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Rationale against Preoperative Screening for HIV in Polish Hospitals: A Prevalence Study of Anti-HIV in Contrast to Anti-Hepatitis C Virus and Hepatitis B Surface Antigen

  • Maria Gańczak (a1) and Zbigniew Szych (a2)

We describe the prevalence of anti-human immunodeficiency virus (anti-HIV) among a sample of 1,652 surgical and gynecologic patients in Polish hospitals, contrasting it with the prevalence of hepatitis B surface antigen (HBsAg) and anti-hepatitis C virus (anti-HCV) to assess the rationale for preoperative testing. No anti-HIV-positive samples were found; the prevalence of anti-HCV was 0.9%, slightly higher than the prevalence of HBsAg of 0.6%. Universal preoperative screening of hospital patients for HIV is currently not warranted according to the Centers for Disease Control and Prevention guidelines. However, the seroprevalence of HIV should be reassessed periodically.

Corresponding author
Department of Hygiene, Epidemiology, and Public Health, Pomeranian Medical University, Zolnierska 48, 70-210 Szczecin, Poland (
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1.Branson, B. Current HIV epidemiology and revised recommendations for HIV testing in health-care settings. J Med Virol 2007;79(Suppl 1): S6S10.
2.Branson, BM, Handsfield, HH, Lampe, MA, et al.CDC revised recommendations for HIV testing of adults, adolescents, and pregnant women in health-care settings. MMWR Recomm Rep 2006;55:117.
3.Weiss, ES, Cornwell, EE III, Wang, T, et al.HIV and hepatitis testing and prevalence among surgical patients in an urban university hospital. Am J Surg 2007;193:5560.
4.Dresing, K, Pouwels, C, Bonsack, S, et al.HCV, HBV and HIV infections: risk for surgeon and staff—results and consequences of routine screening in emergency patients [in German]. Chirurg 2003;74:10261033.
5.Wanyenze, RK, Navawu, C, Namale, AS, et al.Acceptability of routine HIV counseling and testing, and HIV seroprevalence in Ugandan hospitals. Bull World Health Organ 2008;86:302309.
6.Gańczak, M, Barss, P. Fear of HIV infection and impact of training on the attitudes of surgical and emergency nurses toward inpatient HIV testing. Infect Control Hosp Epidemiol 2007;28:230233.
7.UNAIDS. AIDS epidemic update 2007. Geneva, Switzerland: UNAIDS. Updated November 26, 2007. Available at: Accessed lune 1, 2009.
8.Gańczak, M, Szych, Z. Infections with HBV, HCV and HIV in patients admitted to the neurosurgical department of a teaching hospital. Neurol Neurochir Pol 2008;42:231237.
9.Gostin, LO. HIV screening in health care settings: public health and civil liberties in conflict? JAMA 2006;296:20232025.
10.Nitka, A, Rosihska, M, Janiec, J. AIDS and HIV infection in Poland [in Polish], Przegl Epidemiol 2008;62:357368.
11.Ankiersztejn-Bartczak, M. Anonymous and free of charge HIV testing: experience of counseling and testing center in Warsaw [in Polish]. Kontra 2007;2:13.
12.Holtgrave, R. Costs and consequences of the US Centers for Disease Control and Prevention's recommendations for opt-out HIV testing. PLoS Med 2007;4:e194. http://www.plosmedicine.Org/article/info:doi/10.1371/journal.pmed.0040194. Accessed June 1, 2009.
13.Vermund, SH, Wilson, CM. Barriers for HIV testing. Lancer 2002;360:11861187.
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Infection Control & Hospital Epidemiology
  • ISSN: 0899-823X
  • EISSN: 1559-6834
  • URL: /core/journals/infection-control-and-hospital-epidemiology
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