Healthcare occupational exposure to blood or other body fluids: Difference between revisions
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==HIV== | |||
See "HIV (Occupational)" | |||
==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 | |||
Hep C | |||
Post Exp Viral Hep Counseling | 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 | www.needlestick.mednet.ucla.edu | ||
==Source== | |||
6/06 MISTRY | 6/06 MISTRY | ||
==See Also== | ==See Also== | ||
See | See "HIV (Occupational)" | ||
[[Category:ID]] | [[Category:ID]] |
Revision as of 05:03, 28 March 2011
HIV
See "HIV (Occupational)"
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)"