June 1978, Vol 138, No. 6 >

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ARTICLE | June 1978

The Dilemma of the HBsAg-Positive Physician

R. E. Sampliner, MD

Arch Intern Med. 1978;138(6):905-906. doi:10.1001/archinte.1978.03630310005004.

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An Approach to Preventing Transmission The dilemma of the hepatitis B surface antigen (HB_sAg)-positive physician has been well described.¹ He or she has the potential of transmitting hepatitis B to patients, but the risk of transmission is not known. The dilemma lies in whether this risk is great enough to warrant prohibition of clinical practice. A working formulation is necessary in the face of our incomplete knowledge about the risk and even the routes of transmission.

PREVENTION OF TRANSMISSION What should be done with the HB_sAg-positive physician? What can this physician do to prevent transmission? A consensus exists in the handling of the following situations: First, the physician with acute hepatitis B² should be excluded from patient contact until resolution of the clinical illness and clearance of HB_sAg from the serum; and second, the physician documented to have transmitted hepatitis B³ should

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

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Sampliner RE. The Dilemma of the HBsAg-Positive Physician. Arch Intern Med. 1978;138(6):905-906. doi:10.1001/archinte.1978.03630310005004.

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