Clinical and occupational health management of healthcare workers living with chronic hepatitis B: UK policy and international comparisons
Grace E Dolman 1 , Apostolos Koffas 2 , Emily Phipps 3 , Patrick T F Kennedy 1
Affiliations
Affiliations
1
Barts Liver Centre, Blizard Institute, The London School of Medicine and Dentistry, Queen Mary University of London, Barts, London, UK.
2
Department of Gastroenterology, General University Hospital of Larisa, Larisa, Greece.
3
Blood Safety, STI and HIV Division, National Infection Service, Public Health England, London, UK.
PMID: 33665937 DOI: 10.1111/jvh.13494
Abstract
Hepatitis B virus (HBV) is a highly infectious blood-borne virus, which remains endemic in large geographic areas and represents a major global healthcare challenge. HBV transmission from healthcare workers, who perform exposure prone procedures (EPP), to patients is a recognised transmission risk, which varies widely globally. Although the risk is small in developed countries, it increases significantly in high-prevalent, low-resource countries, representing a major challenge to these healthcare systems and underlining the necessity for robust guidance to be in place. The HBV landscape has evolved as a result of global vaccination programs, implementation of standard precautions and the advent of new generation antiviral agents (3rd generation nucleos(t)ide analogues). In light of the progress in the field, the UK Advisory Panel for Healthcare Workers Infected with Blood Borne Viruses (UKAP) recently issued updated guidance, which essentially removes past barriers, restricting healthcare workers from performing EPPs solely on the basis of HBV DNA level, regardless of hepatitis B 'e' antigen and/or treatment status. Although the current recommendations remain conservative compared to those of other developed healthcare systems, UK practice is now in line with other high-income countries, while ensuring patient safety remains paramount, without unduly restricting HCWs from clinical practice. The current article presents the latest UKAP guidance, considers its implications for HCWs and compares it with the guidance from major international scientific societies and governing bodies.
Keywords: Health policy; Public Health; hepatitis B; viral hepatitis.
This article is protected by copyright. All rights reserved. 作者: StephenW 时间: 2021-3-6 20:03
慢性乙型肝炎医护人员的临床和职业健康管理：英国政策和国际比较
格蕾丝·多曼（Grace E Dolman）1，阿波斯托洛斯·科法斯（Apostolos Koffas）2，艾米莉·菲普斯（Emily Phipps）3，帕特里克·肯尼迪（Patrick T F Kennedy）1
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