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American Journal of Public Health, Vol 91, Issue 4 636-638, Copyright © 2001 by American Public Health Association
JOURNAL ARTICLE |
TC Porco, TJ Aragon, SE Fernyak, SH Cody, DJ Vugia, MH Katz and DR Bangsberg
Community Health Epidemiology, Epidemiology and Effectiveness Research Unit, San Francisco Department of Public Health, San Francisco, Calif., USA.
OBJECTIVES: This study determined infection risk for HIV, hepatitis B virus (HBV), and hepatitis C virus (HCV) from needle reuse at a phlebotomy center that possibly exposed 3810 patients to infection. METHODS: We used a model for the risk of infection per blood draw, supplemented by subsequent testing results from 1699 patients. RESULTS: The highest risk of transmission was for HBV infection: 1.1 x 10(-6) in the best case and 1.2 x 10(-3) in the (unlikely) worst case. Subsequent testing yielded prevalence rates of 0.12%, 0.41%, and 0.88% for HIV, HBV, and HCV, respectively, lower than National Health and Nutrition Examination Survey III prevalence estimates. CONCLUSIONS: The infection risk was very low; few, if any, transmissions are likely to have occurred.
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