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Glucose Monitoring Tied to HBV Transmission at Nursing Homes
Glucose Monitoring Tied to HBV Transmission at Nursing Homes -- Posted by Gumbo on 03-25-05 04:39
Glucose Monitoring Tied to HBV Transmission at Nursing Homes
By Anthony J. Brown, MD
NEW YORK (Reuters Health) - The spread of hepatitis B virus (HBV) at three
long-term-care facilities in the US seems to have resulted from the sharing
of blood glucose monitoring equipment, according to findings in the March
11th Morbidity and Mortality Weekly Report.
The outbreaks, which occurred in 2003 and 2004, involved centers in
Mississippi, California, and North Carolina. However, this is not the first
time that HBV transmission has been tied to the sharing of glucose
monitoring supplies, study co-author Dr. Anthony Fiore, from the Centers for
Disease Control and Prevention in Atlanta, told Reuters Health.
"We've reported on these types of outbreaks numerous times in the past," Dr.
Fiore noted. The fact that they keep happening suggests that recommended
sterility practices need to be reinforced, he added.
The outbreak in Mississippi involved a nursing home with two fatal cases of
acute HBV infection. The resulting investigation revealed that 15 residents
had acute HBV infection and all but one received routine finger sticks for
blood glucose testing. Staff interviews indicated that although the needles
themselves were not shared, other equipment was.
In California, four diabetic residents at an assisted living center were
diagnosed with acute HBV infection. Eight cases were eventually uncovered
and all were linked to finger sticks performed by the nursing staff. Once
again, it appeared that glucose monitoring equipment was being shared by the
residents.
The North Carolina outbreak started with one case of HBV infection detected
in May 2003. Subsequent testing of all residents uncovered a total of 11
cases of acute infection. Although cases were not confined to patients
tested for glucose, such patients were 6.9- times more likely to be infected
than those who had not been tested. Staff interviews revealed that
glucometers were often shared between patients and seldom cleaned.
"The common theme that ran through these outbreaks is that diabetes care
supplies were being used on multiple patients," Dr. Fiore said. "Still, it's
not exactly clear in any of the outbreaks which practices actually
transmitted HBV."
Mor Mortal Wkly Rep CDC Surveill Summ 2005;54:220-223.
Re: Glucose Monitoring Tied to HBV Transmission at Nursing Homes -- Posted by BJ in Texas on 03-25-05 05:21
Gumbo wrote:
|| Glucose Monitoring Tied to HBV Transmission at Nursing Homes
||
|| By Anthony J. Brown, MD
||
|| NEW YORK (Reuters Health) - The spread of hepatitis B virus
|| (HBV) at three long-term-care facilities in the US seems to
|| have resulted from the sharing of blood glucose monitoring
|| equipment, according to findings in the March 11th Morbidity
|| and Mortality Weekly Report.
||
This will likely be used by the nursing homes to discontinue BG
monitoring
as a dangerous practice. Besides think of the money they will
save on
supplies.
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