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Anesth Analg 1985; 64:672-676
© 1985 International Anesthesia Research Society
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A Multicenter Study of the Epidemiology of Hepatitis B in Anesthesia Residents

Arnold J. Berry, MD, Ira J. Isaacson, MD, Mark A. Kane, MD, MPH, Gary C. Schatz, PhD, Brian T. Clark, BS, Paul Beaupre, MD, Stephen Derrer, MD, Patricia Kapur, MD, Janine Thompson, MD, Donald Martin, MD, H. Stuart Large, MD, Mervyn Maze, MB, ChB, Christian K. Spiss, MD, Ann K. Ronai, MB, BS, PhD, and Maria A. Kimovec, MD

Received from the Department of Anesthesiology, Emory University School of Medicine, Atlanta, Georgia; Hepatitis Branch, Viral Diseases Division, Centers for Disease Control, Atlanta, Georgia; University of California at San Francisco, San Francisco, California; University Hospitals of Cleveland, Cleveland, Ohio; University of California at Los Angeles, Los Angeles, California; Pennsylvania State University School of Medicine, Hershey, Pennsylvania; Max Kade Foundation and Stanford University School of Medicine, Palo Alto, California; and Northwestern University, Chicago, Illinois.

Abstract

Practicing anesthesiologists are at high risk of hepatitis B infection, but the risk for anesthesia residents has not been assessed. Anesthesia residents at seven universities were surveyed to study the epidemiology of hepatitis B in these trainees. Hepatitis B virus markers in serum were measured and data from questionnaires were used to determine characteristics of anesthetic practice, effectiveness of strategies for hepatitis B virus infection control, and nonvocational hepatitis B risk factors. Of 267 participants, 12.7% (range of the seven centers, 8.7%–22.7%) had serum markers for hepatitis B virus. The seropositivity (17.8%) in anesthesia residents who had completed more than 12 months of non-anesthesia postgraduate clinical training, or who had practiced medicine in another specialty prior to anesthesia, was greater than in the other trainees (9.4%). Based on their risk and the ineffectiveness of current control measures, anesthesia residents who lack hepatitis B virus immunity should be vaccinated prior to or as early as possible in their training.

Key Words: LIVER—hepatitis






Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 1985 by the International Anesthesia Research Society.