A 33-year-old client who is a long-term intravenous user of heroin has been recently diagnosed with hepatitis C. Which of the following portals of entry most likely led to the client's infection? A) Ingestion
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Step 1: Hepatitis C is a viral infection that is primarily spread through contact with infected blood. Show more…
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Hepatitis C is a chronic liver infection that can be either silent (with no noticeable symptoms) or debilitating. Either way, 80% of infected persons experience continuing liver destruction. Chronic hepatitis C infection is the leading cause of liver transplants in the United States. The virus that causes it is blood borne, and therefore patients who undergo frequent procedures involving transfer of blood are particularly susceptible to infection. Kidney dialysis patients belong to this group. In 2008, a for-profit hemodialysis facility in New York was shut down after nine of its patients were confirmed as having become infected with hepatitis C while undergoing hemodialysis treatments there between 2001 and 2008. When the investigation was conducted in 2008, investigators found that 20 of the facility's 162 patients had been documented with hepatitis C infection at the time they began their association with the clinic. All the current patients were then offered hepatitis C testing, to determine how many had acquired hepatitis C during the time they were receiving treatment at the clinic. They were considered positive if enzyme-linked immunosorbent assay (ELISA) tests showed the presence of antibodies to the hepatitis C virus. Health officials did not test the workers at the hemodialysis facility for hepatitis C because they did not view them as likely sources of the nine new infections. Why not?Why do you think patients were tested for antibody to the virus instead of for the presence of the virus itself?
Sri K.
Adi S.
Bertha is a nurse in the ER. On her shift one night, a trauma patient came into the ER in critical condition. She had no patient history available to her about this patient initially. During a critical lifesaving procedure, an artery was hit and blood splattered into Bertha’s eyes and mouth. Infection control was called as it was soon discovered this patient was positive for Hepatitis C. Blood work was done the day after the incident but no evidence of virus particles were present at that time. However, a week later with follow-up blood work, it was found that Bertha had indeed been infected. The mode of transmission for Bertha’s infection would be: A. Fomite B. Indirect C. Parenteral D. Droplet E. All of the above
Dave K.
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