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Update: Investigations of Persons Treated by HIV-Infected Health-Care Workers—United States

JAMA. 1993;269(20):2622-2623. doi:10.1001/jama.1993.03500200036016.
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Science 1992;256:1165-71.
Link to Article[[XSLOpenURL/10.1126/science.256.5060.1165]]
Gooch B, Marianos D, Ciesielski C, et al.  Lack of evidence for patient-to-patient transmission of HIV in a dental office. J Am Dent Assoc 1993;124:38-44.
CDC.  Update: investigations of patients who have been treated by HIV-infected health-care workers. MMWR 1992;41:344-6.
Dickinson GM, Morhart RE, Klimas NG, Bandea CI, Laracuente JM, Bisno AL.  Absence of HIV transmission from an infected dentist to his patients. JAMA 1993;269:1802-6.
Link to Article[[XSLOpenURL/10.1001/jama.1993.03500140054035]]
Rogers AS, Froggatt JW III, Townsend T, et al.  Investigation of potential HIV transmission to the patients of an HIV-infected surgeon. JAMA 1993;269: 1795-1801.
Link to Article[[XSLOpenURL/10.1001/jama.1993.03500140047034]]
von Reyn CF, Gilbert TT, Shaw FE, Parsonnet KC, Abramson JE, Smith MG.  Absence of HIV transmission from an infected orthopedic surgeon: a 13-year lookback study. JAMA 1993;269:1807-11.
Link to Article[[XSLOpenURL/10.1001/jama.1993.03500140059036]]
Korber B, Myers G.  Signature pattern analysis: a method for assessing viral sequence relatedness. AIDS Res Hum Retroviruses 1992;8:1549-60.
Link to Article[[XSLOpenURL/10.1089/aid.1992.8.1549]]
Bell DM, Shapiro CN, Gooch BF.  Preventing HIV transmission to patients during invasive procedures. J Public Health Dent (in press).
Bell DM, Shapiro CN, Culver DH, Martone, WJ, Curran JW, Hughes JM.  Risk of hepatitis B and human immunodeficiency virus transmission to a patient from an infected surgeon due to percutaneous injury during an invasive procedure: estimates based on a model. Infectious Agents and Disease 1992;1:263-9.
Patient I's viral C2-V3 amino acid sequences were characterized by a stringently defined signature pattern, A-A-G-E-V-I-H; these seven, atypical amino acid residues were found by computer analysis in each of the nine viral clone sequences consisting of approximately 108 deduced amino acids. The dentist's viral C2-V3 amino acid sequences were characterized by a stringently defined signature of eight noncontiguous residues, A-I-A-G-A-E-V-H, and a majority signature, present in most of the viral clone sequences from the dentist, consisting of 10 noncontiguous residues, A-I-A-G-A-E-E-V-I-H. Of the seven residues in patient I's signature, five were found in the stringently defined dentist signature and all seven were present in the majority signature of the dentist's viruses. Patient I's stringently defined nucleotide signature pattern consisted of 12 atypical, noncontiguous residues detected in each of the nine viral clone sequences of approximately 325 nucleotides. All 12 of these nucleotides were present in five of the six dentist's clone sequences; 11 of these nucleotides were found in the remaining dentist clone sequence. No sequence from any local control or any other sequence in the HIV Sequence Database contained more than five of these 12 signature nucleotides (most had 13). In contrast, all 34 clone sequences from patients A, B, C, E, and G had at least 11 of the signature nucleotides.
Ciesielski C, Marianos D, Ou CY, et al.  Transmission of human immunodeficiency virus in a dental practice. Ann Intern Med 1992;116:798-805.
Link to Article[[XSLOpenURL/10.7326/0003-4819-116-10-798]]
Ou CY, Ciesielski C, Myers G, et al. Molecular epidemiology of HIV transmission in a dental practice.


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