Guidelines
for the prevention of hepatitis B virus (HBV) transmission often include a
warning against sharing razors, nail care equipment, toothbrushes, and other personal
items that may come into contact with blood. While studies clearly show that HBV
can be transmitted through sharing needles and other drug-injection equipment,
the risk of sharing personal care items is less certain.
At
the 46th Interscience Conference on Antimicrobial Agents and Chemotherapy, taking
place this week in San Francisco, researchers presented data from a study evaluating
the role of shared razors in the spread of hepatitis B in Turkey.
The
researchers noted that while the route of transmission of HBV is mainly parenteral
(direct blood contact), epidemiological studies have shown that perinatal (mother-to-child),
sexual, household, and occupational transmission also occur. In about half of
all cases in Turkey, the transmission route is unknown.
In
this study, 78 used razor blades were purchased from different barber shops; 8
used razor blades from chronic hepatitis B patients were used as positive controls.
Razors were placed in DNAse- and RNAse-free test tubes, and HBV amplification
and detection were performed using a nested PCR method in a thermal cycler.
The
researchers found that 6 razor blade samples (7.7%) contained detectable HBV
DNA.
Reuse
of razor blades that carry HBV can infect other people, the researchers concluded.
"Hence, any HBV control and prevention program should educate barbers about
the importance of contagious diseases, proper sterilization techniques, and avoiding
reuse and sharing of contaminated equipment and supplies like razor blade,"
they wrote.
09/29/06
Reference C
Eroglu, M Zivalioglu, S Esen, and others. Determination of Hepatitis B Virus at
Used Razor Blade by PCR. 46th Interscience Conference on Antimicrobial Agents
and Chemotherapy. San Francisco, CA. September 27-30, 2006. Abstract V-1907.