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We appreciate the contribution of Montella and Crispo in reference to our recent article on the risk of HCV transmission from an infected gynecologist to patients.¹ Whereas our study specifically involved almost 2300 women who had been previously operated on by an HCV-infected gynecologist during 7 years, the Italian colleagues report on the HCV prevalence of 650 medical and nonmedical hospital employees and state that despite the high prevalence rates recorded among the staff members, no case of provider-to-patient transmission of HCV was documented.

Both investigations cannot be easily compared owing to the entirely different objectives and design. Besides that, the findings of Montella and Crispo are difficult to interpret because many points that are essential for the assessment of the risk of HCV transmission from infected health care workers to patients are not addressed. For instance, HCV-infected administrative personnel, technicians, biologists, and "untrained staff" usually do not . . . [Full Text of this Article]

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