Infected Physicians and Invasive Procedures: Safe Practice Management
Open Access
- 1 June 2005
- journal article
- practice guideline
- Published by Oxford University Press (OUP) in Clinical Infectious Diseases
- Vol. 40 (11), 1665-1672
- https://doi.org/10.1086/429821
Abstract
There is currently no public policy that provides guidance concerning whether and when physicians infected with hepatitis B virus (HBV), hepatitis C virus (HCV), and/or human immunodeficiency virus (HIV) can safely perform invasive procedures. A committee of experts in the fields of medicine, law, and biomedical ethics and 1 community member, aided by an advisory board, was established to produce recommendations for policy reform. An extensive literature review was conducted for these 3 infectious diseases, medicine, surgery, epidemiology, law, and bioethics to gather all relevant data. Special recommendations are made regarding the management of physicians who are infected with HIV, HBV, and/or HCV. This policy proposal includes a list of exposure-prone procedures and a decision chart that indicates under what conditions infected physicians can practice beyond the need for disclosure of their serological status.Keywords
This publication has 26 references indexed in Scilit:
- Transmission of Hepatitis B to Patients from Four Infected Surgeons without Hepatitis B e antigenNew England Journal of Medicine, 1997
- Transmission of Hepatitis C Virus by a Cardiac SurgeonNew England Journal of Medicine, 1996
- Transmission of Hepatitis B Virus to Multiple Patients from a Surgeon without Evidence of Inadequate Infection ControlNew England Journal of Medicine, 1996
- Infection with hepatitis B virus after open heart surgery.BMJ, 1992
- The health of the nation.BMJ, 1991
- HEPATITIS B INFECTIONS AFTER GYNAECOLOGICAL SURGERYThe Lancet, 1989
- Acute viral hepatitis B: laboratory reports 1980-4.BMJ, 1986
- Acute hepatitis B in patients in Britain related to previous operations and dental treatment.BMJ, 1986
- Transmission of Hepatitis B by an Oral SurgeonThe Journal of Infectious Diseases, 1982
- Hepatitis B Outbreak Traced to an Oral SurgeonNew England Journal of Medicine, 1977