Abstract
A presymptomatic familial carrier of Creutzfeldt-Jakob disease (CJD) returned to our 250-bed acute care community hospital for repeat lumbar laminectomy. Originally, the Centers for Disease Control and Prevention approach was used to manage the instruments in a high-risk patient undergoing a potentially high-risk procedure. On repeat scheduling for laminectomy, we assumed the possibility of CJD infectivity and set aside the used instruments for future use on this patient only.
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