-controlled trial of hepatitis B surface antigen vaccine in French haemodialysis units: I. Medical staff. Lancet. 1981;1:455-9. CrossrefMedlineGoogle Scholar23. SZMUNESSSTEVENSOLESZKOGOODMAN WCWA. Passive-active immunization against hepatitis B: Immunogenicity studies in adult Americans. Lancet. 1981;1:575-7. CrossrefMedlineGoogle Scholar24. PURCELLGERIN RJ. Hepatitis B vaccines: A status report. In VYAS GN, COHEN SN, SCHMID R, eds. Viral Hepatitis. Philadelphia: Franklin Institute Press; 1978: 491-505. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: ROBERT J. GERETY, M.D., PH.D.Affiliations: Division of Blood and Blood Products Bureau of Biologics Food and Drug Administration Bethesda, Maryland PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byHealth Care–Acquired HepatitisBarriers to Hepatitis B Vaccine Coverage among Healthcare Workers in the Republic of Georgia: An International PerspectiveNosocomial Hepatitis and Other Transfusion- and Transplantation-Transmitted InfectionsLong-term efficacy of hepatitis B vaccination in healthcare workers of Oil Company Hospital, Tehran, Iran (1989–2005)Relevance of Hepatitis B DNA Detection in Patient's SerumInfectivity of medical staff for hepatitis BUse of gloves among dermatologistsInfection: Occupational Hazard to the SurgeonDialysis Associated HepatitisHepatitis and the skinHepatitis B: A Hazard for DermatologistsHepatitis B Transmission from Dental Personnel to Patients: Unfinished BusinessRICHARD A. GOODMAN, M.D., JERAL L. AHTONE, M.D., ROBERT J. FINTON, M.S.P.H. 1 August 1981Volume 95, Issue 2Page: 229-231KeywordsBlood donorsHepatitis AHepatitis BHepatitis B virusInfectious hepatitisPathologistsSub-specialty careSurgeons ePublished: 1 December 2008 Issue Published: 1 August 1981 PDF downloadLoading ...