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Kisser, A. (2016): Hepatitis C virus screening in hospitals. Decision Support Document 102.

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Abstract

Health care personnel regularly carrying out invasive procedures have a higher risk for exposure with HCV positive blood through needle stick injuries. The aim of this study was to analyse the appropriateness of preoperative/preinterventional HCV testing in patients using available data on the prevalence and transmission risk and in comparison to international guideline recommendations.

Recent national and international reports were retrieved for estimates of HCV prevalence and incidence in Austria. Data on hepatitis C as an occupational disease were provided by the AUVA. We defined the factors influencing the patient- provider transmission risk and systematically searched the literature for studies on transmission risk and guidelines with recommendations on HCV screening or transmission prevention.

The effectiveness of HCV-tests in patients to prevent infections in HCW or even reduce needle-stick injuries is not supported by evidence. Current guidelines recommend to universally apply precautions in order to minimise needle stick injuries. Recommendations on preoperative HCV screening prior to elective surgeries are based on expert consensus: no clinical studies could be identified that analysed the effectiveness of the testing on infection prevention.

Item Type:Decision Support Document
Keywords:Hepatitis C, hepatitis C virus, occupational HCV infection, guidelines, preoperative screening
Subjects:WB Practice of medicine > WB 141-293 Diagnosis
WA Public health > WA 525-590 Health administration and organisation
QW Microbiology. Immunology > QW 501-949 Immunology
WA Public health > WA 400-495 Occupational medicine, health and hygiene
WI Digestive system > WI 700-770 Liver. Billary tract
WC Communicable diseases
Language:German
Series Name:Decision Support Document 102
Deposited on:30 Sep 2016 18:48
Last Modified:05 Oct 2016 14:50

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