Evidence map›Paper›PMID 17684714›Full record

SynthesisDer Internist2007

[Injuries from needles contaminated with hepatitis C virus: how high is the risk of seroconversion for medical personnel really?].

A Kubitschke, C Bader, H L Tillmann, M P Manns, S Kuhn, H Wedemeyer

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Der Internist, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.4field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 33 citations in OpenAlex.

  1. Observational
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Best practice for needlestick injuries.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2014
    Article
  9. Article
  10. [Blood-borne infections and the pregnant health care worker. Risks and preventive measures].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2012
    Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

A KubitschkeAbteilung für Gastroenterologie, Hepatologie und Endokrinologie, Medizinische Hochschule Hannover, Carl-Neuberg-Str 1, 30625, Hannover, Germany.
C Bader
H L Tillmann
M P Manns
S Kuhn
H Wedemeyer
Medizinische Hochschule Hannover · DEKlinik und Poliklinik für Psychosomatische Medizin und Psychotherapie · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The risk of infection after injury with a needle contaminated with hepatitis C virus (HCV) is thought to be about 3%, but this assumption is mainly based on studies published in the 1990's, which were limited by small sample sizes and insensitive HCV-RNA assays. We therefore investigated needle injuries at the Hannover Medical School over a period of 6 years and performed a systematic review of the literature identifying 22 studies with a total of 6,956 injuries with HCV contaminated needles. Between 2000 and 2005, 1,431 occupational injuries were reported at our institution and two-thirds were needle injuries. Index patients were known to be HCV infected in 166 cases but there were no cases of HCV seroconversion during follow-up. Analysis of published data showed seroconversion rates of 0-10.3% with a mean of 0.75% (52/6,956). The risk of acute HCV infection was lower in Europe with 0.42% compared to Eastern Asia with 1.5% of cases where an HCV viremia was reported during follow-up. In summary, the risk of acquiring an HCV infection after a needlestick injury is lower than frequently reported. Worldwide differences in HCV seroconversion rates suggest that genetic factors might provide some level of natural resistance against HCV. Future studies should address not only the frequency of acute hepatitis but also factors associated with a higher risk of becoming HCV infected.

Indexed as

Infectious Disease Transmission, Patient-to-ProfessionalCarrier StateCross-Cultural ComparisonCross-Sectional StudiesEuropeFollow-Up StudiesGenome, ViralHepacivirusHepatitis B Surface AntigensHepatitis CHepatitis C AntibodiesHumansIncidenceNeedlestick InjuriesOccupational DiseasesPolymerase Chain ReactionHepatitis B Surface AntigensHepatitis C Antibodies

Identifiers

PMID17684714
OpenAlexW1522639724

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.