Infected health care workers and patient safety: A double standard

American Journal of Infection Control

Volumn 34, Issue 5, 2006, Pages 313-319

  Perry, Jane L ^a   Pearson, Richard D ^b   Jagger, Janine ^a,b  

^a International Healthcare Worker Safety Center   (United States)

^b UNIVERSITY OF VIRGINIA HEALTH SYSTEM   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; BLOOD; DISEASE TRANSMISSION; EXPOSURE; FOLLOW UP; HEALTH CARE PERSONNEL; HEALTH CARE POLICY; HEPATITIS B; HEPATITIS C; HOSPITAL EQUIPMENT; HOSPITAL INFECTION; HOSPITAL PERSONNEL; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS INFECTION; INFECTION SENSITIVITY; MEDICAL INSTRUMENTATION; NEEDLE; PATIENT SAFETY; SURGEON; VIRUS TRANSMISSION;

BLOOD-BORNE PATHOGENS; CROSS INFECTION; DISEASE TRANSMISSION, PROFESSIONAL-TO-PATIENT; HEALTH POLICY; HEPATITIS B; HIV INFECTIONS; HUMANS; QUALITY OF HEALTH CARE; RISK FACTORS; UNITED STATES;

EID: 33744534399     PISSN: 01966553     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ajic.2006.01.004     Document Type: Article

References (61)

1. Tuboku-Metzger J., Chiarello L., Sinkowitz-Cochran R.L., Casano-Dickerson A., and Cardo D. Public attitudes and opinions toward physicians and dentists infected with bloodborne viruses: results of a national survey. Am J Infect Control 33 (2005) 299-303
2. Centers for Disease Control and Prevention. Recommendations for preventing transmission of human immunodeficiency virus and hepatitis B virus to patients during exposure-prone invasive procedures. MMWR Morb Mortal Wkly Rep 40 (1991) 1-9
3. Centers for Disease Control and Prevention. Recommendations for prevention and control of hepatitis C virus (HCV) infection and HCV-related chronic disease. MMWR Morb Mortal Wkly Rep 47 RR-19 (1998) 1-39
4. Chiarello L.A., Cardo D.M., Panlilio A., Alter M.J., and Gerberding J.L. Risks and prevention of bloodborne virus transmission from infected healthcare providers. Semin Infect Control 1 (2001) 61-72
5. Tereskerz P.M., Pearson R.P., and Jagger J. Infected physicians and invasive procedures: national policy and legal reality. Milbank Q 77 (1999) 511-529
6. Heptonstall J. Surgeons who test positive for hepatitis C should be transferred to low-risk duties. Rev Med Virol 10 (2000) 75-78
7. Ball R.T. Protecting patients from surgical hepatitis C virus infection. [letter]. Infect Control Hosp Epidemiol 23 (2002) 297-298
8. Watson K.J.R. Surgeon, test (and heal) thyself: sharps injuries and hepatitis C risk. Med J Aust 181 (2004) 366-367
9. Reitsma A.M., Closen M.L., Cunningham M., Minich H.N.F., Moreno J.D., Nichols R.L., et al. Infected physicians and invasive procedures: safe practice management. Clin Infect Dis 40 (2005) 1665-1672
10. Mele A., Ippolito G., Craxi A., Coppola R.C., Petrosillo N., Piazza M., et al. Risk management of HBsAg or anti-HCV positive healthcare workers in hospital. Dig Liver Dis 33 (2001) 795-802
11. UK Department of Health. Hepatitis C infected health care workers. London: Department of Health Publications, August 2002. Publication No. 28876. Available at: http://www.dh.gov.uk/assetRoot/04/05/95/44/04059544.pdf. Accessed.
12. Australia Department of Health and Ageing. Infection control guidelines for the prevention of transmission of infectious diseases in the health care setting. Chapter 24. Bloodborne viruses: issues for infected health care workers and students. Canberra, Australia; January 2004. Available at: http://www.health.gov.au/internet/wcms/publishing.nsf/Content/icg-guidelines-index.htm. Accessed.
13. Scottish Executive Health Department. Hepatitis C infected health care workers. NHS HDL (2002) 75; November 22, 2002.
14. Gerlich WH, Hofmann F, Jilg W, Kralj N, Leidel J, Martiny H, et al. Empfehlungen zur Verhutung der Ubertraguny von Hepatitis-C-Virus durch infiziertes Personal im Gesundheitswesen. Epidemiologisches Bulletin 2001;3/01:15-16. As cited in: 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;66:461-7.
15. Lot F., Seguier J.C., Fegueux S., Astagneau P., Simon P., Aggoune M., et al. Probable transmission of HIV from an orthopedic surgeon to a patient in France. Ann Intern Med 130 (1999) 1-6
16. Astagneau P., Lot F., Bouvet E., Lebascle K., Baffoy N., Aggoune M., et al. Lookback investigation of patients potentially exposed to HIV type 1 after a nurse-to-patient transmission. Am J Infect Control 30 (2002) 242-245
17. Bosch X. Second case of doctor-to-patient HIV transmission. Lancet 3 (2003) 261
18. Heptonstall J. Lessons from two linked clusters of acute hepatitis B in cardiothoracic surgery patients. The incident control teams and others. Commun Dis Rep CDR Rev 6 (1996) R119-R125
19. Mukerjee A.K., Westmoreland D., and Rees H.G. Response to the discovery of two practicing surgeons infected with hepatitis B. Commun Dis Rep CDR Rev 6 (1996) R126-R128
20. Harpaz R., Von Seidlein L., Averhoff F.M., Tormey M.P., Sinha S.D., Kotsopoulou K., et al. Transmission of hepatitis B virus to multiple patients from a surgeon without evidence of inadequate infection control. N Engl J Med 334 (1996) 549-554
21. Incident investigation teams and others. Transmission of hepatitis B to patients from four infected surgeons without hepatitis B e antigen. N Engl J Med 336 (1997) 178-184
22. Sundkvist T., Hamilton G.R., Rimmer D., Evans B.G., and Teo C.G. Fatal outcome of transmission of hepatitis B from an e antigen negative surgeon. Commun Dis Public Health 1 (1998) 48-50
23. Oliver S.E., Woodhouse J., and Hollyoak V. Lessons from patient notification exercises following the identification of hepatitis B e antigen positive surgeons in an English Health Region. Commun Dis Public Health 2 (1999) 130-136
24. Molyneaux P., Reid T.M., Collacott I., Mcintyre P.G., Dillon J.F., and Laing R.B. Acute hepatitis B in two patients transmitted from an e antigen negative cardiothoracic surgeon. Commun Dis Public Health 3 (2000) 250-252
25. Spijkerman I.J., van Dorn L.J., Janssen M.H., Wijkmans C.J., Bilkert-Mooiman M.A., Coutinho R.A., 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 23 (2002) 306-312
26. UK Communicable Disease Surveillance Centre. Hepatitis C virus transmission from health care worker to patient. Commun Dis Rep CDR Wkly 5 (1995) 121
27. Duckworth G.J., Heptonstall J., and Aitken C. Transmission of hepatitis C virus from a surgeon to a patient. The Incident Control Team. Commun Dis Public Health 2 (1999) 188-192
28. Esteban J.I., Gomez J., Martell M., Cabot B., Quer J., Camps J., et al. Transmission of hepatitis C virus by a cardiac surgeon. N Engl J Med 334 (1996) 555-560
29. UK Communicable Disease Surveillance Centre. Transmission of hepatitis C virus from surgeon to patient prompts lookback. Commun Dis Rep CDR Wkly 9 (1999) 387
30. UK Communicable Disease Surveillance Centre. Two hepatitis C lookback exercises-national and in London. Commun Dis Rep CDR Wkly 10 (2000) 125 128
31. UK Communicable Disease Surveillance Centre. Hepatitis C lookback exercises. Commun Dis Rep CDR Wkly 10 (2000) 203 206
32. Rabin R. Hepatitis C link. Officials: surgeon likely infected at least 3 patients. Newsday March 27, 2000:Sect A:3.
33. Rabin R. Former patients seeking answers: hospital fields calls on surgeon with hepatitis C. Newsday March 28, 2002:Sect A:4.
34. Rabin R. No outreach over hepatitis C: ex-patients responsible for contacting hospital. Newsday March 29, 2002:Sect A:22.
35. Rabin R. At-risk patients will be notified in hepatitis case. Newsday March 30, 2002:Sect A:12.
36. Rabin R. Infected surgeon's work "unjustifiable." Newsday April 2, 2002:Sect A:8.
37. Rabin R. Seeking a legal remedy: patient sues heart surgeon he says gave him hepatitis C. Newsday April 12, 2002:Sect A:2.
38. Rabin R. Meager screening regulations. Newsday April 12, 2002:Sect A:3.
39. Rabin R. Patients: He never told us. Five say surgeon didn't reveal his hepatitis. Newsday April 17, 2002:Sect A:3.
40. Rabin R. Solving hepatitis riddle: infected patients lead to surgeon. Newsday May 19, 2002:Sect A:7.
41. Rabin R. Early signs of illness; documents: surgeon told hospital he had hepatitis C in 1995. Newsday December 27, 2002:Sect A:3.
42. Rabin R. Surgeon declines safety advice: LI doctor with hepatitis C still opening, closing chests. Newsday March 30, 2003:Sect A:3.
43. Bergmann C.F. Cardiac surgeon likely source of hepatitis in patients. Infect Dis News 15 1 (2002) 13-15
44. Williams I.T., Perz J.F., and Bell B.P. Viral hepatitis transmission in ambulatory health care settings. Clin Infect Dis 38 (2004) 1592-1598
45. UK Communicable Disease Surveillance Centre. Hepatitis C lookback in two Trusts in the south of England. Commun Dis Rep CDR Wkly [serial on-line] 2001(May 24);11(21). Available at: http://www.hpa.org.uk/cdr/archives/2001/cdr2101.pdf. Accessed November 2005.
46. Ross S.R., Viazov S., and Roggendorf M. Phylogenetic analysis indicates transmission of hepatitis C virus from an infected orthopedic surgeon to a patient. J Med Virol 66 (2002) 461-467
47. Ross S.R., Viazov S., Thormahlen M., Bartz L., Tamm J., Rautenberg P., et al. Risk of hepatitis C virus transmission from an infected gynecologist to patients: results of a 7-year retrospective investigation. Arch Intern Med 162 (2002) 805-810
48. UK Health Protection Agency. Nationally co-ordinated hepatitis C look-back: England and Scotland. Commun Dis Rep CDR Wkly [serial on-line] 2005(February 3);15(5). Available at: http://www.hpa.org.uk/cdr/archives/2005/cdr0505.pdf. Accessed November 2005.
49. UK Health Protection Agency. Nationally co-ordinated hepatitis C look-back in England and Scotland. Commun Dis Rep CDR Wkly [serial on-line] 2005(April 21);15(16). Available at: http://www.hpa.org.uk/cdr/archives/2005/cdr1605.pdf. Accessed November 2005.
50. Cody S.H., Nainan O.V., Garfein R.S., Meyers H., Bell B.P., Shapiro C.N., et al. Hepatitis C virus transmission from an anesthesiologist to a patient. Arch Intern Med 162 (2002) 345-350
51. Chiarello L.A., and Cardo D.M. Preventing transmission of hepatitis B virus from surgeons to patients. Infect Control Hosp Epidemiol 23 (2002) 301-302
52. UK Health Protection Agency, Communicable Disease Surveillance Centre. Reporting to the PHLS Communicable Disease Surveillance Centre: a reference for laboratories. May 2001. Available at: http://www.hpa.org.uk/infections/about/surveillance/CDSC_Reporting_doc.pdf. Accessed November 2005.
53. UK Health Protection Agency, Centre for Infections. Form 31: Reports of acute hepatitis A and E; reports of confirmed hepatitis C [reporting form; includes case definition for confirmed hepatitis C]. Available at: http://www.hpa.org.uk/infections/about/surveillance/standards.htm. Accessed November 2005.
54. Centers for Disease Control and Prevention. Guidelines for viral hepatitis surveillance and case management. Atlanta, GA; January 2005. p. 35. Available at: http://www.cdc.gov/ncidod/diseases/hepatitis/resource/surveillance.htm. Accessed November 2005.
55. Centers for Disease Control and Prevention. Guidelines for viral hepatitis surveillance and case management. Atlanta, GA; January 2005. p. 35. Available at: http://www.cdc.gov/ncidod/diseases/hepatitis/resource/surveillance.htm. Accessed November 2005.
56. Jagger J, Detmer DE, Blackwell B, Litos M, Pearson RD. Comparative injury risk among operating room, emergency department, and clinical laboratory personnel. Abstract presented at the Conference on Prevention of Transmission of Bloodborne Pathogens in Surgery and Obstetrics; Atlanta, GA, February 13-15, 1994. Published in: Infect Control Hosp Epidemiol 1994;15:345.
57. Alvarado F, Panlilio AL, Cardo D, NaSH Surveillance Group, Centers for Disease Control and Prevention. Percutaneous injury reporting in US hospitals, 1998. Abstract presented at 4th Decennial International Conference on Nosocomial and Healthcare-Associated Infections; Atlanta, GA, March 5-9, 2000. Published in: Infect Control Hosp Epidemiol 2000;21:106.
58. Tokars J.I., Bell D.M., Culver D.H., Marcus R., Mendelson M.H., Sloan E.P., et al. Percutaneous injuries during surgical procedures. JAMA 267 (1992) 2899-2904
59. Jagger J., Bentley M., and Tereskerz P. A study of patterns and prevention of blood exposures in OR personnel. AORN J 67 (1998) 979-996
60. US Department of Labor, Bureau of Labor Statistics. Health services. Available at: http://www.bls.gov/oco/cg/cgs035.htm. Accessed November 2005.
61. American Board of Medical Specialties. 2005 ABMS annual report and reference handbook. Table 7 geographic distribution of diplomates by general certificate, p. 86-9. Available at: http://www.abms.org/Downloads/Publications/AnnualReport2005.pdf. Accessed November 2005.