An Investigation of Bloodborne Pathogen Transmission Due to Multipatient Sharing of Insulin Pens
| العنوان: | An Investigation of Bloodborne Pathogen Transmission Due to Multipatient Sharing of Insulin Pens |
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| المؤلفون: | 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 |
| المصدر: | Military Medicine. 177:930-938 |
| بيانات النشر: | Oxford University Press (OUP), 2012. |
| سنة النشر: | 2012 |
| مصطلحات موضوعية: | 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 |
| الوصف: | 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. |
| تدمد: | 1930-613X 0026-4075 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::4f299a74dbf68feb2637d1a84ba1f8ec https://doi.org/10.7205/milmed-d-11-00458 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....4f299a74dbf68feb2637d1a84ba1f8ec |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 1930613X 00264075 |
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