慶北大學校病院 醫療 및 非醫療 從事者에 있어서 血淸 HBsAg 및 Anti-HBs 陽性率과 2次 檢査成績 = HBsAg and Anti-HBs Positivities among Kyungpook University Hospital Employee and Secondary Test Results

국문 초록 (Abstract)

慶北大大學病院에서 正常的으로 勤務하고 있는 醫療從事者와 非醫療從事者를 포함하는 706명의 全 雇傭人을 대상으로 한 HBsAg과 anti-HBs 陽性率을 調査하기 위하여 1차 集團檢査를 하고 HBsAg 陽性者에 대하여 다시 2차集團 檢査로서 anti-HBc, HBeAg 및 anti-HBe,와 SGOT 및 SGPT 그리고 症狀有無를 檢査하였다.
HBsAg陽性率에 있어서 醫師가 13.7%, 醫療補助員이 10.8% 그리고 非醫療從事者가 6.3%로 醫師가 가장 높았다. 醫師중에서는 敎授가 7.1%, 인턴이 9.1% 그리고 專攻醫가 18.9%로 專攻醫가 가장 높았고 齒科專攻醫는 8.3%이 었다. 專攻醫는 産婦人科 및 外科系統에서 30.0%까지 높은 陽性率을 보였다. 看護員은 10.3%, 臨床病理技士는 4.7% 血液銀行技士는 25.0%, X-선技士는 19.2% 隔離病棟補助看護員이 28.6% 그리고 藥師가 11.1%이었다. 非醫療從事者 가운데 行政要員의 5.0%, 交換員이 11.1%, 食堂從事者가 8.0% 그리고 勞務者는 7.2%이 었다.
Anti-HBs 陽性率에 있어서는 醫療 및 非醫療從事者사이에 20%內外로 서로 근사하였다.
血淸學的反應型別 2차 檢査成績에서 醫師는 27명 중 5명(18.5%)에서 aminotransferase가 증가하였고 症狀을 나타 내었고 看護員은 12명중 2명(16.7%)에서, 醫療技士는 8명중 4명(50.0%)에서 그리고 非醫療從事者는 6명중 1명(16.7%)에서 異常을 나타 내었고 symptom carrier는 대부분 HBeAge 양성이 었다.
전체적으로 全 雇傭人중 706명중 健康保菌者가 8.1% 그리고 異常保菌者가 1.7%이 었고 專攻醫가 健康保菌者中 38.8% 異常保菌者中 41.7%로 각각 가장 많았고 다음이 看護員으로 20.4%와 16.7% 醫療技士 및 非醫療從事者의 순으로 적었다.
醫療從事者와 患者와의 관계로 봐서 肝炎 B바이러스의 感染에 醫療機關이 重要한 因子로 作用할 것으로 推定된다.
(本 論文의 硏究를 수행함에 있어서 檢査를 담당하여 주었던 臨床病理醫局 專攻醫들을 비롯하여 金榮泰 및 李眞宙 두 臨床病理士와 그 밖에 本 硏究를 도운 모든 분에게 深甚한 謝意를 表하는 바이다.)

다국어 초록 (Multilingual Abstract)

All employees of Kyungpook University Hospital were examined for HBsAg and anti-HBs markers and the secondary tests were also performed for the further evaluation of employee with positive HBsAg.
In positive rate of HBsAg, the physician revealed 13.7%, paramedical personnel 10.8% and non-medical personnel 6.3%. Among physicians HBsAg positivity was 7.1% in faculty, intern 9.1%, resident 18.9% and dental house staff 8.3%. Among residents, obstetic-gynecologic and surgical department showed higher HBsAg positivity up to 30.0%. The nurse showed 10.3%, clinical pathology technican 4.7%, blood bank thchnician 19.2%, aid nurse of isolation ward 28.6%, and pharmacist 11.1%,
In non-medical group, the admimistrative employee revealed 5.0%, telephone girl operator 11.1%. restaurant worker 8.0% and labor worker 7.2% in HBsAg positivity.
The positivity of anti-HBs was 20% more or less throughout all groups and no remarkable difference was noted between medical side and non-medical side personnel groups.
In secondary survey, physician showed 18.5%(5/27) of symptom carrier with abnormal aminotransferase activity, the nurse 16.7%(2/12) medical technician 50.0%(4/8) and non-medical personnel 16.7%(1/6), Symptom carrier revealed mostly close relation to HBeAg and next to anti-HBe.
Generally healthy carrier(symptomless carrier) of HBsAg was 8.1% and symptom carrier was 1.7% from all hospital employee. The resident showed 38.8% as highest among healthy carriers and 41.7% as highest among symptom carrier. The nures was next, and medical technician and non-medical personnels were lower in order. An important factor of the higher HBsAg positivity in medical side personnels is considered from the relationship between medical personnels and patients in the large unit hospital.