The American Journal of Surgery
Volume 193, Issue 1 , Pages 55-60 , January 2007

Human immunodeficiency virus and hepatitis testing and prevalence among surgical patients in an urban university hospital

Presented at the 91st Annual Clinical Congress of the American College of Surgeons, San Francisco, CA, October 18, 2005

  • Eric S. Weiss, M.D.

      Affiliations

    • Department of Surgery, John Hopkins University School of Medicine, Baltimore, MD, USA
    • Corresponding Author InformationCorresponding author. Tel.: +1-410-539-7677; fax: +1-410-522-5048.
    • ,
  • Edward E. Cornwell III, M.D., F.A.C.S.

      Affiliations

    • Department of Surgery, John Hopkins University School of Medicine, Baltimore, MD, USA
    • Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
    • ,
  • Theresa Wang, B.S.

      Affiliations

    • Department of Surgery, John Hopkins University School of Medicine, Baltimore, MD, USA
    • ,
  • Dora Syin, B.S.

      Affiliations

    • Department of Surgery, John Hopkins University School of Medicine, Baltimore, MD, USA
    • ,
  • E. Anne Millman, M.S.

      Affiliations

    • Department of Surgery, John Hopkins University School of Medicine, Baltimore, MD, USA
    • Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
    • Johns Hopkins Patient Safety and Quality Research Group, Johns Hopkins Medical Institutions, Baltimore, MD, USA
    • ,
  • Peter J. Pronovost, M.D., Ph.D.

      Affiliations

    • Department of Surgery, John Hopkins University School of Medicine, Baltimore, MD, USA
    • Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
    • Johns Hopkins Patient Safety and Quality Research Group, Johns Hopkins Medical Institutions, Baltimore, MD, USA
    • ,
  • David Chang, Ph.D., M.P.H., M.B.A.

      Affiliations

    • Department of Surgery, John Hopkins University School of Medicine, Baltimore, MD, USA
    • ,
  • Martin A. Makary, M.D., M.P.H.

      Affiliations

    • Department of Surgery, John Hopkins University School of Medicine, Baltimore, MD, USA
    • Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
    • Johns Hopkins Patient Safety and Quality Research Group, Johns Hopkins Medical Institutions, Baltimore, MD, USA

Received 27 November 2005 ,Revised 22 July 2006

References 

  1. Centers for Disease Control and Prevention (CDC). Viral hepatitis C fact sheet. Available at: http://www.cdc.gov/ncidod/diseases/hepatitis/c/fact.htm. Accessed July 15, 2005.
  2. Alter MJ, Kruszon-Moran D, Nainan OV, et al. The prevalence of hepatitis C virus infection in the United States, 1988 through 1994. N Engl J Med. 1999;341:556–562
  3. Zuckerman CJ, Masters CF. Prevalence of human immunodeficiency virus-1 infection in a Baltimore acute care hospital. Maryland Med J. 1993;42:755–768
  4. Weiss ES, Makary MA, Wang T, et al. Prevalence of blood-borne pathogens in an urban, university-based general surgical practice. Ann Surg. 2005;241:803–807
  5. Holtgrave DR, Pinkerton SD, Merson M. Estimating the cost of unmet HIV prevention needs in United States. Am J Prev Med. 2002;23:7–11
  6. Valdiserri RG, Weber TJ, Frey R. Trends in HIV seropositivity in publicly funded HIV counseling and testing programs. Am J Prev Med. 1998;14:31–42
  7. Holtgrave DR, Curran JW. What works, and what remains to be done, in HIV prevention in the United States. Ann Rev Public Health. 2006;27:261–275
  8. Xeroulis G, Inaba K, Stewart TC, et al. Human immunodeficiency virus, hepatitis B, and hepatitis C seroprevalence in a Canadian trauma population. J Trauma Injury Infect Crit Care. 2005;59:105–108
  9. Sloan EP, McGill BA, Zalenski R, et al. Human immunodeficiency virus and hepatitis B virus seroprevalence in an urban trauma population. J Trauma Injury Infect Crit Care. 1995;38:736–741
  10. Kelen GD, Green GB, Purcell RH, et al. Hepatitis B and hepatitis C in emergency department patients. N Engl J Med. 1992;326:1399–1404
  11. Montecalvo MA, Lee S, DePalma H, et al. Seroprevalence of human immunodeficiency virus-1, hepatitis B virus, and hepatitis C virus in patients having major surgery. Infect Control Hosp Epidemiol. 1995;16:627–632
  12. Charache P, Cameron JL, Maters AW, et al. Prevalence of Infection with human immunodeficiency virus in elective surgery patients. Ann Surg. 1990;214:562–568
  13. National Institute on Occupational Safety and Health. In: Worker Health Chart Book 2004. Atlanta: CDC; 2004;p. 2004–2146
  14. Gerberding JL, Littell C, Tarkington A, et al. Risk of exposure of surgical personnel to patients’ blood during surgery at San Francisco General Hospital. N Engl J Med. 1990;322:1788–1793
  15. Cobelens F. Needlestick injuries, surgeons, and HIV risks. Lancet. 1990;335:924
  16. Quebbeman EJ, Telford GL, Hubbard S, et al. Risk of blood contamination and injury to operating room personnel. Ann Surg. 1991;214:614–620
  17. Tokars JI, Chamberland ME, Schable CA, et al. A survey of occupational blood contact and HIV infection among orthopedic surgeons (The American Academy of Orthopaedic Surgeons Serosurvey Study Committee). JAMA. 1992;268:489–494
  18. Tokars JI, Bell DM, Culver DH, et al. Percutaneous injuries during surgical procedures. JAMA. 1992;267:899–904
  19. Lowenfels AB, Wormser GP, Jain R. Frequency of puncture injuries in surgeons and estimated risk of HIV infection. Arch Surg. 1989;124:35–37
  20. Makary MA, Pronovost PJ, Weiss ES, et al. Sharpless surgery: a prospective study of the feasibility of performing operations using non-sharp techniques in an urban, university-based surgical practice. World J Surg. 2006;30:1224–1229

PII: S0002-9610(06)00623-4

doi: 10.1016/j.amjsurg.2006.07.008

The American Journal of Surgery
Volume 193, Issue 1 , Pages 55-60 , January 2007

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