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DURO-TORRIJOS, José Luis (2020); RODRÍGUEZ-BLANCO, Noelia; GARCÍA-PERAL, Pablo; GARCÍA-ROMÁN, Vicente; BOUBETA-LEMOS, Nuria; MARTÍNEZ-MARTÍNEZ-CARRASCO, Esther; FERNÁNDEZ-GRANJA, Marina. Estado inmunológico frente a la Hepatitis B del personal sanitario en dos departamentos de salud de la Comunidad Valenciana (España)

DURO-TORRIJOS, José Luis (2020); RODRÍGUEZ-BLANCO, Noelia; GARCÍA-PERAL, Pablo; GARCÍA-ROMÁN, Vicente; BOUBETA-LEMOS, Nuria; MARTÍNEZ-MARTÍNEZ-CARRASCO, Esther; FERNÁNDEZ-GRANJA, Marina. Estado inmunológico frente a la Hepatitis B del personal sanitario en dos departamentos de salud de la Comunidad Valenciana (España)

DURO-TORRIJOS, José Luis; RODRÍGUEZ-BLANCO, Noelia; GARCÍA-PERAL, Pablo; GARCÍA-ROMÁN, Vicente; BOUBETA-LEMOS, Nuria; MARTÍNEZ-MARTÍNEZ-CARRASCO, Esther; FERNÁNDEZ-GRANJA, Marina. Estado inmunológico frente a la Hepatitis B del personal sanitario en dos departamentos de salud de la Comunidad Valenciana (España). Archivos de Prevención de Riesgos Laborales [en línea]. 2020, 23, 4. 430-442. [Consulta : 01.12.2020]. DOI: 10.12961/aprl.2020.23.04.03 .
 
Objetivo: Estimar la prevalencia de inmunización frente al virus de la Hepatitis B del personal sanitario, vinculado a los Departamentos de Salud de Torrevieja y Elche-Crevillente, de la Comunidad Valenciana. Conclusiones: A pesar de identificarse una inmunidad elevada, el porcentaje de no inmunizados y de ausencia de información inmunológica plantea la necesidad de implementar nuevas estrategias de comunicación dirigidas a este colectivo.
 
Objectiu: Estimar la prevalença d'immunització enfront del virus de l'Hepatitis B del personal sanitari, vinculat als Departaments de Salut de Torrevieja i Elx-Crevillent, de la Comunitat Valenciana. Conclusions: Malgrat identificar-se una immunitat elevada, el percentatge de no immunitzats i d'absència d'informació immunològica planteja la necessitat d'implementar noves estratègies de comunicació dirigides a aquest col·lectiu.
 
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, two municipalities in the Valencian Community, 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 (anti-HBsAb) 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 (18-34; 35-49;≥50 years); 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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