Hepatitis B infections after gynaecological surgery

Lancet. 1989 Jan 28;1(8631):205-7. doi: 10.1016/s0140-6736(89)91213-0.

Abstract

When acute hepatitis B developed in 3 patients who had had gynaecological surgery, the surgeon was found to be a carrier of hepatitis B e antigen. Of 268 patients operated on by this surgeon in one hospital, 247 were screened for markers of recent or current hepatitis B. 22 (9%) had such markers, associated with symptoms in 5. The operations carrying greatest risk of infection were hysterectomy (10/42) and caesarean section (10/51). These findings strengthen the case for vaccination of all surgeons and medical students against hepatitis B.

MeSH terms

  • Acute Disease
  • Biomarkers / analysis
  • Carrier State / immunology
  • Carrier State / transmission*
  • Cesarean Section / adverse effects
  • Disease Outbreaks*
  • Female
  • General Surgery*
  • Gynecology*
  • Hepatitis B / epidemiology
  • Hepatitis B / immunology
  • Hepatitis B / prevention & control
  • Hepatitis B / transmission*
  • Hepatitis B Antibodies / analysis
  • Hepatitis B Surface Antigens / immunology
  • Humans
  • Hysterectomy / adverse effects
  • London
  • Risk Factors

Substances

  • Biomarkers
  • Hepatitis B Antibodies
  • Hepatitis B Surface Antigens