An outbreak of hepatitis A among health care workers

Risk factors for transmission

Bradley Doebbeling, N. Li, R. P. Wenzel

Research output: Contribution to journalArticle

55 Citations (Scopus)

Abstract

Objectives. The purpose of this study was to investigate a nosocomial outbreak of hepatitis A that occurred in the burn treatment center of a referral hospital. Methods. Retrospective cohort and case-control studies were performed to determine acquisition rates and risk factors for transmission. Adjusted infection rates were calculated by week of exposure. A case-control study was conducted to determine potential mechanisms for nosocomial acquisition. Recently infected health care workers were defined as case patients; exposed, serosusceptible health care workers without infection served as controls. Results. The outbreak of hepatitis A affected 11 health care workers and 1 other burn patient (1 secondary patient case). All 11 health care workers became ill after the admission of a man and his 8-month- old son who developed hepatitis A while in the hospital. The cumulative incidence risk ratio was elevated for health care workers caring for either the infant or the father during the same week of exposure. The case-control study implicated the behavior of eating on the hospital ward as the single most important risk factor for infection. Conclusion. Inadequate handwashing and subsequent oral contamination appear responsible for the outbreak. Hospitals may witness other institutional outbreaks if health care workers regularly eat on the wards.

Original languageEnglish (US)
Pages (from-to)1679-1684
Number of pages6
JournalAmerican Journal of Public Health
Volume83
Issue number12
StatePublished - 1993
Externally publishedYes

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Hepatitis A
Disease Outbreaks
Delivery of Health Care
Case-Control Studies
Infection
Burn Units
Hand Disinfection
Feeding Behavior
Nuclear Family
Fathers
Referral and Consultation
Odds Ratio
Incidence

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

An outbreak of hepatitis A among health care workers : Risk factors for transmission. / Doebbeling, Bradley; Li, N.; Wenzel, R. P.

In: American Journal of Public Health, Vol. 83, No. 12, 1993, p. 1679-1684.

Research output: Contribution to journalArticle

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