Sep 20, 2019

National Variability in Prion Disease-Related Safety Policies for Neurologic Procedures

The Neurohospitalist
Katherine WerbanethCarl A Gold

Abstract

Prion diseases are fatal neurodegenerative disorders that can be transmitted via contact with infective tissue. Variability in hospital safety policies related to prion disease may place health-care workers at risk. We sought to assess variability of safety policies related to prion disease for neurosurgical procedures and lumbar punctures among neurological institutions in the United States. We e-mailed neurologists associated with 2016 US News and World Report "Top 50" Neurology & Neurosurgery Institutions to request hospital policies regarding safety precautions related to prion disease. For institutional surgical policies, the main outcome was concordance with each of the 8 specific precautions described in World Health Organization (WHO) guidelines published in 1999. No similar guidelines are available for lumbar puncture, so themes were identified and quantified among the lumbar puncture policies we collected. Of the 51 institutions contacted, there were 38 responses. Two institutions did not have relevant policies and 3 institutions declined to share their policies, yielding 33 institutional policies for review. Of these, 85% had a surgical policy and 54% had a lumbar puncture policy. Concordance with all 8 specific prec...Continue Reading

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Mentioned in this Paper

United States Agency for Healthcare Research and Quality
National Area
World Health Organization
Puncture Wound
Soft Tissue Infections
Health Care
Neurology Speciality
Neurodegenerative Disorders
Operative Surgical Procedures
Clinical Practice Guideline

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