Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=30046511
&cmd=llinks): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests
in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 215
Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\30046511
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 GMS+Hyg+Infect+Control
2018 ; 13
(ä): Doc05
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Seroconversion after needlestick injuries - analyses of statutory accident
insurance claims in Germany
#MMPMID30046511
Dulon M
; Wendeler D
; Nienhaus A
GMS Hyg Infect Control
2018[]; 13
(ä): Doc05
PMID30046511
show ga
Objective: After a needlestick injury (NSI) with contaminated blood, there is a
risk of seroconversion. Statutory accident insurance (SAI) claims data were used
to determine the numbers of seroconversions for hepatitis B and C viruses (HBV,
HCV) and for HIV. Materials and methods: Cases of HBV, HCV or HIV infection
recognised as occupational diseases between 2006 and 2015 were selected from the
BGW (Berufsgenossenschaft für Gesundheitsdienst und Wohlfahrtspflege) database.
Cases where an NSI was reported to the accident insurer before the diagnosis of
the infectious disease was made were included in the analysis. The causal link
between the infection and the NSI identified was estimated based on diagnostic
findings in medical case files. Results: In total, 566 cases with an
occupation-related HBV, HCV or HIV infection were identified, including 44 cases
where an NSI had been reported before diagnosis. Data on file indicated a
possible causal link in 34 cases. In 16 of the 34 cases, seroconversion after the
NSI was proven by diagnostic findings; in 13 of the 34 cases, seroconversion was
possible but not proven because of the lack of initial findings. The index case
was known in 23 of the 34 cases. The injuries occurred most often during waste
disposal and high-risk procedures such as taking blood samples. The injuries were
most often caused by cannulas for intravenous puncture. Subcutaneous devices were
involved in two NSIs but there was no information on the initial serology or
known index case. Conclusions: It is possible to identify seroconversion in SAI
claims data. However, data on the injured person's initial infection status is
often incomplete and this makes it difficult to assess any causal link. The
incidence of seroconversions resulting from injuries from subcutaneously applied
devices is apparently low; this is consistent with the literature.