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Occup Environ Med 59:415-418 doi:10.1136/oem.59.6.415
  • Short report

Out of hours management of occupational exposures to blood and body fluids in healthcare staff

Table 2

Cases considered by OH or A&E staff to have risk factors for blood borne viruses, and those prescribed HIV post-exposure prophylaxis

Indicators of blood transfer
Dept Reporting time Circumstance of exposure Deep injury Hollow bore sharp Sharp in artery or vein Visible blood Source risks HIV PEP HIV test
HIV+, HIV positive; HCV+, hepatitis C virus positive; HBV+, hepatitis B virus positive; IVDU, intravenous drug user; +, at recipient's request.
*Advice sought from on call specialist registrar in virology.
1. OHD <1 hour Recorded No No No No Tuberculosis No No blood available
2. OHD 13–24 hours Recorded No No No No Known HCV+ No No
3. OHD 1 day Recorded No Yes Yes Yes Haemodialysis No No
4. OHD 31 days Recorded Possible blood splash to non-intact skin Known HBV+ No No
5. OHD 13–24 hours Recorded Patient scratch Known HBV+ No No
6. OHD 1 day Recorded Mucocutaneous exposure to non-blood stained saliva Homosexual relationship No No blood available
7. OHD 2 days Recorded Exposure of non-intact skin to non-blood stained saliva Known HCV and HBV+ No No blood available
8. OHD <1 hour Recorded Exposure of non-intact skin to blood IVDU No Result negative
9. OHD 13–24 hours Recorded Possible exposure of non-intact skin to blood Known HCV+ No Result not noted
10. OHD No record Recorded Mucocutaneous exposure to blood Prostate cancer No No
11. OHD 1 day Recorded No record Yes No No Haemodialysis No No
12. OHD 1 day Recorded No record Yes No No Haemodialysis No No
13. OHD <1 hour Recorded No record Yes No record Yes Lifestyle No No
14. OHD <1 hour Recorded No record No No No record Known HBV+ No No blood available
15. OHD 13–24 hours Recorded No Yes No record No record Haemodialysis No No
16. A&E <1 hour Recorded No record No No No record IVDU Yes Result negative
17. A&E* 13–24 hours Recorded No record No record No record No record Known HBV+ Yes No
18. A&E <1 hour No record No No No No record IVDU Yes No
19. A&E* <1 hour No record No record No No record No record Patient origin Yes No blood available
20. A&E* 13–24 hours No record No record No record No record No record IVDU Yes Result not noted
21. A&E 1 day No record No record No record No record No record Patient origin Yes Result not noted
22. A&E 13–24 hours Recorded Yes Yes No No record Unknown source Yes Unknown source
23. A&E+ <1 hour Recorded No record No record No No record Nil Yes No
24. A&E* <1 hour No record No record No record No record No record Nil Yes No
25. A&E* 1–12 hours No record No record No record No record No record Nil Yes Result negative
26. A&E No record Recorded No Yes Yes No record Multiple partners Yes No
27. A&E 90 minutes Recorded No No record Yes No record Homosexual relationship No No
28. A&E No record Recorded Possible exposure of non-intact skin to blood Known HIV and HCV+ No Known HIV+
29. A&E <1 hour Recorded No record Yes Yes Yes Jaundice No No blood available
30. A&E 13–24 hours No record No record No No No record IVDU No No

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