It would depend on the level of risk, but if it was an 'unknown source'
then we would offer 6, 12 and 24 week testing for Hep C and HIV at 12
and 24 weeks.
PEP would again depend on the level of risk, but should be offered for
them to consider and then if they accept, it can always be stopped.
Bloods should definitely have been taken for saving and he can still go
to his GP to discuss PEP, although the optimum time for treatment has
passed, there can still be some benefit in having PEP if it is
considered a high risk injury.
Risk is decided by type of injury, knowledge of the 'donor' and their
likelihood of being BBV +ve and whether the needle was 'cold' at the
time of injury.
If in doubt, offer PEP, although the side effects are awful - but it can
always be stopped. If they go down the route of PEP, then they really
should go to the GUM clinic for follow up. If you need more details,
contact me.
Ann
Ann Fisher RGN RSCN PG Dip/OH RNT Cert Ed
Occupational Health Nurse Adviser
Occupational Health Department
B Level
Tel:01256 31 (4730)
Fax: 01256 314738
E-mail: [log in to unmask]
-----Original Message-----
From: [log in to unmask] [mailto:[log in to unmask]] On
Behalf Of Amanda Savage
Sent: 05 January 2009 15:16
To: [log in to unmask]
Subject: [OCC-HEALTH] Innoculation Injuries (Unknown Source)
Please can I ask my NHS colleagues for advice here.
We have a fire fighter who attended an incident and sustained a needle
stick
injury on Christmas eve.
He attended A&E & was given a Hep B booster (although he was already
covered) but nothing else. Now its been a while since I worked in the
NHS but
we used to take bloods & offer 'PEP' has this cahnged?
Also I have told him he will need to be screened at 3 months & 6 months
for
HIV - is this correct as his GP has said 3 months will be sufficient.
Ideally I suppose Im looking for some simple guidance that will help
both him &
me.
Can anyone help
& Happy New Year to all.
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Disclaimer - January 5, 2009
This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to which they are addressed. Any views or opinions expressed are those of the author and do not represent the views of the Basingstoke and North Hampshire NHS Foundation Trust unless otherwise explicitly stated. The information contained in this e-mail may be subject to public disclosure under the Freedom of Information Act 2000. Unless the Information is legally exempt from disclosure, the confidentiality of this e-mail and your reply cannot be guaranteed.
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