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Guideline Infected physicians and invasive procedures: safe practice management. 2005
Reitsma AM, Closen ML, Cunningham M, Lombardo PA, Minich HN, Moreno JD, Nichols RL, Pearson RD, Sawyer RG, Wispelwey B, Tereskerz PM. · The Center for Biomedical Ethics, University of Virginia Health Science Center, Charlottesville, VA 22908-0758, USA. · Clin Infect Dis. · Pubmed #15889366 No free full text.
Abstract: There is currently no public policy that provides guidance concerning whether and when physicians infected with hepatitis B virus (HBV), hepatitis C virus (HCV), and/or human immunodeficiency virus (HIV) can safely perform invasive procedures. A committee of experts in the fields of medicine, law, and biomedical ethics and 1 community member, aided by an advisory board, was established to produce recommendations for policy reform. An extensive literature review was conducted for these 3 infectious diseases, medicine, surgery, epidemiology, law, and bioethics to gather all relevant data. Special recommendations are made regarding the management of physicians who are infected with HIV, HBV, and/or HCV. This policy proposal includes a list of exposure-prone procedures and a decision chart that indicates under what conditions infected physicians can practice beyond the need for disclosure of their serological status.
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Review Infected physicians and invasive procedures: national policy and legal reality. 1999
Tereskerz PM, Pearson RD, Jagger J. · International Health Care Worker Safety Center, Charlottesville, VA 22903, USA. · Milbank Q. · Pubmed #10656031 No free full text.
Abstract: Recent reports of the transmission of hepatitis B, hepatitis C, and HIV from physicians to patients during invasive procedures have again raised the question of whether physicians infected with bloodborne pathogens should perform invasive procedures that place patients at risk, and if so, under what conditions. Attempts to formulate a national policy on this subject must consider the competing interests of the patient's welfare versus the physician's livelihood. A review of the legal aspects of this topic is provided to assist policy makers and to serve as a foundation for the recommended establishment of a multidisciplinary committee to develop a uniform national policy. Both legal and medical realities call for the formulation of a clear policy to guide those who must make the decisions on this issue.
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