[Skip to content]

Midwives magazine logo
Search our Site
E-zine

E-newsletters

The latest midwifery news and events sent straight to your inbox

Subscribe here...

ADVERTISEMENT
Products
.

HIV consultation launched

Posted: 1 December 2011 by Rob Dabrowski

A consultation into relaxing the restrictions on HIV positive healthcare workers is being launched.

HIV virus
It is due to be launched today (December 1) by chief medical officer Dame Sally Davies, following a review into the subject by a group of leading experts.
 
The Expert Advisory Group on AIDS examined evidence around the risk of HIV transmission from healthcare workers with HIV to patients.
 
They found no reported transmissions of HIV from healthcare workers, even though there have been investigations involving 10,000 patients who were tested for HIV.

They also found that few other countries have such tight restrictions as the UK.

Chief medical officer Professor Dame Sally Davies said: ‘Patient safety is always our top priority.

‘Our knowledge and understanding and the treatment of HIV have all developed enormously over the last 25 years.

‘It is right that we now consider our current guidelines to reflect what the science is telling us about the risk of HIV transmission from healthcare workers with HIV to patients.
 
‘There are currently around 110 healthcare workers with HIV [in England] who might be affected by the current restrictions.

‘We need to ensure that the guidelines and restrictions imposed are evidence-based and achieve a fair balance between patient safety and the rights and responsibilities of healthcare workers with HIV.
 
‘This consultation will seek wide views on the expert advice and whether it should be accepted.’

At present, healthcare workers diagnosed with HIV are not allowed to perform most surgical or dental procedures.

These restrictions will remain in place until the outcome of the consultation is decided.
 
The risk of HIV infection to any patient having the most invasive type of exposure prone procedure – such as open cardiac surgery – has been estimated as about one in five million, which is a similar level of risk to being struck and killed by lightning.

These risks can be reduced even further by effective antiretroviral drug therapy.

The consultation invites views from the medical community, as well as the public, on the level of restriction.

Chairman of the Expert Advisory Group on AIDS, Professor Brian Gazzard, welcomed the consultation.

‘Our careful review of the evidence suggests that the current restrictions on healthcare workers with HIV are now out of step with evidence about the minimal risk of transmission of infection to patients and policies in most other countries,’ he said.
 
‘This risk can be reduced even further if the healthcare worker is taking effective drug therapy for HIV and being monitored by HIV and occupational health specialists.’