Home > Guidelines for the emergency management of injuries (including needlestick and sharps injuries, sexual exposure and human bites) where there is a risk of transmission of bloodborne viruses and other infectious diseases.

Scientific Advisory Committee of the Health Protection Surveillance Centre. [Health Protection Surveillance Centre] (2012) Guidelines for the emergency management of injuries (including needlestick and sharps injuries, sexual exposure and human bites) where there is a risk of transmission of bloodborne viruses and other infectious diseases. Dublin: Health Protection Surveillance Centre and Health Service Executive. 108 p.

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The purpose of these guidelines is to provide comprehensive guidance on the appropriate management of injuries where there is a risk of transmission of bloodborne viruses and other infections. The types of injury covered are: needlestick or other sharps injury, sexual exposure, human bites, and exposure of broken skin or of mucous membranes.

Contents:
1. Introduction 12
2. Initial assessment p.12
2.1 Urgent first aid
2.2 Initial wound care
2.3 Complete the patient management form
2.4 Decide if a significant exposure has occurred
3. Assessing the risk of transmission of infection p.14
3.1 Risk assessment – bloodborne viruses
3.2 Factors increasing the risk of transmission
3.3 Investigation of source
3.4 Assessing the recipient
4. Treatment of recipient following a significant exposure p.17
4.1 Actions to be taken
4.2 Hepatitis B post-exposure prophylaxis
4.3 Hepatitis C
4.4 HIV post-exposure prophylaxis
4.5 Tetanus
4.6 Antibiotic treatment
5. Specific injuries and settings p.19
5.1 Occupational exposure
5.2 Sexual exposure
5.4 Human bites
5.4 Community acquired needlestick injury
5.5 Injury in dental practice
5.6 Injury in primary care medical practice
6. Information and follow-up of recipient p.21
6.1 Information
6.2 Precautions
6.3 Follow-up
7. Records/documentation p.22
7.1 Patient management form
7.2 Recording of medication
7.3 Notifiable diseases
7.4 Occupational injuries
7.5 Risk management forms for hospital
References p.23
Glossary of abbreviations and terms p.24


Item Type:Evidence resource
Publication Type:Guideline
Drug Type:Opioid
Intervention Type:AOD disorder harm reduction
Source:Health Protection Surveillance Centre
Date:September 2012
Pages:108 p.
Publisher:Health Protection Surveillance Centre and Health Service Executive
Corporate Creators:Scientific Advisory Committee of the Health Protection Surveillance Centre
Place of Publication:Dublin
EndNote:View
Accession Number:HRB (Electronic Only)
Related URLs:
Subjects:G Health and disease > Etiology > Disease transmission factor > Needle sharing
G Health and disease > State of health > Physical health
G Health and disease > Pathologic process > Inflammation or infection
G Health and disease > Disorder by cause > Communicable disease > Hepatitis B
G Health and disease > Disorder by cause > Communicable disease > Hepatitis C
J Health care, prevention and rehabilitation > Substance use prevention > Substance use harm reduction
J Health care, prevention and rehabilitation > Health related prevention > Health information and education > Communicable disease control
J Health care, prevention and rehabilitation > Health related prevention > Health information and education > Communicable disease control > Needle distribution and exchange
J Health care, prevention and rehabilitation > Care by type of problem > Emergency care
N Communication, information and education > Recommendations or guidelines > Practice / clinical guidelines
VA Geographic area > Europe > Ireland

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