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Dr. Stephen Stein FAQ

Dr. Stephen Stein FAQ

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07/08/2015

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Colorado Help Line: 1-877-462-2911
Unsafe Injections at an Oral Surgeon’s Offices:
 Frequently Asked Questions
What happened at Dr. Stein’s offices?
Between September 1999 and June 2011, syringes and needles were re-used for multiplepatients to give intravenous (IV) medications, including sedation. The IV medications weregiven during oral and facial surgery procedures. Needles and syringes were usedrepeatedly, often days at a time. Because there can be a small amount of blood that remainsin syringes and needles after an injection through an IV line, there is a risk of spread of bloodborne viruses, such as HIV, hepatitis B, and hepatitis C, between patients.Due to the concern for the spread of HIV, hepatitis B, and hepatitis C, patients who received
IV medications at Dr. Stein’s offices between September 1999 and June 2011 are advised to
contact their health care provider to be tested for HIV, hepatitis B, and hepatitis C.Patients who can be identified through dental records are being notified by mail of theirpotential exposure. Other patients whose addresses were not known were notified througha news release. It is recommended that patients of Dr. Stein who received IV medications,including sedation, between September 1999 and June 2011 at one of two office locationscontact their current health care provider to receive testing for HIV, hepatitis B, andhepatitis C.
Where were Dr. Stein’s office
s located?
There were two office locations for Dr. Stein during September 1999 to June 2011:
o
 
Between September 1999 and June 2011:
Stein Oral and Facial Surgery
, 8671 SouthQuebec Street, #230, Highlands Ranch, CO 80130.
o
 
Between August 2010 and June 2011:
Stein Oral and Facial Surgery
, 3737 East 1stAvenue, Suite B, Denver, CO 80206. Patients were also seen at this location by Dr.Stein under the name
New Image Dental Implant Center
.
How were patients exposed?
Between September 1999 and June 2011, syringes and needles were re-used for multiplepatients to give intravenous (IV) medications, including sedation. The IV medications weregiven during oral and facial surgery procedures. Needles and syringes were usedrepeatedly, often days at a time. Because there can be a small amount of blood that remainsin syringes and needles after an injection through an IV line, there is a risk of spread of bloodborne viruses, such as HIV, hepatitis B, and hepatitis C, between patients.Due to the concern for the spread of HIV, hepatitis B, and hepatitis C, patients who received
IV medications at Dr. Stein’s offices between September 1999 and June 2011 are advised to
contact their health care provider to be tested for HIV, hepatitis B, and hepatitis C.
What is an oral surgeon?
An oral surgeon is a dental specialist who is trained to diagnose and treat injuries anddiseases of the mouth, jaw, teeth, neck, gums and other soft tissues of the head. Oralsurgeons completed four years of dental school and at least four years of a surgical hospitalresidency.
 
 
What is an intravenous (IV) line or IV medications?
An intravenous or IV line is a tube that is inserted into a vein to give medications, includingsedation, and fluids.
What are
“unsafe injection practices”
?
Unsafe injection practices are tasks that a health care provider performs using needles andsyringes that might result in the spread of infections. Examples of unsafe injection practicesinclude using a needle on more than one patient, even through an intravenous (IV) line;using a syringe on more than one patient even if the needle is changed; and entering a vialof medication after a needle or syringe is used on a patient.Unsafe injection practices put patients and health care providers at risk of infection. Thisharm can be prevented. Safe injection practices are part of precautions that every provider
should follow (“Standard Precautions”). A safe injection does not harm the patient, does not
expose the provider to any avoidable risks, and does not result in waste that is dangerousfor the community.When giving an injection, a small amount of blood can backflow into the needle and syringe,even when injecting into an IV line. This blood is often not visible. If syringes are re-used onmore than one patient, even if the needle is changed, patients can be exposed to the bloodin the syringe and placed at risk of infection.In this case, the same syringe and needle was used to inject medications, including sedation,
into multiple patients’ intravenous (IV) lines
. This occurred while patients were undergoingoral and facial surgery procedures.For more information on unsafe injection practices:
 
 
 
Is syringe and needle reuse still ongoing at Stein Oral and Facial Surgery?
No. Stein Oral and Facial Surgery is no longer an active practice.
I was seen by Dr. Stein at another location OR during another time period. Am I at risk?
At this time, we do not know if patients seen by Dr. Stein at other locations or before 1999were at risk of acquiring bloodborne viruses. If you are concerned, we recommend youdiscuss this with your health care provider.
I am a previous patient of Dr. S
tein’s and I do not remember if I received intravenous (IV)
medication. What should I do?
If you are not sure if you received IV medications, including sedation, the safest option is tobe tested for hepatitis B, hepatitis C, and HIV. You should talk to your health care providerabout getting tested for hepatitis B, hepatitis C, and HIV.Anyone who received medications through an intravenous (IV) line during a procedure doneby Dr. Stephen Stein at the following locations and during the following times shouldcontact their health care provider to be tested for HIV, hepatitis B, and hepatitis C.
o
 
Between September 1999 and June 2011:
Stein Oral and Facial Surgery
, 8671 SouthQuebec Street, #230, Highlands Ranch, CO 80130.
 
o
 
Between August 2010 and June 2011:
Stein Oral and Facial Surgery
, 3737 East 1stAvenue, Suite B, Denver, CO 80206. Patients were also seen at this location by Dr.Stein under the name
New Image Dental Implant Center
.
I am a previous patient of Dr. Stein’s and I did
not receive intravenous (IV) medication. Whatshould I do?
Syringe and needle re-use was identified only for IV medication administration, includingsedation. Patients who only received local injections (injections into the mouth) do not needto be tested. We do not recommend testing for patients who did not receive IV medications.However, if you are not sure if you received IV medications, the safest option is to be testedfor hepatitis B, hepatitis C, and HIV. You should talk to your health care provider aboutgetting tested for hepatitis B, hepatitis C, and HIV.
Why should I be concerned about these infections if I haven’t had any symptoms?
 
People infected with viruses like HIV, hepatitis B, and hepatitis C may not have symptomsfor many years. It is possible you might have been infected and not know it. Even if you maynot feel ill or remember getting sick, if you received IV medications, including sedation, at
one of Dr. Stein’s offices between September 1999 and June 2011, you should be tested for
HIV, hepatitis B, and hepatitis C to make sure you are not infected. Knowing whether youare infected is important, so you can be treated if your test results are positive.
Do I need a letter from the state health department to get tested?
No. You do not need a letter to get tested. If you were a patient who received medicationsthrough an intravenous (IV) line, including sedation, during a procedure done by Dr. StephenStein between September 1999 and June 2011 at the locations specified above, you shouldbe tested for HIV, hepatitis B, and hepatitis C.
How likely is it that I may be infected with HIV, hepatitis B, or hepatitis C from Dr. Stein’s
offices?
It is currently unknown if any transmission of hepatitis B, hepatitis C, or HIV, occurred as aresult of unsafe injection practice
s at Dr. Stein’s offices.It is unknown how many, if any, people might have been infected at Dr. Stein’s offices. HIV,
hepatitis B, and hepatitis C are routinely found in the population. Even if patients of Dr.Stein are infected, they may not have been i
nfected at Dr. Stein’s offices
. Although testingcan determine if a person is infected, it cannot determine the source of the infection.In Colorado, the number of people living with HIV, hepatitis B, and hepatitis C in 2011 areestimated as follows:
o
 
In 2011, an estimated 1 out of 451 people in Colorado were reported to be livingwith HIV and AIDS.
o
 
In 2011, an estimated 1 out of 9840 people in Colorado were reported to be livingwith hepatitis B.
o
 
In 2011, an estimated 1 out of 1552 people in Colorado were reported to be livingwith hepatitis C.In Colorado, the Board of Health requires physicians and other health care providers toreport HIV, hepatitis B and hepatitis C cases to the Colorado Department of Public Healthand Environment.

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