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HEPATITIS C INFECTED HEALTH CARE WORKERS
Footnotes
1. Exposure prone procedures are those where there is a risk that injury to the health care worker could result in exposure of the patient's open tissues to the blood of the health care worker. Such procedures occur mainly in surgery (including some procedures in minor surgery carried out by GPs), obstetrics and gynaecology, dentistry and midwifery. An illustrative list of exposure prone procedures is contained in
Guidance on the management of HIV/AIDS infected health care workers and patient notification (issued in Scotland under NHS MEL (1999) 29). Revised guidance to replace this version is currently out for consultation see
http://www.scotland.gov.uk/library5/health/ahhc-00.asp
2. Communicable Disease Surveillance Centre. Hepatitis C virus transmission from health care worker to patient.
Commun Dis Rep CDR Wkly 1995;
5: 121
3. The Regulation of Care (Requirements as to Care Services) (Scotland) Regulations 2002
National Care Standards Scottish Executive Health Department 2002.
www.scotland.gov.uk/publications . The standards published to date apply to independent hospitals and non-NHS hospices. Standards for specialist clinics (providing cosmetic surgery, diet and laser treatment), wholly private medical practices and wholly private dental practices are currently being developed and will be published next year.
4. Duckworth GJ, Heptonstall J and Aitken C for the Incident Control Team and Others. Transmission of hepatitis C virus from a surgeon to a patient.
Commun Dis Public Health 1999;
2: 188-192
5. CDSC. Transmission of hepatitis C virus from surgeon to patient prompts lookback.
Commun Dis Rep CDR Weekly 1999; 9:387. CDSC. Two hepatitis C lookback exercises - national and in London.
Commun Dis Rep CDR Weekly 2000; 10:125,8. CDSC. Hepatitis C lookback exercise.
Commun Dis Rep CDR Weekly 2000; 10:203,6. CDSC. Hepatitis C lookback in two trusts in the south of England.
Commun Dis Rep CDR Weekly 2001; 11 No 21 (24 May 2001).
6. Esteban JI, Gomez J, Martell M, Cabot B, Quer J, Camps J, Gonzalez A, Otero T, Moya A, Esteban R and Guardia J. Transmission of hepatitis C virus by a cardiac surgeon.
N Engl J Med 1996;
344: 555-560
7. Ross RS, Viazov S, Roggendorf M. Phylogenic analysis indicates transmission of hepatitis C virus from an infected orthopaedic surgeon to patient.
J Med Virol 2002; 66: 461-467 and Ross RS, Viazov S, Thormahlen M, Bartz L, Tamm J, Rautenberg P, Roggendorf M, Deister A. Risk of hepatitis C transmission from an infected gynaecologist to patients: results of a 7-year retrospective investigation.
Arch Int Med 2002; 162(&): 805-810.
8. See
http://www.newsday.com/ny-lihep28.story and
http://www.newsday.com/news/local/newyork/ny-hep0419.story
9.Guidance for clinical health care workers: protection against infection and blood-borne viruses (issued under cover SODH/CMO (98) 12)
10. This would include health care workers newly recruited or working in the NHS for the first time, including students.
11. UKAP may be contacted via its Secretariat: The Medical Secretary, UKAP, Room 635B Skipton House, 80 London Road, London SE1 6LH. Telephone 020 7972 1533
12.Guidance for clinical health care workers: protection against infection with blood-borne viruses (issued under cover of SODH/CMO (98) 12) contains advice on infection control.
13.Guidance for clinical health care workers: protection against infection with blood-borne viruses (issued under cover SODH/CMO (98) 12) contains advice on the management of blood exposure incidents. The Public Health Laboratory Service has published guidance on the management of occupational exposure to Hepatitis C - Ramsay ME. Guidance on the investigation and management of occupational exposure to hepatitis C.
Commun Dis Public Health 1999; 2: 258-262.
http://www.phls.co.uk/publications/CDPHvol2/no4/guidelines.pdf
14. Jaeckel E, Cornberg M, Wedemeyer H, Santantonio T, Mayer J, Zankel M, Pastore G, Dietrich M, Trautwein C and Manns M, for the German Acute Hepatitis C Therapy Group.
Treatment of acute hepatitis C with interferon alfa-2b.
N Engl J Med 2001;
345: 1452-1457.
http://www.content.nejm.org/cgi/content/full/345/20/1452
15.UKAP may be contacted via its Secretariat: The Medical Secretary, UKAP, Room 635B Skipton House, 80 London Road, London SE1 6LH. Telephone 020 7972 1533
16. Note: A draft of revised guidance (to replace that issued in 1999) is currently out for consultation - see
http://www.scotland.gov.uk/library5/health/ahhc-00.asp for a copy of consultation document.
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