An Investigation of Bloodborne Pathogen Transmission Due to Multipatient Sharing of Insulin Pens
| Autor: | Dinae C. Davison, Dale J. Hu, Linda L. Jagodzinski, Angela B. Owens, Andrea N. Bradfield, Nicola D. Thompson, Eric Sanders-Buell, Paul T. Scott, Sandra G. LaFon, Jerome H. Kim, Sheila A. Peel, Donna R. Upshaw-Combs, Nelson L. Michael, John W. Gardner, Shilpa Hakre, Robert J. O'Connell, Joshua D. Kuper, William G. Callis, Sodsai Tovanabutra, Stephanie L. Scoville |
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| Rok vydání: | 2012 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Injections Subcutaneous Hepatitis C virus medicine.medical_treatment HIV Infections Hospitals Military medicine.disease_cause Virus Young Adult Drug Delivery Systems Internal medicine medicine Humans Hypoglycemic Agents Insulin Young adult Disposable Equipment Pathogen Aged Aged 80 and over Hepatitis B virus Cross Infection Transmission (medicine) business.industry Public Health Environmental and Occupational Health Insulin pen General Medicine Middle Aged Hepatitis B Hepatitis C Texas Virology RNA Viral Female business |
| Zdroj: | Military Medicine. 177:930-938 |
| ISSN: | 1930-613X 0026-4075 |
| DOI: | 10.7205/milmed-d-11-00458 |
| Popis: | On January 30, 2009, nursing staff at a military hospital in Texas reported that single-patient use insulin pens were used on multiple patients. An investigation was initiated to determine if patient-to-patient bloodbome transmission occurred from the practice. Human immunodeficiency virus (HIV), hepatitis B virus (HBV), and hepatitis C virus (HCV) testing was offered to patients hospitalized from August 2007 to January 2009 and prescribed insulin pen injections. Virus from HCV-infected patients' sera was sequenced and compared for relatedness. An anonymous survey was administered to nurses. Of 2,113 patients prescribed insulin pen injections, 1,501 (71%) underwent testing; 6 (0.4%) were HIV positive, 6 (0.4%) were hepatitis B surface antigen positive, and 56 (3.7%) had HCV antibody. No viral sequences from 10 of 28 patients with newly diagnosed and 12 of 28 patients with preexisting HCV infection were closely related. Of 54 nurses surveyed, 74% reported being trained on insulin pen use, but 24% believed nurses used insulin pens on more than one patient. We found no clear evidence of bloodborne pathogen transmission. Training of hospital staff on correct use of insulin pens should be prioritized and their practices evaluated. Insulin pens should be more clearly labeled for single-patient use. |
| Databáze: | OpenAIRE |
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