Healthcare occupational exposure to blood or other body fluids
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HIV
Hep B
- risk of infc 2- 30% after needle stick
- can survive on dried blood for 1 wk
- found in all fluids but highest conc in blood and therefore highest risk with blood
- hep b surface antibodies confers life long immunity
- don't need to test pt or source if pt certain fully/ successfully immunized- antibodies > 10 IU at some time
- if pt not successfully immunized, give hep b immune globulin
- failed 3 shots/ 1 series- give hep booster and immune globulin x 2 doses over 1 mo
- failed 6 shots/ 2 series- give sequential immune globulin
Patient Unvaccinated, Source Pos --> HBIG + vaccine
Hep C
- no prophylaxsis
- no interferon, no antivirals, no globulin
- not xmitted efficiently through needle stick- 2% rate
- get basline hcv test and ALT
Post Exp Viral Hep Counseling
- can still breast feed
- no organ/ blood donation
- no worry about modifiying sex pattern or becoming preg
www.needlestick.mednet.ucla.edu
Source
6/06 MISTRY
See Also
See "HIV (Occupational)"