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April 9, 1997, Vol 277, No. 14 >
ARTICLE | April 9, 1997

Nosocomial Hepatitis B Virus Infection Associated With Reusable Fingerstick Blood Sampling Devices—Ohio and New York City, 1996 FREE

JAMA. 1997;277(14):1106-1107. doi:10.1001/jama.1997.03540380018008
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FINGERSTICK devices are widely used for capillary-blood sampling for glucose monitoring in patients with diabetes. In 1996, outbreaks of hepatitis B virus (HBV) infection occurred among patients with diabetes in an Ohio nursing home and in a New York City hospital. In response to these outbreaks, nursing-home and hospital personnel, state and local public health officials, and CDC conducted epidemiologic investigations. This report summarizes the investigations, which suggest that, in both outbreaks, HBV transmission was associated with use of spring-loaded fingerstick devices on multiple patients.

In the Ohio outbreak investigation, acute HBV infection was defined as a positive serologic test result for IgM antibody to hepatitis B core antigen (IgM anti-HBc) during June 1995-April 1996, and in the New York outbreak investigation, was defined as a positive serologic test result for IgM anti-HBc or seroconversion from hepatitis B surface antigen (HBsAg)-negative to HBsAgpositive during January-October 1996. Chronic HBV

REFERENCES

1 +
Swenson PD, Riess JT, Krueger LE.  Determination of HBsAg subtypes in different high risk populations using monoclonal antibodies . J Virol Methods 1991;;33: 27-38.
2 +
CDC.  Nosocomial transmission of hepatitis B virus associated with a spring-loaded finger stick device— California . MMWR 1990;;39:610-3.
3 +
Polish LB, Shapiro CN, Bauer F, et al.  Nosocomial transmission of hepatitis B virus associated with the use of a spring-loaded finger-stick device . N Engl J Med 1992;;326:721-5.
4 +
Douvin C, Simon D, Zinelabidine H, Wirquin V, Perlemuter L, Dhumeaux D.  An outbreak of hepatitis B in an endocrinology unit traced to a capillary-blood sampling device [Letter] . N Engl J Med 1990;;322:57-8.
5 +
Food and Drug Administration. FDA safety alert: hepatitis B transmission via spring-loaded lancet devices . Rockville, Maryland: US Department of Health and Human Services, Public Health Service, Food and Drug Administration, August 28, 1990;.
6 +
CDC.  Update: universal precautions for prevention of transmission of human immunodeficiency virus, hepatitis B virus, and other bloodborne pathogens in health-care settings . MMWR 1988;;37:377-82 387-8.
7 +
Use of trade names and commercial sources is for identification only and does not imply endorsement by the Public Health Service or the U.S. Department of Health and Human Services.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

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1 +
Swenson PD, Riess JT, Krueger LE.  Determination of HBsAg subtypes in different high risk populations using monoclonal antibodies . J Virol Methods 1991;;33: 27-38.
2 +
CDC.  Nosocomial transmission of hepatitis B virus associated with a spring-loaded finger stick device— California . MMWR 1990;;39:610-3.
3 +
Polish LB, Shapiro CN, Bauer F, et al.  Nosocomial transmission of hepatitis B virus associated with the use of a spring-loaded finger-stick device . N Engl J Med 1992;;326:721-5.
4 +
Douvin C, Simon D, Zinelabidine H, Wirquin V, Perlemuter L, Dhumeaux D.  An outbreak of hepatitis B in an endocrinology unit traced to a capillary-blood sampling device [Letter] . N Engl J Med 1990;;322:57-8.
5 +
Food and Drug Administration. FDA safety alert: hepatitis B transmission via spring-loaded lancet devices . Rockville, Maryland: US Department of Health and Human Services, Public Health Service, Food and Drug Administration, August 28, 1990;.
6 +
CDC.  Update: universal precautions for prevention of transmission of human immunodeficiency virus, hepatitis B virus, and other bloodborne pathogens in health-care settings . MMWR 1988;;37:377-82 387-8.
7 +
Use of trade names and commercial sources is for identification only and does not imply endorsement by the Public Health Service or the U.S. Department of Health and Human Services.

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