La detección universal frente a las precauciones universales en el contexto de la detección preoperatoria para el VIH, el VHB, el VHC en la India
Universal screening versus universal precautions in the context of preoperative screening for HIV, HBV, HCV in India.
Ahmed R, Bhattacharya S.
Indian J Med Microbiol [serial online] 2013 [cited 2013 Jul 25];31:219-25.
Abstract
In the Indian context, there is a convention of doing pre-operative screening for HIV, hepatitis B virus and hepatitis C viruses for all patients as a routine pre-intervention investigation. This approach is justified in some instances in the best interest of the patient. However, as routine screening is not the standard care internationally and as there is a significant divergence of views about the merits and demerits of this practice, this issue needs to be debated in a rational manner with an evidence-based approach. The present article is authored by a surgeon and a microbiologist from a new cancer care centre in eastern India, who has attempted to address this contentious issue. The various available options have been explored, and advantages and disadvantages of the different approach have been discussed. An algorithm for infection prevention and control has been presented so that surgeons and medical microbiologists could manage infection control challenges satisfactorily.
Keywords: HBV, HCV, HIV, pre-operative screening, universal precautions
http://www.ijmm.org/text.asp?2013/31/3/219/115623
Atentamente
Anestesiología y Medicina del Dolor
www.anestesia-dolor.org
Universal screening versus universal precautions in the context of preoperative screening for HIV, HBV, HCV in India.
Ahmed R, Bhattacharya S.
Indian J Med Microbiol [serial online] 2013 [cited 2013 Jul 25];31:219-25.
Abstract
In the Indian context, there is a convention of doing pre-operative screening for HIV, hepatitis B virus and hepatitis C viruses for all patients as a routine pre-intervention investigation. This approach is justified in some instances in the best interest of the patient. However, as routine screening is not the standard care internationally and as there is a significant divergence of views about the merits and demerits of this practice, this issue needs to be debated in a rational manner with an evidence-based approach. The present article is authored by a surgeon and a microbiologist from a new cancer care centre in eastern India, who has attempted to address this contentious issue. The various available options have been explored, and advantages and disadvantages of the different approach have been discussed. An algorithm for infection prevention and control has been presented so that surgeons and medical microbiologists could manage infection control challenges satisfactorily.
Keywords: HBV, HCV, HIV, pre-operative screening, universal precautions
http://www.ijmm.org/text.asp?2013/31/3/219/115623
Atentamente
Anestesiología y Medicina del Dolor
www.anestesia-dolor.org
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