RT Journal
A1 Lowenfels AB, Wormser GP, Jain R
T1 FRequency of puncture injuries in surgeons and estimated risk of hiv infection
JF Archives of Surgery
JO Archives of Surgery
YR 1989
FD November 1
VO 124
IS 11
SP 1284
OP 1286
DO 10.1001/archsurg.1989.01410110038007
UL http://dx.doi.org/10.1001/archsurg.1989.01410110038007
AB • To evaluate the occupational risk of human immunodeficiency virus (HIV) infection, we surveyed 202 surgeons working in the New York City metropolitan area. One hundred seventythree (86%) surgeons reported at least one puncture injury in the preceding year (median number, 2 per year; interquartile range, 1 to 4 per year). Seventy-six percent of the injuries occurred during surgery, and the median injury rate was 4.2 per 1000 operating room hours. Twenty-five percent of the surgeons sustained yearly injury rates of 9 or more per 1000 operating room hours, and these high rates were independent of sex, age, type of practice, operative work load, or hospital location. Fifty-three percent of all injuries involved the index finger of the nondominant hand. If the prevalence of HIV infection in surgical patients is 5%, then the estimated 30-year risk of HIV seroconversion is less than 1% for 50% of the group, 1% to 2% for 25% of the group, 2% to 6% for 15% of the surgeons, and greater than 6% for 10% of the surgeons.(Arch Surg. 1989;124:1284-1286)