Difference between revisions of "Healthcare occupational exposure to blood or other body fluids"

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==HIV==
 
==HIV==
See "HIV (Occupational)"
+
[[HIV Prophylaxis (Non-Occupational)]]
  
 
==Hep B==
 
==Hep B==

Revision as of 04:07, 4 September 2012

HIV

HIV Prophylaxis (Non-Occupational)

Hep B

  1. risk of infc 2- 30% after needle stick
  2. can survive on dried blood for 1 wk
  3. found in all fluids but highest conc in blood and therefore highest risk with blood
  4. hep b surface antibodies confers life long immunity
  5. don't need to test pt or source if pt certain fully/ successfully immunized- antibodies > 10 IU at some time
  6. if pt not successfully immunized, give hep b immune globulin
  7. failed 3 shots/ 1 series- give hep booster and immune globulin x 2 doses over 1 mo
  8. failed 6 shots/ 2 series- give sequential immune globulin

Patient Unvaccinated, Source Pos --> HBIG + vaccine

Hep C

  1. no prophylaxsis
  2. no interferon, no antivirals, no globulin
  3. not xmitted efficiently through needle stick- 2% rate
  4. get basline hcv test and ALT

Post Exp Viral Hep Counseling

  1. can still breast feed
  2. no organ/ blood donation
  3. no worry about modifiying sex pattern or becoming preg

www.needlestick.mednet.ucla.edu

Source

6/06 MISTRY

See Also

See "HIV (Occupational)"