Advertisement

Look-back investigation of a health care worker infected with human immunodeficiency virus

      We report the referral of an HIV-infected surgeon and a subsequent first-ever recommended look-back investigation in Hong Kong. Efficient coordination and effective implementation of the look-back investigation yielded a high response rate of 92.3% of priority patients, with none tested HIV positive. Our experience reconfirmed the very small risk of provider-to-patient HIV transmission and the crucial importance of infection control.

      Key Words

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to American Journal of Infection Control
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Ciesielski C.
        • Marianos D.
        • Qu C.Y.
        • Dumbaugh R.
        • Witte J.
        • Berkelman R.
        • et al.
        Transmission of human immunodeficiency virus in a dental practice.
        Ann Intern Med. 1992; 116: 798-805
        • Lot F.
        • Seguier J.C.
        • Fegueus S.
        • Astagneau P.
        • Simon P.
        • Aggoune M.
        • et al.
        Probable transmission of HIV from an orthopedic surgeon to a patient in France.
        Ann Intern Med. 1999; 130: 1-6
        • Mallolas J.
        • Arnedo M.
        • Pumarola T.
        • Erice A.
        • Blanco J.L.
        • Martínez E.
        • et al.
        Transmission of HIV-1 from an obstetrician to a patient during a caesarean section.
        AIDS. 2006; 20: 285-287
        • Goujon C.P.
        • Schneider V.M.
        • Grofti J.
        • Montigny J.
        • Jeantils V.
        • Astagneau P.
        • et al.
        Phylogenetic analyses indicate an atypical nurse to patient transmission of human immunodeficiency virus type 1.
        J Virol. 2000; 74: 2525-2532
      1. UK Department of Health. HIV infected health care workers: guidance on management and patient notification. London: COI Communications for the Department of Health; 2005.

        • Henderson D.K.
        • Dembry L.
        • Fishman N.O.
        • Grady C.
        • Lundstrom T.
        • Palmore T.N.
        • et al.
        • Society for Healthcare Epidemiology of America
        SHEA guideline for management of healthcare workers who are infected with hepatitis B virus, hepatitis C virus, and/or human immunodeficiency virus.
        Infect Control Hosp Epidemiol. 2010; 31: 203-232