Infected physicians and invasive procedures: safe practice management.
Clin Infect Dis. 2005 Jun 1;40(11):1665-72. Epub 2005 May 2.
Infected physicians and invasive procedures: safe practice management.
‘Reitsma AM, Closen ML, Cunningham M, Minich HN, Moreno JD, Nichols RL, Pearson RD, Sawyer RG, Wispelwey B, Tereskerz PM, Lombardo PA.
The Center for Biomedical Ethics, University of Virginia Health Science Center, Charlottesville, VA 22908-0758, USA. ar6′
There is currently no public policy that provides guidance concerning whether and when physicians infected with hepatitis B virus (HBV), hepatitis C virus (HCV), and/or human immunodeficiency virus (HIV) can safely perform invasive procedures. A committee of experts in the fields of medicine, law, and biomedical ethics and 1 community member, aided by an advisory board, was established to produce recommendations for policy reform. An extensive literature review was conducted for these 3 infectious diseases, medicine, surgery, epidemiology, law, and bioethics to gather all relevant data. Special recommendations are made regarding the management of physicians who are infected with HIV, HBV, and/or HCV. This policy proposal includes a list of exposure-prone procedures and a decision chart that indicates under what conditions infected physicians can practice beyond the need for disclosure of their serological status.
MeSH Terms: Decision Making – Disclosure – Disease Transmission, Professional-to-Patient/prevention & control* – Ethics, Medical – HIV Infections/prevention & control – HIV Infections/transmission – Hepatitis B/prevention & control – Hepatitis B/transmiss
Publication Types: Practice Guideline
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