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M9610424.TXT
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1996-01-30
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Document 0424
DOCN M9610424
TI Protecting patients when their surgeon or dentist is infected with a
blood-borne virus.
DT 9601
AU Schaffner W; Mishu-Allos B; Vanderbilt University School of Medicine,
Nashville, TN 37232,; USA.
SO J Hosp Infect. 1995 Jun;30 Suppl:156-62. Unique Identifier : AIDSLINE
MED/96035341
AB The vast majority of surgeons and dentists infected with either
hepatitis B or HIV do not transmit these infections to patients. When
such transmission from health care provider to patients does occur, the
precise mechanism of transmission usually remains enigmatic. Attempts to
forestall these rare events have produced substantial debate as well as
legislative and regulatory initiatives. The routine immunization of
medical and dental students with hepatitis B vaccine will eventually
eliminate surgeons and dentists as sources of this infection.
Serological screening of surgeons and dentists for HIV infection has
been considered impractical. Thus, emphasis has been placed on enhancing
measures that reduce the risk of blood contact between health care
provider and patient. These include developing safer techniques and
procedures. When an infected surgeon or dentist is discovered, a review
of their professional circumstances is undertaken. In the US many
hepatitis B-infected persons are permitted to continue practice; most
HIV-infected persons stop performing invasive procedures. Not completely
reassured, some patients inquire of their dentist's or surgeon's HIV
antibody status.
DE *Dentists Disease Transmission, Horizontal Disease Transmission,
Professional-to-Patient/*PREVENTION & CONTROL Hepatitis B/PREVENTION &
CONTROL/TRANSMISSION Hepatitis B Vaccines Human HIV
Infections/PREVENTION & CONTROL/TRANSMISSION *Surgery JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).