Universal precautions to be observed by surgeons for the prevention of hospital acquired HIV infection include the following except
Correct Answer: Preoperative screening of all patients for HIV
Description: Universal precautions have been drawn up by the CDC in the United States and largely adopted by the National Health Service (NHS) in the UK (in summary):
Use of a full face mask ideally, or protective spectacles;
Use of fully waterproof, disposable gowns and drapes, particularly during seroconversion;
Boots to be worn, not clogs, to avoid injury from dropped sharps;
Double gloving needed (a larger size on the inside is more comfortable);
Allow only essential personnel in theatre;
Avoid unnecessary movement in theatre;
Respect is required for sharps, with passage in a kidney dish;
A slow meticulous operative technique is needed with minimised bleeding.
Key Concept:
Universal precautions do not include the preoperative screening of patients for HIV.
Reference: Bailey & Love’s short practice of surgery , 27th ed page no 52
Category:
Surgery
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