AIDS in a Blood Bank Technician in Mexico City

S, Ponce de León; Sánchez-Mejorada, G; Zaidi-Jacobson, M

doi:10.2307/30144160

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Infection Control and Hospital Epidemiology

1988

DOI: 10.2307/30144160

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AIDS in a Blood Bank Technician in Mexico City

Ponce de León S¹,

G Sánchez-Mejorada²,

M Zaidi-Jacobson³

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Occupational Human Immunodeficiency Virus Infection in Health Care Workers: Worldwide Cases Through September 1997

Ippolito¹,

Puro²,

Heptonstall³

et al. 1999

CLIN INFECT DIS

174

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The average estimated risk of human immunodeficiency virus (HIV) infection for health care workers following a percutaneous or mucous exposure is <0.5% in incidence studies, although a case-control study suggests it is much higher for highest-risk percutaneous exposure. To characterize exposures resulting in HIV transmission, we reviewed available data on occupational cases reported worldwide, identifying 94 documented and 170 possible cases. The majority of documented infections occurred in nurses, after contact with the blood of a patient with AIDS by means of percutaneous exposure, with a device placed in an artery or vein. High-exposure job categories, e.g., midwives and surgeons, are represented mostly among possible cases. Transmission occurred also through splashes, cuts, and skin contaminations, and in some cases despite postexposure prophylaxis with zidovudine. Health care workers could benefit if these data were incorporated in educational programs designed to prevent occupational bloodborne infections.

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Occupational Human Immunodeficiency Virus Infection in Health Care Workers: Worldwide Cases Through September 1997

Ippolito¹,

Puro²,

Heptonstall³

et al. 1999

CLIN INFECT DIS

174

View full text Add to dashboard Cite

show abstract

Incidence And Prevalence Of Human Immunodeficiency Virus, Hepatitis B Virus, Hepatitis C Virus, And Cytomegalovirus Among Health Care Personnel At Risk For Blood Exposure: Final Report From A Longitudinal Study

Gerberding

1994

Journal of Infectious Diseases

255

112

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In a 10-year dynamic cohort study, 976 health care providers were followed a mean of 1.9 years to evaluate the risk of human immunodeficiency virus (HIV) transmission, delayed seroconversion, and seronegative latent infection following occupational exposures. The seroprevalence and incidence of HIV, hepatitis B virus (HBV), hepatitis C virus (HCV), and cytomegalovirus (CMV) infection were also measured, with annual serologic testing for viruses and postexposure HIV tests. One of 327 percutaneous exposures (0.31%; confidence interval, 0.008%-1.69%) and 0 of 398 mucocutaneous exposures to HIV-infected blood transmitted HIV. Neither delayed seroconversions nor seronegative latent infections were detected. The baseline seroprevalences of HBV, HIV, HCV, and CMV infection were 21.7%, 0, 1.4%, and 43.4%, respectively. Corresponding incidence density rates were 3.05, 0.055, 0.08, and 2.48 (per 100 person-years). Despite infection control precautions and availability of hepatitis B vaccine, these health care providers remain at risk for acquiring bloodborne viral infections.

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AIDS in a Blood Bank Technician in Mexico City

Cited by 2 publications

References 1 publication

Occupational Human Immunodeficiency Virus Infection in Health Care Workers: Worldwide Cases Through September 1997

Occupational Human Immunodeficiency Virus Infection in Health Care Workers: Worldwide Cases Through September 1997

Incidence And Prevalence Of Human Immunodeficiency Virus, Hepatitis B Virus, Hepatitis C Virus, And Cytomegalovirus Among Health Care Personnel At Risk For Blood Exposure: Final Report From A Longitudinal Study

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