VICNISS Hospital Acquired Infection Surveillance Coordinating Centre
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Literature Update - January, 2004

Compiled by Dr Deb Friedman, VICNISS ID Physician


Transmission of Hepatitis C by Blood Splash into Conjunctiva

A recent report in the American Journal of Infection Control (Dec, 2003; 31:502-4) is a cautionary tale about the transmission of hepatitis C from an exposure as seemingly trivial as a splash to the eye.

A haemodialysis nurse in Turkey acquired hepatitis C infection 6 months after a blood splash to the conjunctiva from an anti-HCV positive patient.

This is not the first report of the acquisition of hepatitis C from a blood splash exposure, but it is a reminder that while rare, it certainly can occur. For this reason, all hospitals should ensure that they have an updated plan for the follow up of staff exposed to bloodborne viruses, and that they educate staff and promote the wearing of eye protection or a face shield during surgery or procedures when splashes to the eyes could occur.

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