Hepatitis B risk factors: Difference between revisions

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* People providing or receiving acupuncture and/or tattooing with unsterile medical devices
* People providing or receiving acupuncture and/or tattooing with unsterile medical devices
* Persons living in regions or travelling to regions with endemic hepatitis B
* Persons living in regions or travelling to regions with endemic hepatitis B
*Inject drugs
* Sexually active heterosexuals
*Are a man who has sex with men  
* Men who have sex with men
*Live in the same house with someone who has chronic (long-term) HBV infection
* Hemophilia patients
*Have a job that involves contact with human blood
* Travel to areas where hepatitis B is common
*Are a client in a home for the developmentally disabled
*Have hemophilia
*Travel to areas where hepatitis B is common (country listing)


One out of 20 people in the United States will get infected with HBV some time during their lives.
Frequent and routine exposure to [[blood]] or [[serum]] is the common denominator of healthcare occupational exposure.
 
Their risk is higher if their parents were born in Southeast Asia, Africa, the Amazon basin in South America, the Pacific Islands, or the Middle East.
 
<!--
 
 
 
 
 
sexually active heterosexuals
 
ƒ
 
men who have sex with men
 
Frequent and routine exposure to blood or serum is
 
the common denominator of healthcare occupational
 
exposure. Surgeons, dentists, oral surgeons, pathologi
 
sts, operating room and emergency room staff, and
 
clinical laboratory workers who handle blood are at the highest risk.
 
31
 
HBV infection is the major residual posttransfusion
 
risk in developed countries
 
because of t
 
he long window
 
period, HBV mutants, the low viraemia (difficulties for PCR on pooled samples) and the very high
 
infectivity.
 
Over one-third of patients with acute hepatitis B do not have readily identifiable risk factors.
 
3
 
Efforts to vaccinate persons in the major risk groups have had limited success because of the difficulties in
 
identifying vaccination candidates belonging to high
 
risk groups. Moreover, regulations have to be
 
developed to ensure the implementation of vaccination programs.
 
3, 37
 
High risk persons should be post-tested within 1-2 months of receipt of the third dose of HBV vaccine, to
 
identify good responders to vaccinati
 
on. This policy is cost-saving since adequate responders do not need
 
to be retested or given HBIG whenever they later are exposed to HBV. They also do not need to be
 
offered booster doses of vaccine periodically.
 
-->


== References ==   
== References ==   

Revision as of 18:07, 29 July 2014

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: João André Alves Silva, M.D. [2]

Overview

Risk Factors

Individuals who are at increased risk of hepatitis B infection include:

  • Infants born to infected mothers
  • Young children in day-care or residential settings with other children in endemic areas
  • Sexual/household contacts of infected persons
  • ƒ Patients and employees in haemodialysis centres
  • Injection drug users sharing unsterile needles
  • People sharing unsterile medical or dental equipment
  • People providing or receiving acupuncture and/or tattooing with unsterile medical devices
  • Persons living in regions or travelling to regions with endemic hepatitis B
  • Sexually active heterosexuals
  • Men who have sex with men
  • Hemophilia patients
  • Travel to areas where hepatitis B is common

Frequent and routine exposure to blood or serum is the common denominator of healthcare occupational exposure.

References

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