Literature DB >> 2143953

Operating practices of and precautions taken by orthopaedic surgeons to avoid infection with HIV and hepatitis B virus during surgery.

M J Porteous1.   

Abstract

OBJECTIVE: To assess the precautions being taken by orthopaedic surgeons to avoid becoming infected with HIV or hepatitis B virus by their patients during surgery.
DESIGN: Pilot study of 50 surgeons selected at random followed by a postal questionnaire completed anonymously.
SUBJECTS: All 1220 fellows and associates of the British Orthopaedic Association working in the United Kingdom.
RESULTS: 800 (67%) Questionnaires were returned. 511 Surgeons has sustained a needlestick injury or had got body fluid in their eye within the past month despite 430 regularly wearing eye protection during major surgery. Seven had definitely and four possibly been infected with hepatitis B virus by a patient while operating, and 582 had been immunised against hepatitis B. Only 75 surgeons were satisfied with the present guidelines on testing patients for HIV antibodies.
CONCLUSIONS: Although most surgeons who replied took some precautions when operating, most still exposed themselves to considerable risk from patients not known to be infected with HIV or hepatitis B virus.

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Year:  1990        PMID: 2143953      PMCID: PMC1663528          DOI: 10.1136/bmj.301.6744.167

Source DB:  PubMed          Journal:  BMJ        ISSN: 0959-8138


  13 in total

1.  Hazards of blood splashes.

Authors:  M J Porteous
Journal:  BMJ       Date:  1990-02-17

2.  Risk to surgeons: a survey of accidental injuries during operations.

Authors:  S A Hussain; A B Latif; A A Choudhary
Journal:  Br J Surg       Date:  1988-04       Impact factor: 6.939

3.  Surgical glove perforations.

Authors:  S J Brough; T M Hunt; W W Barrie
Journal:  Br J Surg       Date:  1988-04       Impact factor: 6.939

4.  Viral hepatitis: an occupational hazard to surgeons.

Authors:  J L Rosenberg; D P Jones; L R Lipitz; J B Kirsner
Journal:  JAMA       Date:  1973-01-22       Impact factor: 56.272

5.  Does wearing two pairs of gloves protect operating theatre staff from skin contamination?

Authors:  H Matta; A M Thompson; J B Rainey
Journal:  BMJ       Date:  1988-09-03

6.  Eye protection, HIV, and orthopaedic surgery.

Authors:  G S Duthie; S R Johnson; G J Packer; I G Mackie
Journal:  Lancet       Date:  1988-02-27       Impact factor: 79.321

7.  Surgeons and HIV.

Authors:  A J Sim; H A Dudley
Journal:  Br Med J (Clin Res Ed)       Date:  1988-01-09

8.  Transmission of serum hepatitis.

Authors:  L F Barker; N R Shulman; R Murray; R J Hirschman; F Ratner; W C Diefenbach; H M Geller
Journal:  JAMA       Date:  1970-03-02       Impact factor: 56.272

9.  A comparison of physicians who did or did not respond to a postal questionnaire.

Authors:  H G Gough; W B Hall
Journal:  J Appl Psychol       Date:  1977-12

10.  Hepatitis B infection in physicians. Results of a nationwide seroepidemiologic survey.

Authors:  A E Denes; J L Smith; J E Maynard; I L Doto; K R Berquist; A J Finkel
Journal:  JAMA       Date:  1978-01-16       Impact factor: 56.272

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  11 in total

1.  Therapeutic conservatism: more costly in the long term? A UK perspective.

Authors:  J P Griffin
Journal:  Pharmacoeconomics       Date:  1995-05       Impact factor: 4.981

2.  Precautions taken by orthopaedic surgeons to avoid infection with HIV and hepatitis B virus.

Authors:  T C O'Dowd; S M O'Dowd
Journal:  BMJ       Date:  1990-09-01

3.  Hazards of contamination with blood.

Authors:  L Hoogsteden; A Chaffe
Journal:  BMJ       Date:  1991-02-23

4.  Precautions taken by orthopaedic surgeons to avoid infection with HIV and hepatitis B.

Authors:  M S Gatley
Journal:  BMJ       Date:  1990-08-11

5.  Precautions taken by orthopaedic surgeons to avoid infection with HIV and hepatitis B.

Authors: 
Journal:  BMJ       Date:  1990-09-22

6.  One in the eye for an orthopaedic surgeon.

Authors:  J Lourie; K Hamid
Journal:  Ann R Coll Surg Engl       Date:  1996-01       Impact factor: 1.891

7.  Beyond universal precautions.

Authors:  J W Osterman
Journal:  CMAJ       Date:  1995-04-01       Impact factor: 8.262

8.  Personal immunization against hepatitis B.

Authors:  N J Shanks; D F Rowlands
Journal:  J R Soc Med       Date:  1993-03       Impact factor: 5.344

9.  Motivation for hepatitis B vaccine acceptance among medical and physician assistant students.

Authors:  D J Diekema; K J Ferguson; B N Doebbeling
Journal:  J Gen Intern Med       Date:  1995-01       Impact factor: 5.128

10.  Review of management of incidents involving exposure to blood in a London teaching hospital, 1989-91.

Authors:  K Oakley; C Gooch; A Cockcroft
Journal:  BMJ       Date:  1992-04-11
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