Hepatitis A among workers from a waste water treatment plant during a small community outbreak

Hepatitis A among workers from a waste water treatment plant during a small community outbreak
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DOI:
10.1136/oem.54.1.60
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发表时间:
1997-01-01
影响因子:
4.9
通讯作者:
Laliberte, D
Laliberte, D
中科院分区:
医学2区
文献类型:
--
作者:
DeSerres, G;Laliberte, D

文献摘要

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目的--这是一个病例报告,描述了在一个小的社区爆发期间,在一个污水处理厂的三名工人中发生的甲型肝炎,涉及16例病例。病例报告--第一个病例是一名26岁的操作员,他在工厂工作了两年,第二个病例是一名23岁的雇员,他受雇在二级处理区添加新的生物质。这两个病例从未一起工作过,在第二个病例发病前只见过两三次面。第三例病例发生在3个月后,患者为一名34岁的通风机械师。所有三例病例均通过IgM血清学确诊,并通过聚合酶链反应在最后两例病例的粪便中发现了病毒。尽管广泛的搜索其他危险因素甲型肝炎在这些workers.Conclusion-本报告证实,甲型肝炎是一种职业危害的污水处理工人。与占领有关的许多潜在污染源支持使用疫苗来提供有效的预防。
Objective--This is a case report describing the occurrence of hepatitis A in three workers at a waste water treatment plant during a small community outbreak involving 16 cases.Case report--The first case was a 26 year old operator who had worked in the plant for two years, the second was a 23 year old employee hired to add new biolite in the secondary treatment area. These two cases never worked together and only met two or three times before the onset of disease in the second case. The third case occurred three months later in a 34 year old ventilation mechanic. All three cases were confirmed by IgM serology and virus was recovered by polymerase chain reaction in the stools of the last two cases. Despite an extensive search for other risk factors for hepatitis A in these workers none was found.Conclusion--This report confirms that hepatitis A is an occupational hazard for sewage workers. The numerous potential sources of contamination associated with that occupation support the use of vaccine to provide effective prevention.