Table 1.

United States and United Kingdom guidelines for the management of healthcare workers infected with HIV, HBV, and/or HCV

	Society for Healthcare Epidemiology of America Guideline*	United Kingdom Department of Health Guideline†
HIV, Human immunodeficiency virus; HBV, Hepatitis B virus; HCV, Hepatitis C virus; GE, genome equivalents. *Society for Healthcare Epidemiology of America. Guideline for management of healthcare workers who are infected with hepatitis B virus, hepatitis C virus, and/or human immunodeficiency virus, 2010.11) †United Kingdom Department of Health. The Management of HIV infected Healthcare Workers who perform exposure prone procedures: updated guidance, January 2014.12)
Virus type	HIV, HBV, and HCV	HIV
Type of laboratory data	Circulating viral burdens	Plasma viral load
Criteria	HBV or HCV <104 GE/ml OR HIV <5×102 GE/ml: No restriction HBV or HCV ≥104 GE/ml OR HIV ≥5×102 GE/ml: Restrict conducting exposure prone procedures	<50 copies/ml: No action 50-200 copies/ml: Case-by-case approach 201-999 copies/ml: Second test after 10 days and cease conducting exposure prone procedures if HIV viral load is over 200 copies/ml >1000 copies/ml: Restrict conducting exposure prone procedures
Frequency of testing	Twice yearly	Quarterly
In charge of routine follow-up	Occupational health staff	Joint supervision by a consultant occupational physician and treating physician
Authority	Obtains advice from an Expert Review Panel consisting of (a) occupational health staff, (b) treating physician, (c) hospital epidemiologist, (d) infectious diseases expert, (e) hospital administrator, and/or (f) lawyer	Be registered with the Occupational Health Monitoring Register that consists of the United Kingdom Advisory Panel for healthcare workers infected with blood-borne viruses