Hepatitis B virus, surgeons, and surgery

Surgeons continue to be at high risk for occupationally acquired HBV infection. Immunization against HBV is safe and effectively prevents transmission of HBV from patients to surgeons. Such immunization is also the most effective way to reduce the risk of transmission of HBV from surgeons to patients. Postvaccination testing, although not required, should be strongly considered. Such testing will confirm the success of vaccination and can, in conjunction with testing for HBsAg, identify surgeons who are unknowingly carriers. State laws and guidelines regarding restrictions of HBeAg-positive surgeons vary and surgeons should be familiar with the laws and guidelines that apply in their state. Until all surgeons are successfully immunized, HBV is likely to remain a threat.