New variant CJD-BSE (mad cow disease). The need for disposable ENT instruments.
This paper outlines the development of Bovine Spongiform Encephalopathy (BSE) in the United Kingdom. The relationship between BSE and new variant Creutzfeldt-Jakob disease (vCJD) is considered and the risks of iatrogenic spread reviewed. The rationale for disposable surgical instruments in adenotonsillectomy to prevent iatrogenic spread is discussed.
Bingham
Brian
B
Consultant ENT Surgeon, NHS Trust, South Glasgow, UK. bjgbingham@aol.com
D000818:Animals; D002417:Cattle; D007562:Creutzfeldt-Jakob Syndrome / Q000453:epidemiology / Q000635:transmission*; D004209:Disposable Equipment / Q000191:economics / Q000382:microbiology; D016643:Encephalopathy, Bovine Spongiform / Q000453:epidemiology / Q000635:transmission*; D004866:Equipment Contamination; D006801:Humans; D007049:Iatrogenic Disease / Q000453:epidemiology / Q000517:prevention & control; D008462:Meat-Packing Industry / Q000592:standards; D010036:Otolaryngology / Q000295:instrumentation*; D012756:Sheep; D013525:Surgical Instruments / Q000191:economics / Q000382:microbiology; D006113:United Kingdom / Q000453:epidemiology