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Guideline - Disinfection and Sterilization of Prion-Contaminated Medical Instruments

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  • Guideline - Disinfection and Sterilization of Prion-Contaminated Medical Instruments

    infection control and hospital epidemiology february 2010, vol. 31, no. 2
    shea guideline
    Guideline for Disinfection and Sterilization of Prion-Contaminated
    Medical Instruments
    William A. Rutala, PhD, MPH; David J. Weber, MD, MPH
    From Hospital Epidemiology, University of North Carolina Health Care (both authors), and the Division of Infectious Diseases, University of North
    Carolina School of Medicine (both authors), Chapel Hill, North Carolina.
    Received November 9, 2009; accepted November 19, 2009; electronically published January 6, 2010.
    
    2010 by The Society for Healthcare Epidemiology of America. All rights reserved. 0899-823X/2010/3102-0001$15.00. DOI: 10.1086/650197
    epidemiology of the creutzfeldt-
    jakob disease prion
    Creutzfeldt-Jakob disease (CJD) is a degenerative neurologic
    disorder of humans with an incidence in the United States
    of approximately 1 case per million population per year.
    1-3
    CJD is caused by a proteinaceous infectious agent, or prion.
    CJD is related to other human transmissible spongiform en-
    cephalopathies (TSEs), including kuru (US incidence, 0 [now
    eradicated]), Gerstmann-Strau
    ̈ ssler-Scheinker syndrome (US
    incidence, 1 case per 40 million population per year), and
    fatal familial insomnia syndrome (incidence,
    !
    1 case per 40
    million population per year). Prion diseases elicit no immune
    response, result in a noninflammatory pathologic process
    confined to the central nervous system, have an incubation
    period of years, and usually are fatal within 1 year after
    diagnosis. (continue reading- open link)
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