Issues related to human immunodeficiency virus transmission in schools, child care, medical settings, the home, and community

C. M. Wilfert, J. E. Aronson, D. T. Beck, A. R. Fleischman, M. W. Kline, L. M. Mofenson, G. B. Scott, D. W. Wara, P. N. Whitley-Williams, M. L. Lindegren, N. A. Halsey, J. S. Abramson, P. J. Chesney, M. C. Fisher, M. A. Gerber, S. M. Marcy, D. L. Murray, G. D. Overturf, C. G. Prober, T. N. Saari & 13 others L. B. Weiner, R. J. Whitley, C. J. Baker, G. Peter, L. K. Pickering, A. Hirsch, R. F. Jacobs, N. E. MacDonald, M. G. Myers, W. A. Orenstein, P. A. Patriarca, N. R. Rabinovich, B. Schwartz

Research output: Contribution to journalReview article

22 Citations (Scopus)

Abstract

Current recommendations of the American Academy of Pediatrics (AAP) for infection control practices to prevent transmission of blood-borne pathogens, including human immunodeficiency virus (HIV) in hospitals, other medical settings, schools, and child care facilities, are reviewed and explained. Hand-washing is essential, whether or not gloves are used, and gloves should be used when contact with blood or blood-containing body fluids may occur. In hospitalized children, the 1996 recommendations of the Centers for Disease Control and Prevention (CDC) should be implemented as modified in the 1997 Red Book. The generic principles of Standard Precautions in the CDC guidelines generally are applicable to children in all health care settings, schools, child care facilities, and the home. However, gloves are not required for routine changing of diapers or for wiping nasal secretions of children in most circumstances. This AAP recommendation differs from that in the CDC guidelines. Current US Public Health Service guidelines for the management of potential occupational exposures of health care workers to HIV are summarized. As previously recommended by the AAP, HIV-infected children should be admitted without restriction to child care centers and schools and allowed to participate in all activities to the extent that their health and other recommendations for management of contagious diseases permit. Because it is not required that the school be notified of HIV infection, it may be helpful if the pediatrician notify the school that he or she is operating under a policy of nondisclosure of infection with blood-borne pathogens. Thus, it is possible that the pediatrician will not report the presence of such infections on the form. Because HIV infection occurs in persons throughout the United States, these recommendations for prevention of HIV transmission should be applied universally.

Original languageEnglish (US)
Pages (from-to)318-324
Number of pages7
JournalPediatrics
Volume104
Issue number2 I
DOIs
StatePublished - Aug 1 1999

Fingerprint

Patient-Centered Care
Child Care
HIV
Centers for Disease Control and Prevention (U.S.)
Blood-Borne Pathogens
Virus Diseases
Guidelines
Pediatrics
Delivery of Health Care
Hand Disinfection
Hospitalized Child
United States Public Health Service
Body Fluids
Occupational Health
Occupational Exposure
Infection Control
Disease Management
Infection
Medical Schools
Nose

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Wilfert, C. M., Aronson, J. E., Beck, D. T., Fleischman, A. R., Kline, M. W., Mofenson, L. M., ... Schwartz, B. (1999). Issues related to human immunodeficiency virus transmission in schools, child care, medical settings, the home, and community. Pediatrics, 104(2 I), 318-324. https://doi.org/10.1542/peds.104.2.318

Issues related to human immunodeficiency virus transmission in schools, child care, medical settings, the home, and community. / Wilfert, C. M.; Aronson, J. E.; Beck, D. T.; Fleischman, A. R.; Kline, M. W.; Mofenson, L. M.; Scott, G. B.; Wara, D. W.; Whitley-Williams, P. N.; Lindegren, M. L.; Halsey, N. A.; Abramson, J. S.; Chesney, P. J.; Fisher, M. C.; Gerber, M. A.; Marcy, S. M.; Murray, D. L.; Overturf, G. D.; Prober, C. G.; Saari, T. N.; Weiner, L. B.; Whitley, R. J.; Baker, C. J.; Peter, G.; Pickering, L. K.; Hirsch, A.; Jacobs, R. F.; MacDonald, N. E.; Myers, M. G.; Orenstein, W. A.; Patriarca, P. A.; Rabinovich, N. R.; Schwartz, B.

In: Pediatrics, Vol. 104, No. 2 I, 01.08.1999, p. 318-324.

Research output: Contribution to journalReview article

Wilfert, CM, Aronson, JE, Beck, DT, Fleischman, AR, Kline, MW, Mofenson, LM, Scott, GB, Wara, DW, Whitley-Williams, PN, Lindegren, ML, Halsey, NA, Abramson, JS, Chesney, PJ, Fisher, MC, Gerber, MA, Marcy, SM, Murray, DL, Overturf, GD, Prober, CG, Saari, TN, Weiner, LB, Whitley, RJ, Baker, CJ, Peter, G, Pickering, LK, Hirsch, A, Jacobs, RF, MacDonald, NE, Myers, MG, Orenstein, WA, Patriarca, PA, Rabinovich, NR & Schwartz, B 1999, 'Issues related to human immunodeficiency virus transmission in schools, child care, medical settings, the home, and community', Pediatrics, vol. 104, no. 2 I, pp. 318-324. https://doi.org/10.1542/peds.104.2.318
Wilfert, C. M. ; Aronson, J. E. ; Beck, D. T. ; Fleischman, A. R. ; Kline, M. W. ; Mofenson, L. M. ; Scott, G. B. ; Wara, D. W. ; Whitley-Williams, P. N. ; Lindegren, M. L. ; Halsey, N. A. ; Abramson, J. S. ; Chesney, P. J. ; Fisher, M. C. ; Gerber, M. A. ; Marcy, S. M. ; Murray, D. L. ; Overturf, G. D. ; Prober, C. G. ; Saari, T. N. ; Weiner, L. B. ; Whitley, R. J. ; Baker, C. J. ; Peter, G. ; Pickering, L. K. ; Hirsch, A. ; Jacobs, R. F. ; MacDonald, N. E. ; Myers, M. G. ; Orenstein, W. A. ; Patriarca, P. A. ; Rabinovich, N. R. ; Schwartz, B. / Issues related to human immunodeficiency virus transmission in schools, child care, medical settings, the home, and community. In: Pediatrics. 1999 ; Vol. 104, No. 2 I. pp. 318-324.
@article{46cea1b21fdb47beadb459b0587c95b5,
title = "Issues related to human immunodeficiency virus transmission in schools, child care, medical settings, the home, and community",
abstract = "Current recommendations of the American Academy of Pediatrics (AAP) for infection control practices to prevent transmission of blood-borne pathogens, including human immunodeficiency virus (HIV) in hospitals, other medical settings, schools, and child care facilities, are reviewed and explained. Hand-washing is essential, whether or not gloves are used, and gloves should be used when contact with blood or blood-containing body fluids may occur. In hospitalized children, the 1996 recommendations of the Centers for Disease Control and Prevention (CDC) should be implemented as modified in the 1997 Red Book. The generic principles of Standard Precautions in the CDC guidelines generally are applicable to children in all health care settings, schools, child care facilities, and the home. However, gloves are not required for routine changing of diapers or for wiping nasal secretions of children in most circumstances. This AAP recommendation differs from that in the CDC guidelines. Current US Public Health Service guidelines for the management of potential occupational exposures of health care workers to HIV are summarized. As previously recommended by the AAP, HIV-infected children should be admitted without restriction to child care centers and schools and allowed to participate in all activities to the extent that their health and other recommendations for management of contagious diseases permit. Because it is not required that the school be notified of HIV infection, it may be helpful if the pediatrician notify the school that he or she is operating under a policy of nondisclosure of infection with blood-borne pathogens. Thus, it is possible that the pediatrician will not report the presence of such infections on the form. Because HIV infection occurs in persons throughout the United States, these recommendations for prevention of HIV transmission should be applied universally.",
author = "Wilfert, {C. M.} and Aronson, {J. E.} and Beck, {D. T.} and Fleischman, {A. R.} and Kline, {M. W.} and Mofenson, {L. M.} and Scott, {G. B.} and Wara, {D. W.} and Whitley-Williams, {P. N.} and Lindegren, {M. L.} and Halsey, {N. A.} and Abramson, {J. S.} and Chesney, {P. J.} and Fisher, {M. C.} and Gerber, {M. A.} and Marcy, {S. M.} and Murray, {D. L.} and Overturf, {G. D.} and Prober, {C. G.} and Saari, {T. N.} and Weiner, {L. B.} and Whitley, {R. J.} and Baker, {C. J.} and G. Peter and Pickering, {L. K.} and A. Hirsch and Jacobs, {R. F.} and MacDonald, {N. E.} and Myers, {M. G.} and Orenstein, {W. A.} and Patriarca, {P. A.} and Rabinovich, {N. R.} and B. Schwartz",
year = "1999",
month = "8",
day = "1",
doi = "10.1542/peds.104.2.318",
language = "English (US)",
volume = "104",
pages = "318--324",
journal = "Pediatrics",
issn = "0031-4005",
publisher = "American Academy of Pediatrics",
number = "2 I",

}

TY - JOUR

T1 - Issues related to human immunodeficiency virus transmission in schools, child care, medical settings, the home, and community

AU - Wilfert, C. M.

AU - Aronson, J. E.

AU - Beck, D. T.

AU - Fleischman, A. R.

AU - Kline, M. W.

AU - Mofenson, L. M.

AU - Scott, G. B.

AU - Wara, D. W.

AU - Whitley-Williams, P. N.

AU - Lindegren, M. L.

AU - Halsey, N. A.

AU - Abramson, J. S.

AU - Chesney, P. J.

AU - Fisher, M. C.

AU - Gerber, M. A.

AU - Marcy, S. M.

AU - Murray, D. L.

AU - Overturf, G. D.

AU - Prober, C. G.

AU - Saari, T. N.

AU - Weiner, L. B.

AU - Whitley, R. J.

AU - Baker, C. J.

AU - Peter, G.

AU - Pickering, L. K.

AU - Hirsch, A.

AU - Jacobs, R. F.

AU - MacDonald, N. E.

AU - Myers, M. G.

AU - Orenstein, W. A.

AU - Patriarca, P. A.

AU - Rabinovich, N. R.

AU - Schwartz, B.

PY - 1999/8/1

Y1 - 1999/8/1

N2 - Current recommendations of the American Academy of Pediatrics (AAP) for infection control practices to prevent transmission of blood-borne pathogens, including human immunodeficiency virus (HIV) in hospitals, other medical settings, schools, and child care facilities, are reviewed and explained. Hand-washing is essential, whether or not gloves are used, and gloves should be used when contact with blood or blood-containing body fluids may occur. In hospitalized children, the 1996 recommendations of the Centers for Disease Control and Prevention (CDC) should be implemented as modified in the 1997 Red Book. The generic principles of Standard Precautions in the CDC guidelines generally are applicable to children in all health care settings, schools, child care facilities, and the home. However, gloves are not required for routine changing of diapers or for wiping nasal secretions of children in most circumstances. This AAP recommendation differs from that in the CDC guidelines. Current US Public Health Service guidelines for the management of potential occupational exposures of health care workers to HIV are summarized. As previously recommended by the AAP, HIV-infected children should be admitted without restriction to child care centers and schools and allowed to participate in all activities to the extent that their health and other recommendations for management of contagious diseases permit. Because it is not required that the school be notified of HIV infection, it may be helpful if the pediatrician notify the school that he or she is operating under a policy of nondisclosure of infection with blood-borne pathogens. Thus, it is possible that the pediatrician will not report the presence of such infections on the form. Because HIV infection occurs in persons throughout the United States, these recommendations for prevention of HIV transmission should be applied universally.

AB - Current recommendations of the American Academy of Pediatrics (AAP) for infection control practices to prevent transmission of blood-borne pathogens, including human immunodeficiency virus (HIV) in hospitals, other medical settings, schools, and child care facilities, are reviewed and explained. Hand-washing is essential, whether or not gloves are used, and gloves should be used when contact with blood or blood-containing body fluids may occur. In hospitalized children, the 1996 recommendations of the Centers for Disease Control and Prevention (CDC) should be implemented as modified in the 1997 Red Book. The generic principles of Standard Precautions in the CDC guidelines generally are applicable to children in all health care settings, schools, child care facilities, and the home. However, gloves are not required for routine changing of diapers or for wiping nasal secretions of children in most circumstances. This AAP recommendation differs from that in the CDC guidelines. Current US Public Health Service guidelines for the management of potential occupational exposures of health care workers to HIV are summarized. As previously recommended by the AAP, HIV-infected children should be admitted without restriction to child care centers and schools and allowed to participate in all activities to the extent that their health and other recommendations for management of contagious diseases permit. Because it is not required that the school be notified of HIV infection, it may be helpful if the pediatrician notify the school that he or she is operating under a policy of nondisclosure of infection with blood-borne pathogens. Thus, it is possible that the pediatrician will not report the presence of such infections on the form. Because HIV infection occurs in persons throughout the United States, these recommendations for prevention of HIV transmission should be applied universally.

UR - http://www.scopus.com/inward/record.url?scp=0032781539&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0032781539&partnerID=8YFLogxK

U2 - 10.1542/peds.104.2.318

DO - 10.1542/peds.104.2.318

M3 - Review article

VL - 104

SP - 318

EP - 324

JO - Pediatrics

JF - Pediatrics

SN - 0031-4005

IS - 2 I

ER -