Hazards to the Orthopaedic Trauma Surgeon: Occupational Exposure to HIV and Viral Hepatitis (A Review Article)

Journal of Orthopaedic Trauma

Volumn 10, Issue 4, 1996, Pages 289-296

  Chou, Larry ^a   Reynolds, Matthew R ^b   Esterhai Jr , John L ^c  

^a UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE   (United States)

^b UNIVERSITY OF PENNSYLVANIA   (United States)

^c HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA   (United States)

Author keywords

Acquired immunodeficiency syndrome; Hepatitis; Hepatitis B virus; Hepatitis C virus; Human immunodeficiency virus; Protective equipment; Surgeon occupational risk

Indexed keywords

DISEASE TRANSMISSION; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS INFECTION; OCCUPATIONAL DISEASE; ORTHOPEDICS; PUBLIC HEALTH SERVICE; REVIEW; RISK ASSESSMENT; TRAUMATOLOGY; UNITED STATES; VIROLOGY; VIRUS HEPATITIS;

CENTERS FOR DISEASE CONTROL AND PREVENTION (U.S.); DISEASE TRANSMISSION, PATIENT-TO-PROFESSIONAL; HEPATITIS, VIRAL, HUMAN; HIV INFECTIONS; HUMANS; OCCUPATIONAL DISEASES; ORTHOPEDICS; RISK ASSESSMENT; TRAUMATOLOGY; UNITED STATES;

EID: 0029693221     PISSN: 08905339     EISSN: None     Source Type: Journal    
DOI: 10.1097/00005131-199605000-00011     Document Type: Review

References (46)

1. American Academy of Orthopaedic Surgery Task Force on AIDS and Orthopaedic Surgery: Recommendations for the prevention of Human Immunodeficiency virus (HIV) transmission in the practice of orthopaedic surgery, 1989
2. Barre-Sinoussi F, Nugeyre MT, Chermann JC: Resistance of AIDS virus at room temperature [Letter]. Lancet 2:721-722, 1985
3. Bartlett JG: HIV infection and surgeons. Curr Prob Surg 29:229-253, 1992
4. Becher CE, Cone JE, Gerberding J: Occupational infection with human immunodeficiency virus (HIV). Ann Intern Med 110:653, 1989
5. Berridge DC, Lees TA, Chamberlain J, Jones NA: Eye protection for the vascular surgeon. Br J Surg 80:1379-1380, 1993
6. Centers for Disease Control: Recommendations for preventing transmission of infection with human T-lymphotrophic virus type III/lymphadenopathy-ssociated virus during invasive procedures. MMWR 34:681-686, 691-695, 1985
7. Centers for Disease Control: Recommendations for prevention of HIV transmission in health-care settings. MMWR 36(suppl):3-18, 1987
8. Centers for Disease Control: Public Health Service statement on management of occupational exposure to human immunodeficiency virus, including considerations regarding zidovudine post-exposure use. MMWR 39(rr-1):1-14, 1990
9. Centers for Disease Control: Recommendations for preventing transmission of human immunodeficiency virus and hepatitis B virus to patients during exposure-prone invasive procedures. MMWR 40:1-9, 1991
10. Centers for Disease Control: Preliminary analysis: HIV serosurvey of orthopaedic surgeons. MMWR 40:3092, 1991
11. Centers for Disease Control: Congressional Federal Register. Occupational exposure to blood-borne pathogens standard (29 CFR 1910.1030), The Occupational Safety and Health Administration.
12. Centers for Disease Control: HIV/AIDS Surveillance Report. Atlanta, GA, Centers for Disease Control, Vol 6, no 2, 1995:21
13. Day LJ: AIDS: an occupational hazard for orthopaedic surgeons? A conversation with Lorraine J. Day, MD. Orthop Rev 18:493-497, 1989
14. Flaherty AL, Wick TM: Prolonged contact with blood alters surgical gown permeability. Am J Infect Control 21:249-256, 1993
15. Fry DE: Occupational risks of infection in the surgical management of trauma patients. Am J Surg 165:(2A-Suppl):26-33, 1993
16. Gruen RJ, Leit NE, Gruen GS: Human immunodeficiency virus: occupational risk for surgeons - an update. Pittsburgh Orthop J 5:26-32, 1994.
17. Hamann CP, Kick SA, Sullivan K: Taking up the gauntlet: accepting the challenge of glove evaluation. Journal of Health Care Material Management 24, 29-30, 32, 34, 37, 1993
18. Henderson DK, Fahey BJ, Willy M, et al.: Risk for occupational transmission of human immunodeficiency virus type 1 (HIV-I) associated with clinical exposures. Ann Intern Med 113:740-746, 1990.
19. Isselbacher KJ, Braunwald E, Wilson JD, et al., eds: Harrison's Principles of Internal Medicine, 13th ed., Vol 1, New York, McGraw-Hill, 1994, pp 710-718
20. Janssen RS, St. Louis ME, Satten GA, et al.: HIV infection among patients in US acute care hospitals. N Engl J Med 327:445-452, 1992
21. Jewett DL, Heinsohn P, Bennett C, et al.: Blood-containing aerosols generated by surgical techniques: a possible infectious hazard. Am Ind Hyg Assoc J 53:228-31, 1992
22. Johnson GK, Robinson WS: Human immunodeficiency virus (HIV-I) in the vapors of surgical power instruments. J Med Virol 33:47-50, 1991
23. Joint Working Party of the Hospital Infection Society and the Surgical Infection Study Group: Risks to surgeons and patients from HIV and hepatitis: guidelines on precautions and management of exposure to blood or body fluids. Br Med J 305:1337-1343, 1992
24. Kinninmonth AW, Hutchinson JD: Full face protection in orthopaedics: a practical appliance for use in high risk cases. Injury Br J Accident Surg 22:117-118, 1991
25. Kiyosawa E, Sodeyama T, Tanaka E, et al.: Hepatitis C in hospital employees with needle stick injuries. Ann Intern Med 115:367-369, 1991
26. Mangione CM, Gerberding J, Cummings SR: Occupational exposure to HIV: frequency and rates of underreporting of percutaneous and mucocutaneous injuries by medical housestaff. Ann J Med 90:85-90, 1991
27. Mast S, Woolwine JD, Gerberding JL: Efficacy of gloves in reducing blood volumes transferred during simulated needle stick injury. J Infect Dis 168:1589-1592, 1993
28. Mitsui T, Iwano K, Masuko K, et al.: Hepatitis C virus infection in medical personnel after needle stick accident. Hepatology 16:1109-1114, 1992
29. Panlilo AL, Foy DR, Edwards JR, et al.: Blood contacts during surgical procedures. JAMA 265:1533, 1991
30. Porteous MJ: Operating practices of and precautions taken by orthopaedic surgeons to avoid infection with HIV and hepatitis B virus during surgery. British Medical Journal, 301:167-169, 1990
31. Regnier SJ, ed: ACS/CDC meeting explores risks of blood-borne pathogens. Am Coll Surg Bull 79:30-38, 1994
32. Resnick L, Veren K, Markham PD, et al.: Stability and inactivation of HTLV-III/LAV under clinical and laboratory environments. JAMA 255:1887-1891, 1986
33. Sattar SA, Ijaz MK: Spread of viral infections by aerosols. CRC Crit Rev Environment Control 17:89-131, 1987
34. Sattar SA, Springthorpe VS: Survival and disinfectant inactivation of the human immunodeficiency virus: a critical review. Rev Infect Dis 13:420-437, 1991
35. Shelley GA, Howard RJ: A national survey of surgeons' attitudes about patients with human immunodeficieincy virus infections and acquired immunodeficiency syndrome. Arch Surg 127:206-212, 1992
36. Short LJ, Bell DM: Centers for Disease Control. Risk of occupational infection with blood-borne pathogens in operating and delivery room settings. Am J Infect Control 21: 343-350, 1993
37. Smith RC, Mooar PA, Cooke T, Sherk HH: Contamination of operating room personnel during total arthroplasty. Clin Orthop Rel Res 271:9-12, 1991
38. Thomas DL, Factor SH, Kelan GD, et al.: Viral hepatitis in health care personnel at the Johns Hopkins Hospital. Arch Intern Med 153:1705-1712, 1993
39. Tokars JL, Bell DM, Culver DH, et. al. Percutaneous injuries during surgical procedures. JAMA 267:2899-2904, 1992
40. Tokars JL, Chamberland ME, Schable CA, et al.: A survey of occupational blood contact and HIV infection among orthopaedic surgeons. JAMA 268:489-494, 1992
41. Tokars JL, Chamberland ME, Shapiro C: Infection with hepatitis B virus, hepatitis C virus and human immunodeficiency virus among orthopaedic surgeons [Abstract 22]. Second Annual Meeting for Hospital Epidemiology of America, Baltimore, MD, 1992
42. Tokars JL, Marcus R, Culver DH, et al.: Surveillance of HIV infection and zidovudine use among health care workers after occupational exposure to HIV-infected blood. Ann Intern Med 118:913-919, 1993
43. Tyler DS, Lyerly HK, Nastala CT, et al.: Barrier protection against the human immunodeficiency virus. Curr Surg 46: 301-304, 1989
44. Werner BG, Grady GF: Accidental hepatitis B antigen positive inoculations: use of e antigen to estimate infectivity. Ann Intern Med 97:367-369, 1982
45. White MC, Lynch P: Blood contact and exposures among operating room personnel: a multi-center study. Am J Infect Control 21:243-248, 1993
46. Wright JG, McGreer A: Human immunodeficiency virus transmission between surgeons and patients in orthopaedic surgery. Clin Orthop Rel Res 297:272-281, 1993