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American Journal of Public Health, Vol 91, Issue 4 636-638, Copyright © 2001 by American Public Health Association


JOURNAL ARTICLE

Risk of infection from needle reuse at a phlebotomy center

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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