August 1977

Hepatitis B Miniepidemic in a Peritoneal Dialysis Unit

Author Affiliations

From the Departments of Renal Medicine and Pediatrics, Baltimore City Hospitals and the Johns Hopkins University School of Medicine, Baltimore.

Arch Intern Med. 1977;137(8):1030-1031. doi:10.1001/archinte.1977.03630200038013

Two staff nurses in a peritoneal dialysis unit developed type B viral hepatitis while caring for a patient with persistent Hb Ag antigenemia. Peritoneal dialysis fluid from the patient contained surface Hb Ag antigen and was the probable mediator of the viral transfer. Hb Ag testing should be routine in peritoneal dialysis programs, and special precautions should be taken with dialysate of patients afflicted with hepatitis and/or Hb Ag antigenemia.

(Arch Intern Med 137:1030-1031, 1977)