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15 September 2006

Volume 43, Number 6
Clinical Infectious Diseases 2006;43:757–764
© 2006 by the Infectious Diseases Society of America. All rights reserved.
1058-4838/2006/4306-0016$15.00
DOI: 10.1086/507030
HEALTHCARE EPIDEMIOLOGY INVITED ARTICLE

Methods to Minimize the Risks of Creutzfeldt‐Jakob Disease Transmission by Surgical Procedures: Where to Set the Standard?

J. Mark Sutton,

Joanne Dickinson,

James T. Walker, and

Neil D. H. Raven

Health Protection Agency, Centre for Emergency Preparedness and Response, Porton Down, Salisbury, United Kingdom

New prion‐related disorders have emerged over the past 20 years, of which the most notable in the human context is variant Creutzfeldt‐Jakob disease (CJD). This disorder is a challenge to medical and public health professionals seeking early detection and diagnosis, provision of therapy, and support for persons affected and a better understanding of transmission risks. The risk of iatrogenic transmission of the disease remains a significant threat, given the well documented cases of CJD transmission via surgery, organ transplantation, and blood transfusion. This review discusses our current understanding of the prevalence of variant CJD, the distribution of tissue infectivity, and new methods for the decontamination of surgical instruments. A comparison of emerging technologies is provided on the basis of our current perception of surgical risk to identify methods that are likely to provide sufficient safety margins and to stimulate debate about the standards needed to protect against variant CJD and CJD transmission.

Received 1 February 2006; accepted 23 May 2006; electronically published 11 August 2006.

Reprints or correspondence: Dr. J. Walker, Health Protection Agency, Centre for Emergency Preparedness and Response, Porton Down, Salisbury, United Kingdom SP4 0JG ().

Robert A. Weinstein, Section Editor

Cited by

David I. Shalowitz, AB; Andrew Barnosky, DO, MPH; Lauren Barrett Smith, MD. (2009) Ethical Analysis of Communicating the Risk of Iatrogenic Creutzfeldt‐Jakob Disease •. Infection Control and Hospital Epidemiology 30:8, 805-806
Online publication date: 1-Aug-2009.
Citation-Full Text-PDF Version (203 kB)
Gang Wu, PhD; Xuefen Yu, RN. (2009) Influence of Usage History, Instrument Complexity, and Different Cleaning Procedures on the Cleanliness of Blood‐Contaminated Dental Surgical Instruments •. Infection Control and Hospital Epidemiology 30:7, 702-704
Online publication date: 1-Jul-2009.
Abstract-Full Text-PDF Version (216 kB)
Y. Doi, T. Yokoyama, M. Sakai, Y. Nakamura, T. Tango, K. Takahashi. (2008) Spatial Clusters of Creutzfeldt-Jakob Disease Mortality in Japan between 1995 and 2004. Neuroepidemiology 30:4, 222-228
Online publication date: 1-Feb-2008.
CrossRef
Won-Jun Choi, Yun Hong Kim, Hyun Soo Kim, Kyoung-ho Ryu. (2008) The effect of ultrasonic cleaning on the elimination of postoperative residual protein from the proseal™ laryngeal mask airway. Korean Journal of Anesthesiology 55:4, 424
Online publication date: 1-Feb-2008.
CrossRef

  • The views expressed in this article are those of the authors and not necessarily those of the United Kingdom Department of Health or any other funding institution.

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