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HIV-Infected Surgeons and DentistsLooking Back and Looking Forward
Ban Mishu, MD;
William Schaffner, MD
JAMA. 1993;269(14):1843-1844.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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The recent reports of transmission of the human immunodeficiency virus (HIV) from a Florida dentist with the acquired immunodeficiency syndrome (AIDS) to five patients in his practice has heightened concern about the possibility of transmission of HIV from infected health care workers.1-4 However, a thorough epidemiologic investigation revealed no deviations from standard infection control practices in the dentist's office that could explain these transmissions.4 Thus, the specific mechanism by which HIV was transmitted from the dentist to his patients remains unresolved.
See also pp 1795, 1802, and 1807.
Although this event frequently has been characterized as an aberration because no other cases of HIV transmission from health care workers to patients have been reported, in fact, it rather closely resembles several previously reported features of hepatitis B virus (HBV) transmission in surgical or dental settings.5-8 Typical dentist- or surgeon-to-patient transmission of HBV is likely to produce clusters
. . . [Full Text PDF of this Article]
Author Affiliations
From the Department of Medicine, Division of Infectious Diseases (Drs Mishu and Schaffner), and the Department of Preventive Medicine (Dr Schaffner), School of Medicine, Vanderbilt University, Nashville, Tenn.
Footnotes
Reprint requests to Division of Infectious Diseases, School of Medicine, Vanderbilt University, A-3310 Medical Center North, Nashville, TN 37232 (Dr Mishu).
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