Health care provider practices infect patients in outpatient settings

Over a 10 year period (1998 – 2008) health care practices resulted in 33 episodes (448 persons) of transmitting hepatitis B and hepatitis C in non hospital health care settings including outpatient clinics (12 outbreaks), hemodialysis centers (6 outbreaks) and long term care facilities (15 outbreaks).  “In the outbreaks involving outpatient clinics and several hemodialysis centers, the purported mechanism of patient to patient transmission was primarily syringe reuse or other infection control lapses that resulted in contamination of injectable medications or flush solutions.  In several outbreaks, single use medication vials (for example propofol) and bags of saline solution were inappropriately used for multiple patients.  Anesthesia delivery was a common factor in 6 outbreaks.” Thompson ND et al: Nonhospital health care-associated hepatitis B and C virus transmission: United States, 1998 – 2008.  Ann Intern Med 2009;150:33-39.

 

David S. Smith, M.D., Ph.D.

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