VARIANT CREUTZFELDT-JAKOB DISEASE (vCJD) AND ...
VARIANT CREUTZFELDT-JAKOB DISEASE (vCJD) AND ...
VARIANT CREUTZFELDT-JAKOB DISEASE (vCJD) AND ...
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PAT/IC 4 v.3<br />
APPENDIX 1<br />
Algorithm chart for precautions for reusable instruments for surgical procedures on patients with, or “at<br />
increased risk” of, CJD, <strong>vCJD</strong> and other human prion diseases<br />
PATIENT<br />
Possible<br />
Definite or probable<br />
At increased risk<br />
Procedure<br />
involves<br />
high or<br />
medium risk<br />
tissues<br />
Procedure<br />
involves low<br />
risk tissues<br />
Procedure<br />
involves low<br />
risk tissues<br />
Procedure<br />
involves<br />
high or<br />
medium risk<br />
tissues<br />
Procedure<br />
involves<br />
high or<br />
medium risk<br />
tissues<br />
Procedure<br />
involves low<br />
risk tissues<br />
Quarantine<br />
instruments pending<br />
diagnosis<br />
Definite or<br />
probable CJD<br />
confirmed or<br />
diagnosis<br />
inconclusive<br />
Alternative<br />
diagnosis<br />
confirmed<br />
EITHER:<br />
Dispose of instruments by incineration<br />
OR<br />
Quarantine instruments for re-use<br />
exclusively on the same patient<br />
Dispose of<br />
instruments by<br />
incineration<br />
Reprocess<br />
instruments<br />
according to best<br />
practice and return<br />
to use<br />
Reprocess<br />
instruments<br />
according to best<br />
practice and return<br />
to use<br />
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