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"CRITICAL CARE A DAY"
 
 

 
 
 
 
 
Friday December 19, 2014

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Q: What are the recommendations after needlestick injury from HIV positive patient?


Answer: 
 
  • The site of exposure should be washed liberally with soap and water but without scrubbing.
  • Antiseptics and skin washes should not be used.
  • Free bleeding of puncture wounds should be encouraged gently but wounds should not be sucked.
 
Guidelines state that "feces, nasal secretions, saliva, sputum, sweat, tears, urine, and vomitus are not considered potentially infectious unless they are visibly bloody."
  • The sooner after exposure that Anti Retroviral Therapy is started the better. Guidelines recommends starting prophylaxis up to a week after exposure.
  • Recommendion is to treat for a duration of 4 weeks.
  • Recommended regimen is emtricitabine + tenofovir + raltegravir. 
  • HIV testing at 6, 12, and 24 weeks.
 
 
Reference:
 
"Updated US Public Health Service Guidelines for the Management of Occupational Exposures to Human Immunodeficiency Virus and Recommendations for Postexposure Prophylaxis". Infection Control and Hospital Epidemiology 34 (9): 875–92. September 1, 2013.






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