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1977年,在英国伯明翰一所针灸诊所就诊的病人中,发生了34例乙型肝炎感染。其中27例测出乙型肝炎表面抗原; 3例测出核心抗原抗体(抗HBc)或/和表面抗原抗体(抗HBs),提示系新近感染;另4例出现黄疸,但未做血清学检查。此外还发现2名家庭二代病例。该诊所的针灸医生并无医生资格,但每日诊疗达80人。流行病学调查表明,这个针灸医生不是带毒者;传染源可能是一个带毒的病人。大多数病人定期就诊,一般每周2次。由于所用注射针头是空心的,因而较传统的实心的针灸针容易传播病毒。针具均不消毒,连续使用,甚至不加清洁,用毕置一合子内,以后再用。因为病人定期反复就诊,所以通过一
In 1977, 34 hepatitis B infections occurred in patients treated at an acupuncture clinic in Birmingham, England. Among them, 27 cases detected hepatitis B surface antigen; 3 cases detected core antigen antibody (anti-HBc) or / and surface antigen antibody (anti-HBs), suggesting that the recent infection; the other 4 cases of jaundice, but did not do serological tests . In addition, two families of second-generation cases were also found. The clinics acupuncturists are not doctors, but the daily diagnosis of up to 80 people. Epidemiological survey shows that this acupuncturist is not a poisoned person; the source of infection may be a poisoned patient. Most patients get regular treatment, usually 2 times a week. Because the needle used is hollow, the more traditional, solid acupuncture needles can easily spread the virus. Needle with no disinfection, continuous use, or even without cleaning, with a perfect fit within the child, and then use. Because the patient regularly repeated visits, so through one