Investigation of potential iatrogenic transmission of hepatitis C in Victoria, Australia
To determine the level of exposure to medical and surgical procedures among Australian‐born patients whose mode of acquisition of the hepatitis C virus (HCV) is unknown. Place and time of study: Melbourne, Australia, 1998–2000. Retrospective case series. Instrument: Structured questionnaire administ...
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| Veröffentlicht in: | Australian and New Zealand journal of public health 2001-06, Vol.25 (3), p.241-244 |
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| creator | C.Trasancos, Claudia Kainer, Marion A. Desmond, Paul V. Kelly, Heath |
| description | To determine the level of exposure to medical and surgical procedures among Australian‐born patients whose mode of acquisition of the hepatitis C virus (HCV) is unknown.
Place and time of study: Melbourne, Australia, 1998–2000.
Retrospective case series. Instrument: Structured questionnaire administered by one interviewer. Setting: Referral centre for hepatitis C in a tertiary teaching hospital.
Australian‐born individuals persistently HCV antibody (anti‐HCV) positive on at least two second‐generation commercial assays. Main outcome measures: Demographic and self‐reported exposure data.
Of 135 anti‐HCV positive individuals with no known mode of transmission, 54 (40%) individuals fulfilled all the entry criteria and agreed to participate. Of the 54 cases, 53 had at least one medical/surgical procedure and/or invasive dental work; 46 (85%) had dental extractions, 19 (35.2%) had complex dental work, e.g. root canal, 44 (82%) had an operation requiring general anaesthesia, 41 (75.9%) had a procedure requiring local anaesthetic, and a number of endoscopic procedures were reported: gastroscopy (n=3), colonoscopy (n=3), laparoscopy (n=4), arthroscopy (n=5), cystoscopy (n=2).
We have documented exposure to medical/surgical procedures among HCV patients with no previously recognised mode of transmission.
The findings of this study have important public health implications for current cleaning, disinfection and sterilisation procedures and protocols (or lack of these) as well as for the policies and guidelines relating to the re‐use of medical equipment such as multi‐dose vials, suturing material and anaesthetic circuits. |
| doi_str_mv | 10.1111/j.1467-842X.2001.tb00569.x |
| format | Article |
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Place and time of study: Melbourne, Australia, 1998–2000.
Retrospective case series. Instrument: Structured questionnaire administered by one interviewer. Setting: Referral centre for hepatitis C in a tertiary teaching hospital.
Australian‐born individuals persistently HCV antibody (anti‐HCV) positive on at least two second‐generation commercial assays. Main outcome measures: Demographic and self‐reported exposure data.
Of 135 anti‐HCV positive individuals with no known mode of transmission, 54 (40%) individuals fulfilled all the entry criteria and agreed to participate. Of the 54 cases, 53 had at least one medical/surgical procedure and/or invasive dental work; 46 (85%) had dental extractions, 19 (35.2%) had complex dental work, e.g. root canal, 44 (82%) had an operation requiring general anaesthesia, 41 (75.9%) had a procedure requiring local anaesthetic, and a number of endoscopic procedures were reported: gastroscopy (n=3), colonoscopy (n=3), laparoscopy (n=4), arthroscopy (n=5), cystoscopy (n=2).
We have documented exposure to medical/surgical procedures among HCV patients with no previously recognised mode of transmission.
The findings of this study have important public health implications for current cleaning, disinfection and sterilisation procedures and protocols (or lack of these) as well as for the policies and guidelines relating to the re‐use of medical equipment such as multi‐dose vials, suturing material and anaesthetic circuits.</description><identifier>ISSN: 1326-0200</identifier><identifier>EISSN: 1753-6405</identifier><identifier>DOI: 10.1111/j.1467-842X.2001.tb00569.x</identifier><identifier>PMID: 11494992</identifier><language>eng</language><publisher>Oxford, UK: Elsevier B.V</publisher><subject>Anesthesia ; Arthroscopy ; Colon ; Cross Infection - epidemiology ; Cross Infection - etiology ; Cross Infection - transmission ; Dentistry ; Dentistry, Operative ; Epidemiologic Factors ; Epidemiology ; Exposure ; Female ; Gastroscopy ; Hepatitis ; Hepatitis C ; Hepatitis C - epidemiology ; Hepatitis C - etiology ; Hepatitis C - transmission ; Hepatitis C virus ; Humans ; Iatrogenic Disease - epidemiology ; Infections ; Infectious Disease Transmission, Professional-to-Patient ; Laparoscopy ; Male ; Medical equipment ; Patients ; Public health ; Retrospective Studies ; Risk Factors ; Root canals ; Sexual Behavior ; Sterilization ; Surgical Procedures, Operative - adverse effects ; Surveys and Questionnaires ; Teaching ; Victoria - epidemiology ; Viruses</subject><ispartof>Australian and New Zealand journal of public health, 2001-06, Vol.25 (3), p.241-244</ispartof><rights>2001 Copyright 2001 THE AUTHORS.</rights><rights>2001. This work is published under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c6451-8d2dc172ccd424bad95f61ae9668218848f41fbbf9e17ecb1737ccc32b96e7943</citedby><cites>FETCH-LOGICAL-c6451-8d2dc172ccd424bad95f61ae9668218848f41fbbf9e17ecb1737ccc32b96e7943</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1467-842X.2001.tb00569.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1467-842X.2001.tb00569.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27843,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11494992$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>C.Trasancos, Claudia</creatorcontrib><creatorcontrib>Kainer, Marion A.</creatorcontrib><creatorcontrib>Desmond, Paul V.</creatorcontrib><creatorcontrib>Kelly, Heath</creatorcontrib><title>Investigation of potential iatrogenic transmission of hepatitis C in Victoria, Australia</title><title>Australian and New Zealand journal of public health</title><addtitle>Aust N Z J Public Health</addtitle><description>To determine the level of exposure to medical and surgical procedures among Australian‐born patients whose mode of acquisition of the hepatitis C virus (HCV) is unknown.
Place and time of study: Melbourne, Australia, 1998–2000.
Retrospective case series. Instrument: Structured questionnaire administered by one interviewer. Setting: Referral centre for hepatitis C in a tertiary teaching hospital.
Australian‐born individuals persistently HCV antibody (anti‐HCV) positive on at least two second‐generation commercial assays. Main outcome measures: Demographic and self‐reported exposure data.
Of 135 anti‐HCV positive individuals with no known mode of transmission, 54 (40%) individuals fulfilled all the entry criteria and agreed to participate. Of the 54 cases, 53 had at least one medical/surgical procedure and/or invasive dental work; 46 (85%) had dental extractions, 19 (35.2%) had complex dental work, e.g. root canal, 44 (82%) had an operation requiring general anaesthesia, 41 (75.9%) had a procedure requiring local anaesthetic, and a number of endoscopic procedures were reported: gastroscopy (n=3), colonoscopy (n=3), laparoscopy (n=4), arthroscopy (n=5), cystoscopy (n=2).
We have documented exposure to medical/surgical procedures among HCV patients with no previously recognised mode of transmission.
The findings of this study have important public health implications for current cleaning, disinfection and sterilisation procedures and protocols (or lack of these) as well as for the policies and guidelines relating to the re‐use of medical equipment such as multi‐dose vials, suturing material and anaesthetic circuits.</description><subject>Anesthesia</subject><subject>Arthroscopy</subject><subject>Colon</subject><subject>Cross Infection - epidemiology</subject><subject>Cross Infection - etiology</subject><subject>Cross Infection - transmission</subject><subject>Dentistry</subject><subject>Dentistry, Operative</subject><subject>Epidemiologic Factors</subject><subject>Epidemiology</subject><subject>Exposure</subject><subject>Female</subject><subject>Gastroscopy</subject><subject>Hepatitis</subject><subject>Hepatitis C</subject><subject>Hepatitis C - epidemiology</subject><subject>Hepatitis C - etiology</subject><subject>Hepatitis C - transmission</subject><subject>Hepatitis C virus</subject><subject>Humans</subject><subject>Iatrogenic Disease - epidemiology</subject><subject>Infections</subject><subject>Infectious Disease Transmission, Professional-to-Patient</subject><subject>Laparoscopy</subject><subject>Male</subject><subject>Medical equipment</subject><subject>Patients</subject><subject>Public health</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Root canals</subject><subject>Sexual Behavior</subject><subject>Sterilization</subject><subject>Surgical Procedures, Operative - adverse effects</subject><subject>Surveys and Questionnaires</subject><subject>Teaching</subject><subject>Victoria - epidemiology</subject><subject>Viruses</subject><issn>1326-0200</issn><issn>1753-6405</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7TQ</sourceid><recordid>eNqVkl2P1CAUhhujcT_0L5hGE7MXtnIoheKNmYw6u3GjXvix8YZQSldmO-0IdJ39955JG0280JUbCHnOC5yHJHkMJAccz9c5MC6yitGLnBICeawJKbnMd3eSQxBlkXFGyru4LijPCCIHyVEIa4Isbt1PDgCYZFLSw-TirL-2IbpLHd3Qp0Obbodo--h0lzod_XBpe2fS6HUfNi6EGfpmt1gQXUiXqevTz87EwTv9LF2MAdnO6QfJvVZ3wT6c5-Pk05vXH5en2fn71dlycZ4ZzkrIqoY2BgQ1pmGU1bqRZctBW8l5RaGqWNUyaOu6lRaENTWIQhhjClpLboVkxXHydMrd-uH7iE9ReE1ju073dhiDEkBEUXL6T5ACZUBJdSuQlCARPPkrCJWEiktalog--QNdD6PvsTGqIJwTIqQUSL2YKOOHELxt1da7jfY3Cojaq1drtVev9urVXr2a1asdFj-ajxjrjW1-l86uEXg5AT9cZ2_-I1otvn44xeZgQjYluBDt7leC9leKo5dSfXm3Um-BYb_5Uq2QfzXxFj_AtbNeBeNsb2zjvDVRNYO7zct-AvDS4wU</recordid><startdate>200106</startdate><enddate>200106</enddate><creator>C.Trasancos, Claudia</creator><creator>Kainer, Marion A.</creator><creator>Desmond, Paul V.</creator><creator>Kelly, Heath</creator><general>Elsevier B.V</general><general>Blackwell Publishing Ltd</general><general>Elsevier Limited</general><scope>6I.</scope><scope>AAFTH</scope><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7T2</scope><scope>7TQ</scope><scope>C1K</scope><scope>DHY</scope><scope>DON</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7U2</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope></search><sort><creationdate>200106</creationdate><title>Investigation of potential iatrogenic transmission of hepatitis C in Victoria, Australia</title><author>C.Trasancos, Claudia ; 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Place and time of study: Melbourne, Australia, 1998–2000.
Retrospective case series. Instrument: Structured questionnaire administered by one interviewer. Setting: Referral centre for hepatitis C in a tertiary teaching hospital.
Australian‐born individuals persistently HCV antibody (anti‐HCV) positive on at least two second‐generation commercial assays. Main outcome measures: Demographic and self‐reported exposure data.
Of 135 anti‐HCV positive individuals with no known mode of transmission, 54 (40%) individuals fulfilled all the entry criteria and agreed to participate. Of the 54 cases, 53 had at least one medical/surgical procedure and/or invasive dental work; 46 (85%) had dental extractions, 19 (35.2%) had complex dental work, e.g. root canal, 44 (82%) had an operation requiring general anaesthesia, 41 (75.9%) had a procedure requiring local anaesthetic, and a number of endoscopic procedures were reported: gastroscopy (n=3), colonoscopy (n=3), laparoscopy (n=4), arthroscopy (n=5), cystoscopy (n=2).
We have documented exposure to medical/surgical procedures among HCV patients with no previously recognised mode of transmission.
The findings of this study have important public health implications for current cleaning, disinfection and sterilisation procedures and protocols (or lack of these) as well as for the policies and guidelines relating to the re‐use of medical equipment such as multi‐dose vials, suturing material and anaesthetic circuits.</abstract><cop>Oxford, UK</cop><pub>Elsevier B.V</pub><pmid>11494992</pmid><doi>10.1111/j.1467-842X.2001.tb00569.x</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Australian and New Zealand journal of public health, 2001-06, Vol.25 (3), p.241-244 |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete; PAIS Index; Alma/SFX Local Collection |
| subjects | Anesthesia Arthroscopy Colon Cross Infection - epidemiology Cross Infection - etiology Cross Infection - transmission Dentistry Dentistry, Operative Epidemiologic Factors Epidemiology Exposure Female Gastroscopy Hepatitis Hepatitis C Hepatitis C - epidemiology Hepatitis C - etiology Hepatitis C - transmission Hepatitis C virus Humans Iatrogenic Disease - epidemiology Infections Infectious Disease Transmission, Professional-to-Patient Laparoscopy Male Medical equipment Patients Public health Retrospective Studies Risk Factors Root canals Sexual Behavior Sterilization Surgical Procedures, Operative - adverse effects Surveys and Questionnaires Teaching Victoria - epidemiology Viruses |
| title | Investigation of potential iatrogenic transmission of hepatitis C in Victoria, Australia |
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