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Transmission of hepatitis C virus to recipients of parenteral vitamin therapy in a primary care facility.
- Source :
-
Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology [J Clin Virol] 2011 Jun; Vol. 51 (2), pp. 105-9. Date of Electronic Publication: 2011 Apr 20. - Publication Year :
- 2011
-
Abstract
- Background and Objectives: The Australian prevalence of hepatitis C virus (HCV) is approximately 1%, with the majority of cases acquired through injecting drug use. However, occasionally HCV infection occurs in healthcare settings. Three new HCV infections were identified amongst patients attending a general practice in Sydney, Australia, specialising in parenteral vitamin therapy.<br />Study Design: An investigation was conducted to identify the source of infection and mechanism of transmission. Molecular analysis was conducted by sequencing the HCV NS5A, Core and NS5B regions.<br />Results: Two sources were identified using molecular epidemiology - a genotype 3a case was the source for a case acquired in late 2004 and a genotype 1b case the source for one case acquired in late 2006 and another in early 2007. The common risk factor was parenteral vitamin C therapy.<br />Conclusions: Inadequate infection control was apparent and likely to have resulted in blood contamination of the healthcare workers, their equipment, the clinic environment and parenteral medications. Molecular and clinical epidemiology clearly identified parenteral transmission of HCV, highlighting the risks of blood contamination of parenteral equipment and use of multi-dose flasks on more than one patient.<br /> (Copyright © 2011 Elsevier B.V. All rights reserved.)
- Subjects :
- Australia epidemiology
Cross Infection transmission
Genotype
Health Facilities
Hepacivirus classification
Hepacivirus genetics
Hepatitis C transmission
Humans
Molecular Epidemiology
Primary Health Care
RNA, Viral genetics
Sequence Analysis, DNA
Viral Nonstructural Proteins genetics
Cross Infection epidemiology
Hepacivirus isolation & purification
Hepatitis C epidemiology
Iatrogenic Disease epidemiology
Vitamins administration & dosage
Subjects
Details
- Language :
- English
- ISSN :
- 1873-5967
- Volume :
- 51
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology
- Publication Type :
- Academic Journal
- Accession number :
- 21507711
- Full Text :
- https://doi.org/10.1016/j.jcv.2011.03.007