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Operative Precautions in HIV and Other Bloodborne Virus Diseases

Published online by Cambridge University Press:  02 January 2015

Dennis Raahave
Dennis Raahave*
Affiliation:
Department of Organ Surgery, the Øresund Hospital, Helsingør/Hø, Denmark
*
Surgical Infection Laboratory, Anemonevej 24, 2970, Hø, Denmark
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Abstract

Mathematical means have suggested that the surgical team is at particular risk of acquiring HIV (or other bloodborne viruses) from a source patient. To reduce this risk, it is mandatory to avoid accidental injuries during operative procedures. The surgeon must handle tissues with instruments and must minimize finger use. Sharp instruments should be passed through a neutral zone to ensure that the surgeon and nurse do not touch the same instrument at the same time. Instruments should not be handled blindly, but instead should be accompanied by eye and verbal contact. We find these changes in surgical technique are necessary for present and future generations of surgeons.

Type
From the Fourth International Conference on the Prevention of Infection
Information
Infection Control & Hospital Epidemiology , Volume 17 , Issue 8 , August 1996 , pp. 529 - 531
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1996

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References

1. Statens Seruminstitute. Epi-Nyt. 1995; uge 47.Google Scholar
2. Statens Seruminstitute, Epi-nyt, 1996; uge 12.Google Scholar
3.Heptonstall, J, Porter, K, Gill, O. Occupational transmission of HIV. Public Health Laboratory Service 1995; report. December.Google Scholar
4.Hussain, SA, Latif, ABA, Choudhary AAAA. Risk to surgeons: a survey of accidental injuries during operations. Br J Surg 1988;75:314–316.Google Scholar
5.Tokars, JI, Bell, DM, Culver, DH, et al. Percutaneous injuries during surgical procedures. JAMA 1992;267:2899–2904.Google Scholar
6.Lowenfels, AB, Wormser, GP, Jain, R. Frequency of puncture injuries in surgeons and estimated risk of HIV infection. Arch Surg 1989;124:1284–1286.Google Scholar
7.McKinney, WP, Young, MJ. The cumulative probability of occupationally acquired HIV-infection: the risk of reported exposures during a surgical career. Infect Control Hosp Epidemiol 1990;11:243–247.Google Scholar
8.Raahave, D, Bremmelgaard, A. New operative technique to reduce surgeon's risk of HIV-infection. J Hosp Infect 1991;18(suppl A):177–183.Google Scholar
9.Gerberding, JL, Littell, C, Tarkington, A, Brown, A, Schecter, WP. Risk of exposure of surgical personnel to patient's blood during surgery at San Francisco General Hospital. N Engl J Med 1990;322:1788–1793.Google Scholar
10.Centers for Disease Control. Guidelines for prevention of transmission of human immunodeficiency virus and hepatitis B virus to healthcare and public-safety workers. MMWR 1989;38:9–10.Google Scholar
11.Joint Working Party of the Hospital Infection Society and the Surgical Infection Study Group. Risks to surgeons and patients from HIV and hepatitis: guidelines on precautions and management of exposure to blood or body fluids. BMJ 1992;305:1337–1343.Google Scholar
12.Quebbeman, EJ, Telforce, GL, Wadsworth, K, Hubbard, S, Goodman, H, Gottlieb, MS. Double gloving. Protecting surgeons from blood contamination in the operating room. Arch Surg 1992;127:213–217.Google Scholar
13.Raahave, D, Bremmelgaard, A. AIDS/HIV: cumulative risk of surgeons-changes in surgical handicraft. Surg Res Comm 1990;7:161–168.Google Scholar
14.Bessinger, CD. Prevention transmission of human immunodeficiency virus during operations. Surg Gynecol Obstet 1988;167:287–289.Google Scholar
15.Mast, S, Geberding, JL. Factors predicting infectivity following needlestick exposure to HIV: an in vitro model. Clin Res 1991;39:58A.Google Scholar