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Background:Recently, the incidence of hepatitis A has increased in Korea and an outbreak among healthcare workers (HCWs) has also been reported. This study was performed to evaluate the seroepidemiology of hepatitis A among HCWs and their response to vaccination recommendation at a Korean hospital.

Materials and Methods:HCWs aged 20?39 years were tested for IgG antibodies against hepatitis A virus (HAV) using ARCHITECT HAVAb-IgG (Abbott Diagnostics Division, Wiesbaden, Germany) during July, 2008. Vaccination was recommended for the seronegative HCWs. Data on age, sex, place of birth, number of siblings, number of children, travel history to endemic areas, occupations, and vaccination history were collected. Statistical analyses were conducted to identify variables related to HAV seropositivity.

Results:Among a total of 391 HCWs enrolled, 75 (19%) were males and 316 (81%) were females. The percentages of HCWs aged 20 to 24 years, 25 to 29 years, 30 to 34 years, and 35 to 39 years were 23%, 48%, 17%, and 12%, respectively. The study population comprised of physicians (11%), nurses (62%), nurse aides (5%), paramedical technicians (13%), and administrative staff (9%). Seropositivity for HAV significantly increased with age (P< 0.05):1.1% for 20?24, 8.6% for 25?29, 35.8% for 30?34, and 60.9% for 35?39 years-of-age. Multivariate analysis revealed that HAV seroprevalence correlated significantly with age, HCWs born in the non-metropolitan areas, and having ≥ 3 children (P<0.05). The types of work the HCWs do at the hospital were not significantly associated with HAV seropositivity in multivariate analyses. Of a total of 322 seronegative HCWs, 121 (38%) were not vaccinated in spite of recommendation. The reasons for non-compliance were lack of understanding on the necessity of vaccination (39%), lack of time (26%), expensive costs (16%), fear of injection (15%), and some other reasons including pregnancy (4%).

Conclusions:Since the seropositivity for HAV is low, vaccination against Hepatitis A should be considered for all HCWs aged 20-39 years in Korea. Education on the necessity of vaccination is warranted to increase compliance.

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참고문헌 (34건) : 자료제공( 네이버학술정보 )

참고문헌 목록에 대한 테이블로 번호, 참고문헌, 국회도서관 소장유무로 구성되어 있습니다.
번호 참고문헌 국회도서관 소장유무
1 Hepatitis A: old and new. 네이버 미소장
2 Hepatitis A. 네이버 미소장
3 Hepatitis A in Day-Care Centers 네이버 미소장
4 FREQUENCY OF ILLNESS ASSOCIATED WITH EPIDEMIC HEPATITIS A VIRUS INFECTIONS IN ADULTS 네이버 미소장
5 Jeong SH, Hwang SG, Park SJ, Kang SK, Jee Y. Current status of acute viral hepatitis in Korea; epidemiology, clinical, virological characteristics, and effects of antiviral treatment in severe acute hepatitis B and C- intrim report. Korean J Hepatol 13 Suppl 4:101-7, 2007 미소장
6 Van Damme P, Thoelen S, Van der Auwera JC, Bare. R, Meheus A: Viral hepatitis among health care workers - epidemiology and prevention. In: Hagberg M, Hofmann F, StoBel U, Westlander G (eds): Occupational health for health care workers. Ecomed, Landsberg/ Lech p133-7, 1993 미소장
7 Hepatitis A as an occupational hazard 네이버 미소장
8 The risk of hepatitis A infection among healthcare workers: a review of reported outbreaks and sero-epidemiologic studies. 네이버 미소장
9 Occupations at Increased Risk of Hepatitis A: A 2-Year Nationwide Historical Prospective Study 네이버 미소장
10 Molecular characterization of an acute hepatitis A outbreak among healthcare workers at a Korean hospital 네이버 미소장
11 The Age-specific Seroprevalence of Hepatitis A Virus Antibody in Korea 네이버 미소장
12 Hepatitis and cholestasis in a middle‐aged woman 네이버 미소장
13 Shapiro CN, Margolis HS. Worldwide epidemiology of hepatitis A virus infection. J Hepatol 18 Suppl 2: S11-4, 1993 미소장
14 Risk of hepatitis A in travellers 네이버 미소장
15 Sexual transmission of hepatitis A in homosexual men: incidence and mechanism. 네이버 미소장
16 Hepatitis A in young Norwegian drug addicts and prison inmates 네이버 미소장
17 The Diverse Patterns of Hepatitis A Epidemiology in the United States—Implications for Vaccination Strategies 네이버 미소장
18 Kim CY, Hong WS. Seroepidemiology of type A and type B hepatitis in Seoul area. Korean J Intern Med 25:19-27, 1982 미소장
19 Lee JI, Kim JY, Kim ST, Yoo SY, Chung SM, Kim YK, Lee BH. Epidemiologic study of antibody to hepatitis A antigen in Choong Chung area. Korean J Gastroenterol 14:87-91, 1982 미소장
20 Antibody to Hepatitis A Antigen in Children and Adolescents in Korea 네이버 미소장
21 Seroepidemiology of Hepatitis A in Taejon, Korea 1996 네이버 미소장
22 Hospital-acquired viral pathogens in the neonatal intensive care unit 네이버 미소장
23 An outbreak of hepatitis A among health care workers: risk factors for transmission. 네이버 미소장
24 How Outbreaks Can Contribute to Prevention of Nosocomial Infection: Analysis of 1,022 Outbreaks 네이버 미소장
25 An outbreak of hepatitis A on a hospital ward. 네이버 미소장
26 Hepatitis A virus seropositivity among hospital and community healthcare workers in Israel—the role of occupation, demography and socioeconomic background 네이버 미소장
27 Clemens R, Safary A, Hepburn A, Roche C, Stanbury WJ, Andr FE. Clinical experience with an inactivated hepatitis A vaccine. J Infect Dis 171 Suppl 1: S44-9, 1995 미소장
28 Ashur Y, Adler R, Rowe M, Shouval D. Comparison of immunogenicity of two hepatitis A vaccines-- VAQTA and HAVRIX--in young adults. Vaccine 17:2290-6, 1999 미소장
29 Immunogenicity of an Inactivated Hepatitis A Vaccine in Alaska Native Children and Native and Non-Native Adults 네이버 미소장
30 Van Damme P, Banatvala J, Fay O, Iwarson S, McMahon B, Van Herck K, Shouval D, Bonanni P, Connor B, Cooksley G, Leroux-Roels G, Von Sonnenburg F; International Consensus Group on Hepatitis A Virus Immunity. Hepatitis A booster vaccination: is there a need? Lancet 362:1065-71, 2003 미소장
31 Inactivated hepatitis A vaccine-induced antibodies: follow-up and estimates of long-term persistence. 네이버 미소장
32 Hepatitis A virus infections in the United States: model-based estimates and implications for childhood immunization. 네이버 미소장
33 The Korean Society of Infectious Diseases. Vaccination for adult. 1st ed. P46, Seoul, Koonja Publishing Co., 2007 미소장
34 The Pattern of Vaccine Administration Accessed by Vaccine Consumption in a University Hospital 소장

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