Hepatitis C and the surgeon

Fisher, William D.

doi:10.1503/cjs.000912

Cited by 5 publications

(5 citation statements)

References 5 publications

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“…Apart from needles, they frequently use other sharp materials, such as wires, drills and saws. (26) In our study, in spite of the lower number of surgeries in the orthopedic and gynecology groups, these groups were at higher risk of needlesticks and had more positive HBsAg and HCVAb results in comparison to the other surgeons.…”

Section: Discussioncontrasting

confidence: 48%

Assessment of needlestick injuries and hepatitis B and C infection among surgeons

et al. 2020

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Background Specialist surgeons are at high risk of exposure to hepatitis viruses through occupational exposure to blood or body fluids. Protective measures against occupational exposure to the hepatitis B virus (HBV) and hepatitis C virus (HCV) must be taken in order to prevent infection in surgeons. We aimed to determine the needlestick injuries, and markers HBV and HCV in Iranian surgeons. Methods This study was cross-sectional research, performed in Baqyatallah, Shohada, Rasoul Akram, Sina, Taleghani, and Emam Hossein hospitals (all university hospitals) of Tehran, Iran. Overall 318 eligible surgeons were included. Anonymous questionnaires were used containing data about demographic characteristics, self-reported blood and needlestick contacts, occasional exposures, risk behaviors and vaccination. Also, the blood samples were taken and tested for hepatitis B surface antigen (HBsAg), antibody against Hepatitis B surface antigen (antiHBs) and HCV antibody (HCVAb). Fisher exact test and Kruskal Wallis test were used to analyze the data. Results The mean age of the surgeons was 47.76 ± 8.95 years and 177 of them (55.66%) were male. The average number of needle–sticks was 28.28 ± 16.58 during the surgeons’ working life. Among them, 5 cases (1.59%) were positive for HBsAg and 2 cases (0.66%) were positive for HCVAb. Conclusion In spite of the high needlestick rate in Iranian surgeons, prevalence of hepatitis B and C is not very high among them. A high degree of vigilance and a careful surgical technique is the only means available to prevent the transmission of the viruses.

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Section: Discussioncontrasting

confidence: 48%

Assessment of needlestick injuries and hepatitis B and C infection among surgeons

et al. 2020

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“…Unfortunately, no consensus exists with reference to protocols for healthcare workers following exposure. 16 …”

Section: Discussionmentioning

confidence: 99%

Assessing State Variation in Plastic Surgeons’ Risk of Hepatitis C Exposure: Revisit in Methodology

Hardy

Mullens

Mason

2020

Plastic and Reconstructive Surgery - Global Open

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Background: As the national opioid epidemic escalates, rates of the Hepatitis C (HCV) infection have similarly risen. Surgeons exposed intraoperatively secondary to sharp instrument or needle-sticks are affected both socioeconomically and physically. Current treatment strategies involve antiretroviral agents that have not been universally available. This study evaluates the current risk of surgeon exposure to HCV. Methods: CDC data regarding state-by-state HCV diagnosis reporting were combined with the plastic surgery workforce data from the ASPS. Proxy variables for exposure risk to HCV were generated for each state and compared. Results: West Virginia plastic surgeons were found to have a significantly elevated risk of exposure (60.0 versus 18.7, P < 0.0001). Their exposure risk is a notable outlier compared with the rest of the country (Risk >3 × IQR + 75th percentile). Similarly, states within the Ohio Valley were found to be at increased risk (34.8 versus 16.0, P = 0.05). States most heavily burdened by the opioid crisis were found to be at an increased risk for HCV exposure (40.8 versus 13.6, P = 0.0003). Conclusions: Plastic surgeons employed in states within the Ohio Valley were found to be at an increased risk of exposure to HCV. Plastic surgeons operating in states severely impacted by the opioid crisis were found to be at an increased risk of exposure. These findings underscore the importance of reducing the risk in the operating room and the need for better data collection to better understand this association and mitigate the risk to the operating surgeon.

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“…A qualitative test for HCV RNA should be performed 6 to 8 weeks from exposure and treatment should be initiated immediately if positive. 18 Maternal to fetal transmission of HCV is rare and occurs almost exclusively in viremic women, and, similarly, transmission of HIV to the fetus can be reduced to <1% with the appropriate management. 19 In contrast to some other surgical and procedural specialties, exposure to ionizing radiation is generally rare in colon and rectal surgery aside from placement of sacral neuromodulators and endoluminal colonic stents.…”

Section: Occupational Hazardsmentioning

confidence: 99%

The Pregnant Surgeon

Harnsberger

Davids

2019

Clin Colon Rectal Surg

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The proportion of women entering medicine and surgery is increasing steadily. As more women surgeons have children during residency and practice, it is essential that we adopt a team approach to the pregnant surgeon, as a pregnancy undoubtedly impacts the team and not just the individual. Coauthored by a practicing surgeon mother of 2 (J. D.) and a postgraduate year 8 colorectal surgery fellow mother of 2 who is currently pregnant (C. H.), we aim to review the data while providing some practical advice for pregnant surgeons and those considering pregnancy, as well as their valued colleagues, mentors, and administrators. Physical challenges are discussed by trimester, as are the risks facing the pregnant surgeon, the logistics of transitioning in and out of maternity leave, and postpartum considerations.

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Hepatitis C and the surgeon

Cited by 5 publications

References 5 publications

Assessment of needlestick injuries and hepatitis B and C infection among surgeons

Assessment of needlestick injuries and hepatitis B and C infection among surgeons

Assessing State Variation in Plastic Surgeons’ Risk of Hepatitis C Exposure: Revisit in Methodology

The Pregnant Surgeon

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