Article: Creutzfeldt-Jakob disease; single-use devices; third-party reprocessors; hair removal; instrument counts. (Clinical Issues).

Question: We need guidance about applying the infection control measures for handling instruments contaminated with the Creutzfeldt-Jakob disease (CJD) prion. When should we activate these measures? Should they be used for every neurosurgical procedure?

Answer: Unless a clear, non-CJD diagnosis is established, all patients should be considered as potentially infectious, and all appropriate infection control measures, including those for handling instruments and other surgical items exposed to CJD, should be taken. Some patients undergoing neurosurgical procedures may be undiagnosed before the procedure, and a definitive CJD diagnosis may not be confirmed for ...

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