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Viral Hepatitis: An Occupational Hazard to Surgeons
James L. Rosenberg, MD;
Don P. Jones, MD;
Lance R. Lipitz, MD;
Joseph B. Kirsner, MD, PhD
JAMA. 1973;223(4):395-400.
Abstract
An epidemic of serum hepatitis (hepatitis-associated antigen [HAA]-positive) among surgical house staff occurred at Albert Merritt Billings Hospital in the winter of 1971. Four surgeons, who had operated on a patient in whom HAA-positive serum hepatitis subsequently developed, were affected. Arthralgia or arthritis and rash were prominent clinical features of this outbreak. Reduced synovial fluid complement level and a synovial fluid that was HAA-positive were found in one of the surgeons. A detailed evaluation of the 75 medical and allied medical personnel who cared for this patient before, during, and after surgery uncovered no additional cases of hepatitis. We believe, therefore, that the serum hepatitis virus was transmitted to the surgeons while they were operating, most likely through tissue penetration by contaminated surgical instruments or materials.
Author Affiliations
From the Department of Medicine, Pritzker School of Medicine, University of Chicago. Dr. Jones is now with the Hutzel Hospital Medical Unit, Detroit. Dr. Lipitz is now with the US Army, Fitzsimmons Army Hospital, Aurora, Colo.
Footnotes
Read before the 22nd annual meeting of the American Association for the Study of Liver Disease, Chicago, Nov 4, 1971.
Reprint requests to 950 E 59th St, Chicago 60637 (Dr. Rosenberg).
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