Hostname: page-component-848d4c4894-hfldf Total loading time: 0 Render date: 2024-05-18T04:28:18.570Z Has data issue: false hasContentIssue false

Bloodborne Viral Infections in Patients Attending an Emergency Room in Mexico City: Estimate of Seroconversion Probability in Healthcare Workers After an Occupational Exposure

Published online by Cambridge University Press:  02 January 2015

Midori Kato-Maeda
Affiliation:
Hospital Epidemiology Division and Laboratory of Clinical Microbiology, Instituto Nacional de la Nutrición “Salvador Zubirán,”, Mexico City, Mexico
Samuel Ponce-de-León*
Affiliation:
Hospital Epidemiology Division and Laboratory of Clinical Microbiology, Instituto Nacional de la Nutrición “Salvador Zubirán,”, Mexico City, Mexico
Jose Sifuentes-Osornio
Affiliation:
Hospital Epidemiology Division and Laboratory of Clinical Microbiology, Instituto Nacional de la Nutrición “Salvador Zubirán,”, Mexico City, Mexico
M. Sigfrido Rangel-Frausto
Affiliation:
Hospital Epidemiology Division and Laboratory of Clinical Microbiology, Instituto Nacional de la Nutrición “Salvador Zubirán,”, Mexico City, Mexico
Juan Calva-Mercado
Affiliation:
Hospital Epidemiology Division and Laboratory of Clinical Microbiology, Instituto Nacional de la Nutrición “Salvador Zubirán,”, Mexico City, Mexico
Lourdes Infante-Suarez
Affiliation:
Hospital Epidemiology Division and Laboratory of Clinical Microbiology, Instituto Nacional de la Nutrición “Salvador Zubirán,”, Mexico City, Mexico
Fernando Morales Villareal
Affiliation:
Hospital Epidemiology Division and Laboratory of Clinical Microbiology, Instituto Nacional de la Nutrición “Salvador Zubirán,”, Mexico City, Mexico
Sergio Ponce-de-León
Affiliation:
Hospital Epidemiology Division and Laboratory of Clinical Microbiology, Instituto Nacional de la Nutrición “Salvador Zubirán,”, Mexico City, Mexico
*
Instituto Nacional de la Nutrición “Salvador Zubirán,”, División de Epidemiología Hospitalaria, Vasco de Quiroga 15, Tlalpan, México DF 14000

Abstract

The frequency of hepatitis C (HCV), hepatitis B (HBV), human immunodeficiency virus (HIV), and human T-cell lymphotropic virus (HTLV) I/II was determined in the emergency room of a teaching hospital. Of 909 patients, 19% had at least one infection; 7.8% had HCV, 6.9% HBV, 3.3% HIV, and 2.8% HTLV I/II. The probability that a healthcare worker would have an accident with an infected patient and seroconvert was 4.99 to 24.9 per 100,000 venipunctures for HBV, 5.6 to 8.4 for HCV, and 0.12-0.16 for HIV in our emergency room.

Type
Concise Communication
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2000

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Fleiss, JL. An introduction to applied probability. In: Fleiss, JL, ed. Statistical Methods for Rates and Proportions. 2nd ed. West Sussex, England: John Wiley & Sons; 1981:1315.Google Scholar
2. Colton, T. Probability. In: Colton, T, ed. Statistics in Medicine. Boston, MA: Little Brown & Co; 1974:6395.Google Scholar
3. Henderson, DK, Fahey, BJ, Wily, M, Schmitt, JM, Carey, K, Koziol, P, et al. Risk for occupational transmission of human immunodeficiency virus type 1 (HIV-1) associated with clinical exposures. Ann Intern Med 1990;113:740746.Google Scholar
4. Hadler, SC, Dotto, IL, Maynard, JE, Smith, J, Clark, B, Mosley, J, et al. Occupational risk of hepatitis B infection in hospital workers. Infect Control 1985;6:2431.Google Scholar
5. Lanphear, BP, Linnemann, CC, Cannon, CG, DeRonde, MM, Pendy, L, Kerley, LM. Hepatitis C virus infection in healthcare workers: risk of exposure and infection. Infect Control Hosp Epidemiol 1994;15:745750.Google Scholar
6. Sifuentes-Osornio, J, Santamaría, V, Jáuregui, A, Hernández, L, López-Vidal, Y, Ruiz-Palacios, GM. Prevalence of HIV antibodies and HBsAg in family blood donors. Proceedings of the Sixth International Conference on AIDS; June 1990; San Francisco, CA. Abstract 3196.Google Scholar
7. Kelen, GD, Hexter, DA, Hansen, KN, Tang, N, Preterms, S, Quinn, TC. Trends in human immunodeficiency virus (HIV) infection among a patient population on an inner-city emergency department: implications for emergency department-based screening programs for HIV infection. Clin Infect Dis 1995;21;867875.Google Scholar
8. Beekmann, SE, Vlahov, D, Koziol, DE, McShalley, ED, Schmitt, JM, Henderson, DK. Temporal association between implementation of Universal Precautions and a sustained, progressive decrease in percutaneous exposures to blood. Clin Infect Dis 1994;18:562569.Google Scholar
9. Hersey, JC, Martin, LS. Use of infection control guidelines by workers in healthcare facilities to prevent occupational transmission of HBV and HIV: results from a national survey. Infect Control Hosp Epidemiol 1994;15:243252.Google Scholar