Estado inmunológico frente a la Hepatitis B del personal sanitario en dos departamentos de salud de la Comunidad Valenciana (España)

  1. Duro-Torrijos, José Luis 1
  2. Rodríguez-Blanco, Noelia 2
  3. García-Peral, Pablo 3
  4. García-Román, Vicente 3
  5. Boubeta-Lemos, Nuria 4
  6. Martínez-Martínez-Carrasco, Esther 4
  7. Fernández-Granja, Marina 5
  1. 1 Hospital Universitario del Vinalopó, Elche
  2. 2 Servicio Obstetricia Ginecología. Hospital Universitario del Vinalopó, Elche
  3. 3 Servicio de Medicina Preventiva. Hospital Universitario del Vinalopó, Elche
  4. 4 Servicio de Salud Laboral. Hospital Universitario del Vinalopó, Elche
  5. 5 Departamento de Medicina. Universidad Católica San Antonio de Murcia, Murcia
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Journal:
Archivos de prevención de riesgos laborales

ISSN: 1138-9672,  1578-2549

Year of publication: 2020

Volume: 23

Issue: 4

Pages: 430-442

Type: Article

DOI: 10.12961/APRL.2020.23.04.03 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Archivos de prevención de riesgos laborales

Abstract

Objective: To estimate the prevalence of immunity against Hepatitis B virus among all healthcare workers linked to the Departments of Public Health in Torrevieja and Elx-Crevillent, Spain. Methods: Cross-sectional descriptive study of healthcare workers in two different public health departments. Once the sample was obtained, the anti-hepatitis B surface antibody levels were abstracted based on serological test results recorded in the workers’ medical records. Titers of anti-HBsAB ≥10mlU / ml were considered as evience of immunity. The variables analyzed were classified by department, gender, age; professional category (physicians / nursing / other health personnel / non-health personnel); service at risk of contagion (Yes / No); immunity (≥10mlU/ml, <10mlU/ml, missing) and systematic anti-HBs vaccination by date of birth (Yes / No). Results: The study population consisted of 2674 workers. The highest proportions of workers were female(68.8%), between 35 and 49 years of age (52.8%), and employed in nursing,(32.2%). Overall, 74.9% of employees had evidence of hepatitis B immunity, 11.3% had no inmunity, and 13.8% was missing information on serology. Among those employees with serological information (n=2306), lack of immunity was highest among males (17.8%). Protective titers were inversely proportional to age, with the lowest titers being found in the oldest age groups. Non-healthcare personnel and physicians also had lower levels of protection (36.9% and 11.1%, respectively. Conclusions: Despite identifying high levels of immunity among healthcare workers, the percentages of non-immunized employees and those lacking immunological information underscores the need to implement new communication strategies aimed at these at-risk groups.

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