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Surgery General 1b8f1605

Universal precautions to be observed by surgeons for the prevention of hospital acquired HIV infection include the following except

A
Wearing gloves and other barrier precaution
B
Washing hands on contamination
C
Handling sharp instruments with care
D
Preoperative screening of all patients for HIV
High-Yield Explanation
Universal  precautions have been drawn up by the CDC in the United States and largely adopted by the National Health Service (NHS) in the UK (in summary): Use of a full face mask ideally, or protective spectacles; Use of fully waterproof, disposable gowns and drapes, particularly during seroconversion; Boots to be worn, not clogs, to avoid injury from dropped sharps; Double gloving needed (a larger size on the inside is more comfortable); Allow only essential personnel in theatre; Avoid unnecessary movement in theatre; Respect is required for sharps, with passage in a kidney dish; A slow  meticulous  operative  technique  is  needed  with minimised bleeding. Key Concept: Universal precautions do not include the preoperative screening of patients for HIV. Reference: Bailey & Love’s short practice of surgery , 27th  ed page no 52

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