Hi Amanda
I would also check this chaps Hep B status. I know that you state that he is 'already covered' but have you seen this information yourself? I have seen quite a few recipients who believed that they had protection against Hep B when in fact they have never had an Anti-HBs test or that they have never received a full course of vaccinations. He may well require an accelerated course of vaccine.
Risk assessment for PEP - HIV doesn't live outside the body for much more than 1 hour, so was it a used old needle? Visible blood?
I would offer a 6 months test for HIV as well as Hep C pcr along with the tests already recommended by others. HIV isn't always picked up at 12 weeks.
Best wishes
Michael
> Date: Mon, 5 Jan 2009 15:15:37 +0000
> From: [log in to unmask]
> Subject: [OCC-HEALTH] Innoculation Injuries (Unknown Source)
> To: [log in to unmask]
>
> 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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