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Infection Control and Hospital Epidemiology Publication Info

Article DOI: 10.1086/502442
Stable URL: http://www.jstor.org/stable/10.1086/502442
A Large Nosocomial Outbreak of Hepatitis C and Hepatitis B Among Patients Receiving Pain Remediation Treatments • 
R. Dawn Comstock , PhD, Sue Mallonee , RN, MPH, Jan L. Fox , RN, Ronald L. Moolenaar , MD, MPH, Tara M. Vogt , PhD, Joseph F. Perz , DrPH, Beth P. Bell , MD, MPH and James M. Crutcher , MD, MPH
Infection Control and Hospital Epidemiology , Vol. 25, No. 7 (July 2004), pp. 576-583
Article DOI: 10.1086/502442
Article Stable URL: http://www.jstor.org/stable/10.1086/502442
Original Articles

A Large Nosocomial Outbreak of Hepatitis C and Hepatitis B Among Patients Receiving Pain Remediation Treatments

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Abstract(back to top)

BACKGROUND AND OBJECTIVE. In August 2002, the Oklahoma State Department of Health received a report of six patients with unexplained hepatitis C virus (HCV) infection treated in the same pain remediation clinic. We investigated the outbreak’s extent and etiology.

DESIGN, SETTING, AND PARTICIPANTS. We conducted a retrospective cohort study of clinic patients, including a serologic survey, interviews of infected patients, and reviews of medical records and staff infection control practices. Patients received outpatient pain remediation treatments one afternoon a week in a clinic within a hospital. Cases were defined as HCV or hepatitis B virus (HBV) infections among patients who reported no prior diagnosis or risk factors for disease or reported previous risk factors but had evidence of acute infection.

RESULTS. Of 908 patients, 795 (87.6%) were tested, and 71 HCV‐infected patients (8.9%) and 31 HBV‐infected patients (3.9%) met the case definition. Multiple HCV genotypes were identified. Significantly higher HCV infection rates were found among individuals treated after an HCV‐infected patient during the same visit (adjusted odds ratio [AOR], 6.2; 95% confidence interval [CI95], 2.4–15.8); a similar association was observed for HBV (AOR, 2.9; CI95, 1.3–6.5). Review of staff practices revealed the nurse anesthetist had been using the same syringe–needle to sequentially administer sedation medications to every treated patient each clinic day.

CONCLUSIONS. Reuse of needles–syringes was the mechanism for patient‐to‐patient transmission of HCV and HBV in this large nosocomial outbreak. Further education and stricter oversight of infection control practices may prevent future outbreaks.

Bibliographic Information(back to top)

  • A Large Nosocomial Outbreak of Hepatitis C and Hepatitis B Among Patients Receiving Pain Remediation Treatments
  • R. Dawn Comstock , PhD, Sue Mallonee , RN, MPH, Jan L. Fox , RN, Ronald L. Moolenaar , MD, MPH, Tara M. Vogt , PhD, Joseph F. Perz , DrPH, Beth P. Bell , MD, MPH and James M. Crutcher , MD, MPH
  • Infection Control and Hospital Epidemiology
  • Vol. 25, No. 7 (July 2004) (pp. 576-583)

Author Information(back to top)

R. Dawn Comstock , PhD; Sue Mallonee , RN, MPH; Jan L. Fox , RN; Ronald L. Moolenaar , MD, MPH; Tara M. Vogt , PhD; Joseph F. Perz , DrPH; Beth P. Bell , MD, MPH; James M. Crutcher , MD, MPH

Notes and References(back to top)

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Notes

Dr. Comstock, Ms. Mallonee, Ms. Fox, and Dr. Crutcher are from the Oklahoma State Department of Health, Oklahoma City, Oklahoma. Drs. Comstock and Moolenaar are from the Epidemiology Program Office, Division of Applied Public Health Training, and Drs. Vogt, Perz, and Bell are from the National Center for Infectious Diseases, Division of Viral Hepatitis, Centers for Disease Control and Prevention, Atlanta, Georgia.Address reprint requests to R. Dawn Comstock, PhD, Oklahoma State Department of Health, 1000 N.E. 10th Street, Oklahoma City, OK 73117.The authors thank Pat Scott and Joyce Lane for their assistance with medical chart abstraction and follow‐up telephone interviews, Nancy Green for her assistance with preparing the manuscript, and Olivia Brown for data entry.

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© 2004 by The Society for Healthcare Epidemiology of America. All rights reserved.