HIV transmission during invasive radiologic procedures: estimate based on computer modeling.

HIV transmission during invasive radiologic procedures: estimate based on computer modeling. Research Abstract Details 

Research Abstract Table of Contents

Jump to the:

HIV transmission during invasive radiologic procedures: estimate based on computer modeling. Abstract Text:

D Walker,T Snow,M Cooper,

OBJECTIVE: The primary purpose of this study was to estimate the risk of HIV transmission from physicians to patients during invasive radiologic procedures and to compare this estimate with those previously derived for surgical procedures so that policy on possible practice restrictions can be decided. The risk of HIV transmission from patient to physician, including cumulative career risk for interventional radiologists, was also estimated. MATERIALS AND METHODS: The risk of HIV transmission from physician to patient and vice versa was estimated with computer modeling techniques, using available data on prevalence of HIV infection, rates of injury during invasive radiologic procedures, and risk of viral transmission after an exposure. Cumulative career risk of occupational infection was estimated with a computer simulation model. RESULTS: If the physician's HIV status is unknown, the risk of transmission of HIV to a patient during a procedure is estimated to be 0.03 per million procedures (95% confidence interval, 0-3.8 per million procedures). If the physician is known to be HIV-positive, the risk of transmission to a patient is estimated to be 7.5 per million procedures (95% confidence interval, 0-15.3 per million procedures). The estimated risk of transmission from patient to physician ranges from 0.03 to 7.5 per million for a single procedure, and the cumulative risk of occupational HIV infection over 30 years is estimated to be 0.009-16%. CONCLUSION: The estimated risk of HIV transmission from physician to patient during invasive radiologic procedures is so low that global practice restrictions on HIV-infected interventional radiologists are not warranted. As recommended by the American Medical Association and the Centers for Disease Control, decisions on possible practice restrictions should be made on a case-by-case basis rather than a priori. The risk of HIV transmission from patient to physician is also low, but real. The cumulative career risk of occupational infection with HIV may vary widely based on individual circumstances and the patient population served.

HIV transmission during invasive radiologic procedures: estimate based on computer modeling. Publishing Authors By Initials

D Walker,T Snow,M Cooper,

For similar natural sciences: time: time factors research abstracts see: natural sciences: time: time factors research

PUBMED ID PMID:

MEDLINE DATE:

HIV transmission during invasive radiologic procedures: estimate based on computer modeling. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: AJR. American journal of roentgenology

VOLUME: 166

Page Numbers: 263-7

Journal Abbreviation:

ISSN: 0361-803X

DAY: 15

MONTH: Feb

YEAR: 1996

HIV transmission during invasive radiologic procedures: estimate based on computer modeling. Information

Number of References:

LANGUAGE: eng

NlmUniqueID: 7708173

HIV transmission during invasive radiologic procedures: estimate based on computer modeling. Keywords Mesh Terms:

KEYWORDS: Time Factors

MESH TERMS: statistics & numerical data

Chemical & Substance for Abstract: HIV transmission during invasive radiologic procedures: estimate based on computer modeling. Information

Substance Name:

Registry Number:

Grant and Affiliation Information for HIV transmission during invasive radiologic procedures: estimate based on computer modeling.

AFFILIATION: Department of Radiology, University of Texas Southwestern Medical Center, Dallas 75235-8896, USA.

Country: UNITED STATES

AGENCY:

GRANT:

ACRONYM:

MEDLINETA: AJR Am J Roentgenol

REFSOURCE: AJR Am J Roentgenol. 1996 Nov;167(5):134

DATABASENAME:

ACCESSION NUMBER:

Number Hits: 0

HIV transmission during invasive radiologic procedures: estimate based on computer modeling Related Publications

• America needs the older handicapped worker.
• Blockade of adenosine diphosphate receptors P2Y(12) and P2Y(1) is required to inhibit platelet aggregation in whole blood under flow.
• Cyclic strain and motion control produce opposite oxidative responses in two human endothelial cell types.
• Enhanced platelet adhesion and aggregation by endothelial cell-derived unusually large multimers of von Willebrand factor.
• For now and the future.
• Gene Expression of Endothelial Cells due to Interleukin-1 Beta Stimulation and Neutrophil Transmigration.
• Gene expression of endothelial cells under pulsatile non-reversing vs. steady shear stress; comparison of nitric oxide production.
• HIV transmission during invasive radiologic procedures: estimate based on computer modeling.
• Hydrodynamic shear stress and mass transport modulation of endothelial cell metabolism.
• Loss of RAB-3/A in Caenorhabditis elegans and the mouse affects behavioral response to ethanol.
• Needle-stick injuries and blood contacts during invasive radiologic procedures: frequency and risk factors.
• Oxidative stress produced with cell migration increases synthetic phenotype of vascular smooth muscle cells.
• Treatment of metal-contaminated water using bacterial sulfate reduction: Results from pilot-scale reactors.