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G. Willingmyre (2008)
Reuse of single-use hemodialyzers. Technical, legal, medical and economic implications.Artificial organs, 3 3
Data pertaining to incidence of hepatitis B from a 1976 Center for Disease Control Study were matched with responses from a Renal Physicians Association survey on dialyzer reuse in the United States. Of 6,079 patients, 166 (2.7%) became positive for hepatitis B surface antigen (HBsAg) in 96 centers practicing reuse, whereas 495 (2.6%) of 18,947 became HBsAg positive in 439 centers practicing single use. Among staff, 75 (2.5%) of 3,049 became positive for HBsAg in centers practicing reuse vs 200 (2.3%) of 8,696 in centers not reusing dialyzers. Incidence of infection among staff associated with a center having at least one HBsAg-positive patient was 2.9% in centers practicing reuse vs 3.6% in centers practicing single use. Nearly all (95%) staff who became HBsAg positive were associated with centers having at least one HBsAg-positive patient. The practice of reusing dialyzers does not appear to be associated with increased risk of hepatitis B infection among patients and staff. (JAMA 1981;245:166-167)
JAMA – American Medical Association
Published: Jan 9, 1981
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