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The Management of HIV infected Healthcare Workers who perform exposure prone procedures: updated guidance, January 2014


Worldwide, there have been three reports of health care associated HIV transmission from infected healthcare workers (HCWs) during exposure prone procedures (EPPs); a Florida dentist1, where the exact risk of transmission was never established; a French orthopaedic surgeon2; and a gynaecologist in Spain3. In the last two cases transmission occurred during category 3 EPP1. A further transmission has been reported involving a French nurse who was co-infected with hepatitis C4; this did not involve an EPP and the exact route of transmission remains unclear. Genetic relatedness of virus in the HCW and patient(s) was demonstrated in all four cases. These four cases of transmission involved HCWs who were not taking antiretroviral therapy at the time of transmission.
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Healthcare Management
English
2014
1-18
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