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Canadian Association of General Surgeons position statement: recommendations for surgeons with blood-borne
Sean Cleary1, Karen Doucette1, Christopher J Doig1
1From the Division of General Surgery, University Health Network, Department of Surgery, University of Toronto, Toronto, Ont. (Cleary, Grant); the Division of Infectious Diseases, University of Alberta, Edmonton, Alta. (Doucette); the Departments of Critical Care Medicine and Internal Medicine, University of Calgary, Calgary, Alta. (Doig); the Liver Unit, Foothills Medical Centre, University of Calgary, Calgary, Alta. (Coffin); and the Division of General Surgery, Foothills Medical Centre, University of Calgary, Calgary, Alta. (Dixon).
Summary:
The potential for transmission of hematogenously transmitted pathogens during exposure-prone procedures is a clinically important concern to both patients and surgeons. There is inconsistency among regulatory bodies in Canada regarding the management of infection risk among surgeons, particularly with regard to screening and the postexposure management of infected surgeons. The Canadian Association of General Surgeons commissioned a task force to review the evidence regarding the management of blood-borne pathogens and transmission risk during surgical procedures. The results of this review indicate a need for several jurisdictions to update their guidelines to reflect current evidence-based practices.
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