The value of routine blood-borne virus testing in the intensive care unit
| Autor: | Malcolm Booth, Yu Yang Tan |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Transmission (medicine) business.industry medicine.medical_treatment Human immunodeficiency virus (HIV) Hepatitis C Original Articles Hepatitis B Blood borne virus Critical Care and Intensive Care Medicine Critical Care Nursing medicine.disease medicine.disease_cause Intensive care unit law.invention law medicine Renal replacement therapy Intensive care medicine business |
| Zdroj: | J Intensive Care Soc |
| Popis: | Background ICU patients may require renal replacement therapy (RRT). Sharing RRT equipment carries a risk of BBV transmission, which mainly relates to Hepatitis B (HBV), Hepatitis C (HCV) and HIV. Since 2012, all Glasgow Royal Infirmary ICU patients undergo routine BBV screening, with RRT machines allocated for patients with specific BBV statuses. Routine BBV testing is beneficial to both the individual and society. This study aims to determine if routine BBV testing in the ICU contributes to the discovery of undiagnosed BBV infections. Methods This single-centre retrospective observational study examined prospectively collected clinical data from 1069 ICU admissions. Proportions were compared using a two-proportion z-test and a logistic regression model was carried out to determine if deprivation quintile was independently associated with the seroprevalence of BBVs. Results The BBV seroprevalence in the cohort studied: 0.45% (HBV), 11.7% (HCV), and 0.91% (HIV). The seroprevalence of HBV in the cohort studied was similar to that of Scotland (p = 0.11), but the seroprevalence of HCV (p Conclusion This study shows that routine BBV testing in the ICU is useful in discovering new BBV infections. This is the first observational study focusing on the value of routine BBV testing in an ICU setting to our knowledge. |
| Databáze: | OpenAIRE |
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