Escape from collective denial: HIV transmission during surgery.

Bird, A. G.; Gore, Sheila M.; Leigh-Brown, Andrew J.; Carter, D C

doi:10.1136/bmj.303.6798.351

Cited by 22 publications

(3 citation statements)

References 16 publications

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“…The ideal solution would be efficient vaccination. Lacking such a vaccine, an impervious barrier would be desirable between surgeon and patient, protecting both from parenteral infection (it was reported that the virus has also been transmitted from practitioner to patient [19]). This barrier would be like a diving suit, but it is not yet developed for surgeons; it would be expensive; and it might well not be acceptable to the surgeon.…”

Section: Discussionmentioning

confidence: 99%

Occupational risk to surgeons of unrecognized HIV infection in a low‐prevalence area

et al. 1993

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Data are available on the occupational risk to surgeons of the human immunodeficiency virus (HIV) for areas of high HIV prevalence but not for low-risk areas and particularly for unrecognized HIV infection. The 40-year cumulative occupational risk to surgeons caring for patients with unknown HIV serologies in a low-prevalence area was estimated. From May 1989 to May 1991, 4119 consecutive patients with unknown HIV status, hospitalized in our department, were proposed for testing; 100% complied. Acquired immunodeficiency syndrome (AIDS) patients and known seropositive patients operated on during this period were excluded from the study. The prevalence of unknown HIV infection was 0.07%. Taking into account the rate of parenteral injuries, the rate of contamination after an infected parenteral injury, and the total number of operations performed during a 40-year career, we estimated the cumulative risk of unknown HIV infection in our area to be 1%. This risk must be added to those of caring for known infected patients. In high-risk areas (cumulative risk 10%), a high standard of infection control is required for every surgical procedure, even if it is expensive or of doubtful efficacy. It is unrealistic to apply this standard in a low-risk area. HIV testing with informed consent of the patient is an imperfect guard against infection but has the advantage of alerting the surgeon to the risk of contamination on a case-by-case basis; it also offers the seropositive patient the best possibility for a longer life expectancy.

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Section: Discussionmentioning

confidence: 99%

Occupational risk to surgeons of unrecognized HIV infection in a low‐prevalence area

et al. 1993

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“…18 19 Other measures include curtailing spread of HIV infection by counselled or diagnosed people (which molecular investigations can shed light on); limiting the HIV infection rate among counselled clients who have tested HIV antibody negative (to which data from Scotland's denominator study gives insight16); and random follow up to audit risk perceptions and behaviour change among those counselled (according to whether they elected to have an HIV test).…”

Section: Quality and Content Of Hiv Counselling: Need For National Prmentioning

confidence: 99%

Criminalisation of HIV transmission: implications for public health in Scotland

Bird

Brown

2001

BMJ

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“…We were told, for example, that there was no evidence of HIV transmission via breast milk, but before long this was found to be a false reassurance. Likewise, guidelines for HIV infected healthcare workers were inadequate 9. Such mistakes seem likely to be repeated in dealing with bovine spongiform encephalopathy.…”

Section: Failures Of Epidemiology Must Be Remediedmentioning

confidence: 99%

Bovine Creutzfeldt-Jakob disease?

Gore

1996

BMJ

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Escape from collective denial: HIV transmission during surgery.

Cited by 22 publications

References 16 publications

Occupational risk to surgeons of unrecognized HIV infection in a low‐prevalence area

Occupational risk to surgeons of unrecognized HIV infection in a low‐prevalence area

Criminalisation of HIV transmission: implications for public health in Scotland

Bovine Creutzfeldt-Jakob disease?

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