HIV, HBV or HCV transmission from infected healthcare workers to patients;Trasmissione di HIV, HBV o HCV da operatore sanitario infetto a paziente

Medicina del Lavoro

Volumn 94, Issue 6, 2003, Pages 556-568

  Puro, Vincenzo ^a   Scognamiglio, Paola ^a   Ippolito, G ^a  

^a NATIONAL INSTITUTE FOR INFECTIOUS DISEASES L SPALLANZANI   (Italy)

Author keywords

Healthcare workers; Hepatitis B virus; Hepatitis C virus; Human immunodeficiency virus; Look back investigation; Occupational and hospital transmission; Outbreak

Indexed keywords

HEALTH CARE PERSONNEL; HEPATITIS B VIRUS; HEPATITIS C VIRUS; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS; INFECTION CONTROL; MEDICAL INSTRUMENTATION; MEDLINE; REVIEW; RISK FACTOR; SURGEON; SURGICAL INSTRUMENT; VIRUS TRANSMISSION; DISEASE TRANSMISSION; HEPATITIS B; HEPATITIS C; HUMAN IMMUNODEFICIENCY VIRUS INFECTION;

DISEASE TRANSMISSION, PROFESSIONAL-TO-PATIENT; HEPATITIS B; HEPATITIS C; HIV INFECTIONS; HUMANS;

EID: 1542714345     PISSN: 00257818     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Review

References (84)

1. AIDS/TB COMMITTEE OF THE SOCIETY FOR HEALTHCARE EPIDEMIOLOGY OF AMERICA (SHEA): Management of healthcare workers infected with hepatitis B virus, hepatitis c virus, human immunodeficiency virus, or other bloodborne pathogens. Infect Control Hosp Epidemiol 1997; 18: 349-363
2. ATHONE J, GOODMAN RA: Hepatitis B and dental personnel: transmission to patients and prevention issues. J Am Dent Assoc 1983; 106: 219-222
3. BELL DM, SHAPIRO CN, CULVER DH, et al: Risk of hepatitis B and human immunodeficiency virus transmission to a patient from an infected surgeon due to percutaneous injury during an invasive procedure: estimates based on a model. Infectious Agents and Disease 1992; 1: 263-269
4. BLANCHARD A, FERRIS S, CHAMARET S, et al: Molecular evidence for nosocomial transmission of human immunodeficiency virus from a surgeon to one of his patient. J Virol 1998; 72: 4537-4540
5. BROWN P: Surgeon infects patient with hepatitis C. BMJ 1999; 319: 1219
6. CANADA COMMUNICABLE DISEASE REPORT 1998: Proceedings of the consensus conference on infected health care workers: risk for transmission of blood-borne pathogens. CCDR 1998; 24: 8-14
7. CARL M, BLAKEY DL, FRANCIS DP, et al: Interruption of hepatitis B transmission by modification of a gynaecologist's surgical technique. Lancet 1982; i: 731-733
8. CDSC: Hepatitis C virus transmission from health care worker to patient. Commun Dis Public Health 1995; 5: 121
9. CDSC: Transmission of hepatitis C virus from surgeon to patient prompts lookback. Commun Dis Rep CDR Wkly 1999; 9: 387
10. CDSC: Two hepatitis C lookback exercises - national and in London. Commun Dis Rep CDR Wkly 2000; 10: 125-128
11. CENTERS FOR DISEASE CONTROL: Outbreak of hepatitis B associated with an oral surgeon-New Hampshire. JAMA 1987; 257: 1709
12. CENTERS FOR DISEASE CONTROL: Recommendations for preventing transmission of human immunodeficiency virus and hepatitis B virus to patients during exposure-prone invasive procedures. MMWR Morb Mort Wkly Rep 1991; 40: 1-9
13. CENTERS FOR DISEASE CONTROL: Evaluation of blunt suture needles in preventing percutaneous injuries among health-care workers during gynecologic surgical procedures. New York City, March 1993-June 1994. MMWR Morb Mort Wkly Rep 1997; 46: 25-29
14. CENTERS FOR DISEASE CONTROL: Recommendations for prevention and control of hepatitis C virus (HCV) infection and HCV-related chronic disease. MMWR Morb Mort Wkly Rep 1998; 47: 1-39
15. CIESIELSKI C, MARIANOS D, OU CY, et al: Transmission of human immunodeficiency virus in a dental practice. Ann Intern Med 1992; 116: 798-805
16. CODY SH, NAINAN OV, GARFEIN RS, et al: Hepatitis C virus transmission from an anesthesiologist to a patient. Arch Intern Med 2002; 162: 345-350
17. COUTINHO RA, ALBRECHT-VAN LENT P, STOUTJESDIJK L, et al: Hepatitis B from doctors. Lancet 1982; i: 345-346
18. DEPARTMENT OF HEALTH: Hepatitis infected health care workers. Health Service Circular HSC 2002/010. London: Department of Health; 2002. (http://www.doh.gov.uk/hepatitis/hsc0102002.pdf)
19. A DISTRICT CONTROL OF INFECTION OFFICER: Acute hepatitis B following gynecological surgery. J Hosp Infect 1987; 9: 34-38
20. DONNELLY M, DUCKWORTH G, NELSON S, et al: Are HIV lookbacks worthwhile? Outcome of an exercise to notify patients treated by an HIV infected health care worker. Incident Management Teams. Commun Dis Public Health 1999; 2: 126-129
21. DUCKWORTH GJ, HEPTONSTALL J, ALTKEN C: Transmission of hepatitis C virus from a surgeon to a patient. The Incident Control Team. Commun Dis Public Health 1999; 2: 188-192
22. ESTEBAN JI, GóMEZ J, MARTELL M, et al: Transmission of hepatitis C virus by a cardiac surgeon. N Engl J Med 1996; 334: 555-560
23. GARIBALDI RA, RASMUSSEN CM, HOLMES AW, et al: Hospital-acquired serum hepatitis: report of an outbreak. JAMA 1972; 219: 1577-1580
24. GIS GILMaPP: Idoneità al lavoro e salute pubblica nei lavoratori ospedalieri. Med Lav 2001; 92: 295-306
25. GOODMAN RA, ATHONE JL, FINTON RJ: Hepatitis B transmission from dental personnel to patients: unfinished business. Ann Intern Med 1982; 96: 119
26. GOODWIN D, FANNIN JL, MCCRACKEN BB: An oral surgeon-related hepatitis-B outbreak. California Morbidity 1976, April 16 - no. 14
27. GOUJON CP, SCHNEIDER VM, GROFTI J, et al: Phylogenetic analyses indicate an atypical nurse-to-patient transmission of human immunodeficiency virus type 1. J Virol 2000; 74: 2525-2532
28. GROB PJ, BlSCHOF B, NAEFF F: Cluster of hepatitis B transmitted by a physician. Lancet 1981; ii: 1218-1220
29. GROB PJ, MOESCHLIN P: Risk to contacts of a medical practitioner carrying HBsAg. N Engl J Med 1975; 293: 197
30. HADLER SC, SORLEY DL, ACREE KH, et al: An outbreak of hepatitis B in a dental practice. Ann Intern Med 1981; 95: 133-138
31. HAEREM JW, SIEBKE JC, ULSTRUP J, et al: HBsAg transmission from a cardiac surgeon incubating hepatitis B resulting in chronic antigenaemia in four patients. Acta Med Scand 1981; 210: 389-392
32. HARPAZ R, VON SEIDLEIN L, AVERHOFF FM, et al: Transmission of hepatitis B virus to multiple patients from a surgeon without evidence of inadequate control. N Engl J Med 1996; 334: 549-554
33. HARTLEY JE, AHMED S, MILKINS R, et al: Randomized trial of blunt-tipped versus cutting needles to reduce glove puncture during mass closure of the abdomen. Br J Surg 1996; 83: 1156-1157
34. HEPATITIS B OUTBREAK INVESTIGATION TEAM: An outbreak of hepatitis B associated with reusable subdermal electroencephalogram electrodes. CMAJ 2000; 162: 1127-1131
35. HEPTONSTALL J: Outbreaks of hepatitis B virus infection associated with infected surgical staff. Commun Dis Rep CDR Rev 1991; 1: R81-R85
36. THE INCIDENT CONTROL TEAMS AND OTHERS: Lessons from two linked clusters of acute hepatitis B in cardiothoracic surgery patients. Commun Dis Rep Rev 1996; 6: R119-R125
37. THE INCIDENT CONTROL TEAMS AND OTHERS: Transmission of hepatitis B to patients from four infected surgeons without hepatitis B e antigen. N Engl J Med 1997; 336: 178-184
38. IPPOLITO G, PURO V, DE CARLI G: The risk of occupational human immunodeficiency virus infection in health care workers. Italian Multicenter Study. The Italian Study Group on Occupational Risk of HIV infection. Arch Intern Med 1993; 153: 1451-1458
39. ISTITUTO SUPERIORE DI SANITA, 2000: Gestione intraospedaliera del personale HBsdg o anti-HCV positivo. Consensus Conference. Roma, 28-29 ottobre 1999. Rapporti ISTISAN Congressi 72: 1-30
40. JAGGER J, PURO V, DE CARLI G: Occupational transmission of hepatitis C virus. JAMA 2002; 288: 1469-1471
41. JOHNSTONE BL, MACDONALD S, LEE S, et al: Nosocomial hepatitis B associated with orthopedic surgery-Nova Scotia. Can Commun Dis Rep 1992; 18: 89-90
42. LETTAU LA, SMITH JD, WILLIAMS D, et al: Transmission of hepatitis B with resultant restriction of surgical practice. JAMA 1986; 255: 934-937
43. LEVIN ML, MADDREY WC, WANDS JR, et al: Hepatitis B transmission by dentists. JAMA 1974; 228: 1139-1140
44. LOT F, SÉGUIER J-C, FÉGUEUX S, et al: Probable transmission of HIV from an orthopedic surgeon to a patient in France. Ann Intern Med 1999; 130: 1-6
45. MELE A, IPPOLITO G, CRAXI A, et al: Risk management of HBsAg or anti-HCV positive healthcare workers in hospital. Dig Liver Dis 2001; 33: 795-802
46. MINGOLI A, SAPIENZA P, SGARZINI G, et al: Influence of blunt needles on surgical glove perforation and safety for the surgeon. Am J Surg 1996; 172: 512-516
47. MINISTERO DELLA SANITA: Linee guida per la prevenzione della trasmissione di HBV e HIV da operatori infetti apazienti. Roma, 19 ottobre 1994
48. MOLINEAUX P, REID TMS, COLLACOTT I, et al: Acute hepatitis B in two patients transmitted from an e antigen negative cardiothoracic surgeon. Commun Dis Public Health 2000; 3: 250-252
49. MONTZ FJ, FOWLER JM, FARIAS-EISNER R, et al: Blunt needles in fascial closure. Surg Gynecol Obstet 1991; 173: 147-148
50. MUKERJEE AK, WESTMORELAND D, REES HG: Response to the discovery of two practising surgeons infected with hepatitis B. Commun Dis Rep Rev 1996; 6: R126-R128
51. NHS EXECUTIVE: Hepatitis B infected health care workers (HSC 2000/020). London, 2000
52. OLIVER SE, WOODHOUSE J, HOLLYOAK V: Lessons from patient notification exercises following the identification of hepatitis B e antigen positive surgeon in an English health region. Commun Dis Public Health 1999; 2: 130-136
53. PHLS COLLABORATIVE STUDY REPORT: Acute hepatitis B associated with gynaecological surgery. Lancet 1980; i: 1-6
54. PHLS COLLABORATIVE STUDY REPORT: Hepatitis B and cardiothoracic surgery. Commun Dis Rep CDR Wkly 1993; 3: 189
55. POLAKOFF S: Acute hepatitis B in patients in Britain related to previous operations and dental treatment. BMJ 1986; 293: 33-36
56. POLAKOFF S: Acute viral hepatitis B: laboratory reports 1980-4. BMJ 1986; 293: 37-38
57. PRENTICE MB, FLOWER AJE, MORGAN GM, et al: Infection with hepatitis B virus after open heart surgery. BMJ 1992; 304: 761-764
58. PURO V: Idoneità alla assunzione al lavoro per un infermiere professionale portatore di infezione da virus epatite C. Giornale Italiano delle Infezioni Ospedaliere 2001; 8: 183-185
59. PURO V, DE CARLI G, SCOGNAMIGLIO P, et al: Risk of HIV and other blood-borne infections in the cardiac setting: patient-to-provider and provider-to-patient transmission. Studio Italiano Rischio Occupazionale HIV. Ann NY Acad Sci 2001; 946: 291-309
60. RABIN R: Hepatitis-infected Surgeon Must Get OK to Operate. Newsday 2002; April 2002 (consultable on www.newsday.com)
61. RABIN R: Patients Seek Answers on Surgeon Who Spread Hepatitis. Newsday; April 2002 (consultable on www.newsday.com)
62. REINGOLD AL, KANE MA, MURPHY BL, et al: Transmission of hepatitis B by an oral surgeon. J Infect Dis 1982; 145: 262-268
63. RICE JJ, MCCABE JP, MCMANUS F: Needle stick injury. Reducing the risk. Int Orthop 1996; 20: 132-133
64. RIMLAND D, PARKIN WE, MILLER GB, et al: Hepatitis B outbreak traced to an oral surgeon. N Engl J Med 1977; 296: 953-958
65. Ross RS, VIAZOV S, GROSS T, et al: Transmission of hepatitis C virus from a patient to an anesthesiology assistant to five patients. N Engl J Med 2000; 343: 1851-1854
66. Ross RS, VIAZOV S, ROGGENDORF M: Risk of hepatitis C transmission from infected medical staff to patients. Arch Intern Med 2000; 160: 2313-2316
67. Ross RS, VIAZOV S, ROGGENDORF M: Phylogenetic analysis indicates transmission of hepatitis C virus from an infected orthopedic surgeon to a patient. J Med Virol 2002; 66: 461-467
68. Ross RS, VIAZOV S, THORMÄHLEN M, et al: Risk of hepatitis C virus transmission from an infected gynecologist to patients. The Incident Investigation Team. Arch Intern Med 2002; 162: 805-810
69. SCOTTISH EXECUTIVE: Hepatitis B infected health care workers (HDL (2000) 3). Edinburg, 2000
70. SHAW FE JR, BARRETT CL, HAMM R, et al: Lethal outbreak of hepatitis B in a dental practice. JAMA 1986; 255: 3260-3264
71. SNYDMAN DR, HINDMAN SH, WINELAND MD, et al: Nosocomial viral hepatitis B: a cluster among staff with subsequent transmission to patients. Ann Intern Med 1976; 85: 573-577
72. SOCIETY FOR HEALTHCARE EPIDEMIOLOGY OF AMERICA (SHEA): Management of healthcare workers infected with hepatitis B virus, hepatitis C virus, human immunodeficiency virus, or other bloodborne pathogens. Infect Control Hosp Epidemiol 1997; 18: 349-363
73. SPIJKERMAN IJB, VAN DOORN L-J, JANSSEN MHW, et al: Transmission of hepatitis B virus from a surgeon to his patients during high-risk and low-risk surgical procedures during 4 years. Infect Control Hosp Epidemiol 2002; 23: 306-312
74. STRINGER B, INFANTE-RIVARD C, HANLEY JA: Effectiveness of the hands-free technique in reducing operating theatre injuries. Occup Environ Med 2002; 59: 703-707
75. STROFFOLINI T, PETROSILLO N, IPPOLITO G, et al: Hepatitis B vaccination coverage among healthcare workers in Italy. Infect Control Hosp Epidemiol 1998; 19: 789-791
76. SUNDKVIST T, HAMILTON GR, RIMMER D, et al: Fatal outcome of transmission of hepatitis B from an e antigen negative surgeon. Commun Dis Public Health 1998; 1: 48-50
77. TANNER J, PARKINSON H: Double gloving to reduce surgical cross-infection. Cochrane Systematic Review 24 May 2002 - The Cochrane Library, Issue 3, 2002
78. TOKARS JI, BELL DM, CULVER DH, et al: Percutaneous injuries during surgical procedures. JAMA 1992; 267: 2899-2904
79. UK HEALTH DEPARTMENTS: Protecting health care workers and patients from hepatitis B: recommendation of the Advisory Group on Hepatitis. London: The Stationery office, 1993
80. UK HEALTH DEPARTMENTS: AIDS/HIV infected health care workers: guidance on the management of infected health care workers and patient notification. London: UK Health Departments, 1998
81. VERGNANO P, COEN M, COSCIA GC: Epatite cronica attiva correlata ad infezione da HBV in strumentista di Centro Trapianti Epatici. Revoca del giudizio di inidoneità specifica da parte dell'organo di vigilanza. In Atti del III Congresso Nazionale di Medicina Preventiva dei lavoratori della Sanità; 1998. Le collane della Fondazione Salvatore Maugeri
82. WALSH B, MAGUIRE H, CARRINGTON D: Outbreak of hepatitis B in an acupuncture clinic. Commun Dis Public Health 1999; 2: 137-140
83. WEBER DJ, HOFFMANN KK, RUTALA WA: Management of the healthcare worker infected with human immunodeficiency virus: lessons from nosocomial transmission of hepatitis B virus. Infect Control Hospital Epidemiol 1991; 12: 625-630
84. WELCH J, WEBSTER M, TILZEY AJ, et al: Hepatitis B infections after gynaecological surgery. Lancet 1989; i: 205-207