Estimates of the Risk of Endemic Transmission of Hepatitis B Virus and Human Immunodeficiency Virus to Patients by the Percutaneous Route During Invasive Surgical and Dental Procedures (Draft)

DRAFT
or blco&. if any, is unkmn ~but likely1 to be a small:fraction
In two c.'rstl d 3L 7 5 and 62 patients, epectIvey of a
~rIand a surg-cal resident with AIDS were tes ted o
HIV antib-ody' A*>1Patients were,1HIV, seroqneqativ athog
i n 4the >st er Eudy, mi~st patients were tested, less th~n 90' dayse'1
2- erS "7::e ry. fIt Pitected dxurings eeaptient4 may notye
ILAv cevape.n tibod-ies when tested.
C T I 14A TE _t4 OcURTISK CF ENOEM C HIV AND HBV TRNISSI01N Ox(
INFECTED HALTH-'AP OIRKRAS (CWs),' T~W~P
PERCUTANVOUS E> "PC U RES -UfG INVASIVE,,W:S
Whtqn app o:~ h arr ier _,precautio-ns (i~e.,glveq1's ~
are utflt1zed ard Zrecommendod. sterilization:-and disin*$
procedures are followed, t raiinq c4,*e ofI Oa
tr, s.ai55cflnainhealth yv-sttns~ ~4~
rrutaneous injuaries t HWs The a44 ~ V
o17r!1V f rom an iif ectedAIC ai
r~t~er(t ue to pertut~nels ekveo ~,
1H,:*W's blood durP~n an i v a si3ve Pro'ediareWe
buat ttay be est!im.katCed as' tho produ~ct:of, the, prp i t i ha.
t!MAe HOW will SUttfer a porcqtafleousinryd4 1 O rcdresI
2) the sha-rv 1: c t cauing the i ryW ll *i&d te
pa -.nts open wound, r 0 s4tt ing: iTV, 127Oa
e. T, t to the HCW's bl'Ood; d"iJ"Oi~t in;t 1h
' et.: t ccc-ur -af te-gST 1 1 x~z~' Ai da
r u,- s'nqthis PP~C
As n, ot ed aovc, prel1imi a tot Y~Q~~~e4a~~4
otf 1382 operatlons in 41 hodpt&Ji&l ha.ma lo
injury resulting in per4~~~os p0~t &~t~O o
_,urgeon oth -nrl urey, 0,t th i
qnd rAnnr t se rvies w as~2 ~pr vi od, r $ v(? "lai

for HBeA O' p~tiV, 1 PM ~i~ ~~~ o ~s0
after a percutaniee, ex ure b,4 0 4 Qe
suture n eed0es4 a1 OSe ~e ~k
because less blood, 0ye int:~ue ~~t*wx
passage of a sharQIc
less blood exposure.