| GENERAL PROTOCOL |
Immediately scrub out of surgery and wash injured area with soap and water -
Contact either occupational health office or designated personnel, in order to obtain source testing and initiate post-exposure protocol
–If injury occurs after hours, report to emergency room
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| HIV PROTOCOL |
Rapid HIV test should be run on sample from source -
If rapid HIV screen is positive or if source is untestable, HIV post-exposure prophylaxis (three drug regimen for four weeks) should be initiated
–If HIV PEP is initiated, renal and hepatic function should be assessed at baseline and at 2 weeks
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The injured health care worker should be tested for HIV at baseline, 6 weeks, 12 weeks, and 6 months post-injury
–If combination HIV p24 antigen-HIV Antibody tests are utilized, the injured health care worker only has to be tested at baseline, 6 weeks, and at 4 months
Until HIV transmission has been ruled out, the injured health care worker should be advised to avoid pregnancy, breastfeeding, blood or tissue donation
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| HCV PROTOCOL |
Anti-HCV Ab screening should be run on sample from source The injured health care worker should have a baseline anti-HCV Ab and ALT measured followed by a repeat anti-HCV Ab and ALT in 4–6 months or a HCV RNA in 4–6 weeks In the event of an HCV transmission, the health care worker should be referred to hepatology and infectious disease for treatment options Sexual and lactation practices should not be altered in the case of exposure to HCV
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| HBV PROTOCOL |
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All health care workers should receive the 3-dose HBV vaccination series, followed by post-vaccination serology to confirm a positive response (defined as levels of anti-HBs >/=10 mIU/mL)
–If the health care worker is vaccinated and has a confirmed positive response, then no further action is required with respect to HBV transmission
If the health care worker does not have proof of a positive response or has not been vaccinated, he/she will receive a combination of the HBV vaccine series along with HBV immune globulin
Sexual and lactation practices should not be altered in the case of exposure to HBV
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