Transmission of hepatitis C from a midwife to a patient through non-exposure prone procedures

David Muir*, Yimmy Chow, Richard Tedder, Donald Smith, John Harrison, Alison Holmes

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)


A woman developed acute hepatitis C (HCV) infection 2 months after delivering her baby at a London Hospital. The other patients who had been on the unit at the same time all had negative HCV serology antenatally. Testing of the healthcare workers who had been involved in this patient's care revealed that one of the midwives who only worked on the postnatal unit was chronically infected with the same viral genotype. Sequencing and phylogenetic analysis revealed close identity between the viruses from the two individuals. Although, the midwife had only performed non-exposure prone procedures including venepuncture and cannulation, our findings indicate that transmission of the virus had occurred from the healthcare worker to the patient. The potential implications of this case within the setting of national policy on blood borne viruses and healthcare workers are discussed.

Original languageEnglish
Pages (from-to)235-240
Number of pages6
JournalJournal of Medical Virology
Issue number2
Publication statusPublished - Feb 2014

Bibliographical note

Copyright 2014 Elsevier B.V., All rights reserved.


  • Blood borne viruses
  • Maternity unit
  • Nosocomial
  • Phylogenetic analysis


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