Prevalence of Human Immunodeficiency Virus and Hepatitis B Virus in Unselected Hospital Admissions: Implications for Mandatory Testing and Universal Precautions
- 1 January 1990
- journal article
- research article
- Published by Oxford University Press (OUP) in The Journal of Infectious Diseases
- Vol. 161 (1), 14-17
- https://doi.org/10.1093/infdis/161.1.14
Abstract
The prevalence of human immunodeficiency virus (HIV) and hepatitis B virus in serial unselected hospital admissions was determined to examine the potential efficacy of a system of universal blood and body fluid precautions versus a system based on selected or unselected screening. Serum was obtained from 616 (97%) of the 636 patients admitted during a I-month period and interviews were completed on 540. Of the 616, 23 (3.7%) were confirmed positive for HIV, and 12 (2.0%) of 612 for hepatitis B surface antigen. Of 33 infected persons, only 8 were known to be positive on admission and only 22 were in “high-risk” groups; therefore, selective precautions would not have been effective. Mandatory testing would have required 1216 tests to identify 25 infected persons and would leave in doubt the presence of other transmissible diseases. On the basis of these data, it appears that universal precautions are a logical system of infection control.Keywords
This publication has 8 references indexed in Scilit:
- Unrecognized Human Immunodeficiency Virus Infection in Emergency Department PatientsNew England Journal of Medicine, 1988
- Prevalence of antibody to human immunodeficiency virus and hepatitis B surface antigen in blood samples submitted to a hospital laboratory. Implications for handling specimensJAMA, 1987
- Serosurvey of human immunodeficiency virus infection in parturients. Implications for human immunodeficiency virus testing programs of pregnant womenJAMA, 1987
- Rethinking the Role of Isolation Practices in the Prevention of Nosocomial InfectionsAnnals of Internal Medicine, 1987
- Transfusion-Associated Hepatitis and AIDSNew England Journal of Medicine, 1987
- Natural History of Human Immunodeficiency Virus Infections in Hemophiliacs: Effects of T-Cell Subsets, Platelet Counts, and AgeAnnals of Internal Medicine, 1987
- Risk of Transmitting the Human Immunodeficiency Virus, Cytomegalovirus, and Hepatitis B Virus to Health Care Workers Exposed to Patients with AIDS and AIDS-Related ConditionsThe Journal of Infectious Diseases, 1987
- Risk of Nosocomial Infection with Human T-Cell Lymphotropic Virus Type III/Lymphadenopathy-Associated Virus in a Large Cohort of Intensively Exposed Health Care WorkersAnnals of Internal Medicine, 1986