Hepatitis B Infections After Gynaecological Surgery

Welch, Jan; Tilzey, AntheaJ.; Webster, Margaret; Noah, N D; Banatvala, J. E.

doi:10.1016/s0140-6736(89)91213-0

Cited by 80 publications

(33 citation statements)

References 8 publications

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“…One factor associated with increased risk of transmission is the HCW being HBeAg positive, indicating a higher level of infectivity (137,138,217,218,221,275). In the United Kingdom, several episodes of HBeAg-negative surgeons transmitting HBV have been reported (127,128,145,250).…”

Section: Transmission Of Hbv From Infected Hcws To Patientsmentioning

confidence: 99%

Risk and Management of Blood-Borne Infections in Health Care Workers

Beltrami¹,

Williams

Shapiro

et al. 2000

Clinical Microbiology Reviews

355

209

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Section: Transmission Of Hbv From Infected Hcws To Patientsmentioning

confidence: 99%

Risk and Management of Blood-Borne Infections in Health Care Workers

Beltrami¹,

Williams

Shapiro

et al. 2000

Clinical Microbiology Reviews

355

209

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“…The rationale here is the fact that vertical transmission of HCV has only occurred when maternal serum titers were 1 viral equivalents/mL [58]. 6 1 ϫ 10 Admittedly, this boundary is arbitrary, but it is based on reasonable available data and expert consultation (by B.W., R.G.S., and R.L.N.…”

Section: Discussionmentioning

confidence: 99%

“…The question of whether physicians infected with blood-borne pathogens should perform invasive procedures-and, if so, under what conditions-was raised by reports of the transmission of hepatitis B virus (HBV) [1][2][3][4][5][6][7][8][9][10][11][12][13][14], hepatitis C virus (HCV) [15][16][17][18][19][20][21], and HIV [22][23][24] from health care workers to patients during invasive procedures. Despite evidence of such transmissions, there is no uniform national policy that provides definitive guidance concerning whether and under what conditions infected physicians can practice.…”

mentioning

confidence: 99%

Infected Physicians and Invasive Procedures: Safe Practice Management

Reitsma

Closen

Cunningham

et al. 2005

Clinical Infectious Diseases

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There is currently no public policy that provides guidance concerning whether and when physicians infected with hepatitis B virus (HBV), hepatitis C virus (HCV), and/or human immunodeficiency virus (HIV) can safely perform invasive procedures. A committee of experts in the fields of medicine, law, and biomedical ethics and 1 community member, aided by an advisory board, was established to produce recommendations for policy reform. An extensive literature review was conducted for these 3 infectious diseases, medicine, surgery, epidemiology, law, and bioethics to gather all relevant data. Special recommendations are made regarding the management of physicians who are infected with HIV, HBV, and/or HCV. This policy proposal includes a list of exposure-prone procedures and a decision chart that indicates under what conditions infected physicians can practice beyond the need for disclosure of their serological status.

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“…Until 1997, all HCWs associated with HBV transmissions who were tested were HbeAg positive, which is associated with higher levels of circulating virus and greater infectivity (2,15,16,(19)(20)(21)(22)(23)(24)26,(28)(29)(30)32,33). This was identified as a marker for HCWs who should refrain from performing exposure-prone procedures (5,25).…”

Section: Adult Infectious Disease Notesmentioning

confidence: 99%