The seroprevalence of hepatitis B and C in hospitalized Danish patients

Scand J Infect Dis. 1995;27(5):445-8. doi: 10.3109/00365549509047043.

Abstract

Health care workers are at risk of acquiring blood-borne infections. To assess the risk of exposure to hepatitis B or C in the case of occupational blood exposure, we determined the seroprevalence of these infections in 466 patients admitted to a Copenhagen university hospital. Serological markers for hepatitis B or C were detected in 56 patients (12.0%). The seroprevalence of HBsAg and anti-HCV was 0.9% and 1.5% respectively. HCV RNA, indicating ongoing hepatitis C, was found in five of seven anti-HCV-positive patients by polymerase chain reaction. The serological findings had not previously been diagnosed in 4 of 10 potentially infectious patients and only 6 of 10 patients belonged to high-risk groups. In conclusion, health care workers should be aware of the potential the occupational risk of hepatitis B and C even in a low-prevalence country like Denmark. Management of health care workers after blood exposure should include serological testing for both hepatitis B and C. Strict adherence to universal precautions is recommended and vaccination against hepatitis B should be encouraged.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Base Sequence
  • DNA Primers / genetics
  • Denmark / epidemiology
  • Female
  • Hepatitis B / epidemiology*
  • Hepatitis B / immunology
  • Hepatitis B / transmission
  • Hepatitis B Antibodies / blood
  • Hepatitis C / epidemiology*
  • Hepatitis C / immunology
  • Hepatitis C / transmission
  • Hepatitis C Antibodies / blood
  • Hospitalization
  • Hospitals, University
  • Humans
  • Infectious Disease Transmission, Patient-to-Professional
  • Male
  • Middle Aged
  • Molecular Sequence Data
  • Personnel, Hospital
  • RNA, Viral / blood
  • RNA, Viral / genetics
  • Risk Factors

Substances

  • DNA Primers
  • Hepatitis B Antibodies
  • Hepatitis C Antibodies
  • RNA, Viral