Occupational Infection

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Case 4 Parenterally Contracted Viral Hepatitis Case Summary Lily had been working as a nurse in a private clinic for more than three years. She was responsible for assisting the doctor in the caring of wounds and giving injection. About two months ago, she developed fatigue, anorexia, abdominal discomfort, nausea and vomiting, etc. Later, her skin and the sclera (the white of her eyes) gradually turned yellow. She was admitted to the hospital for treatment. After a series of examinations, she was diagnosed to have acute hepatitis B. 12
Occupational Disease Casebook - Occupational Infection Causes of the Illness According to the doctor's investigation, Lily contracted acute hepatitis B because of the following reasons: 1 2 3 Two months before the onset of the disease, she gave an injection to a hepatitis B carrier. She punctured her left thumb accidentally when re-capping the needle after the injection. She had not been vaccinated against hepatitis B. She only covered her wound with dressing. She neither reported the accident to her supervisor nor sought proper medical treatment immediately. Preventive Measures To avoid contracting hepatitis B as Lily's case, the following measures can be adopted: 1 Undergo a pre-employment medical examination if there are possible exposures to blood or other body fluids at work. Vaccination against hepatitis B should be taken if the examination result is negative for hepatitis B antibodies. About 90 to 95% of people would have long-term immunity against the disease after a course of three injections. 13
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Occupational Infection

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