Canadian Association of General Surgeons position statement: recommendations for surgeons with blood-borne communicable diseases

Canadian Association of General Surgeons position statement: recommendations for surgeons with blood-borne communicable diseases

Can J Surg 2016;59(2):83-86 | PDF

Sean Cleary, MD, MSc, MPH; Karen Doucette, MD, MSc; Christopher J. Doig, MD; Carla Coffin, MD, MSc; David Grant, MD; Elijah Dixon, MD, MSc

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.


Accepted for publication Nov. 16, 2015

Affiliations: From 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).

Competing interests: None declared.

Contributors: All authors contributed substantially to the conception, writing and revision of this commentary and approved the final version for publication.

DOI: 10.1503/cjs.007615

Correspondence to: S. Cleary, 10EN216 Toronto General Hospital, 200 Elizabeth St., Toronto, ON, M5G 2C4; sean.cleary@uhn.ca