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B
B C HIV
B
C
HIV,HBV,HCV B
C HIV B
HIV
B
HIV
B
-
-
-
-
HIV HBV HCV
-
HIV HBV HCV
-
B B
-
B B
-
B B
-
HIV -
-
-
. )
(
HCV HBV
HIV
NSI
. NSI
- Needle Stick Injuries
HBV HCV HIV
SI
PIs
BBP
NSI (
- Hepatitis B Virus
- Hepatitis C Virus
- Human Immuno deficiency Virus : Blood Borne Pathogens
: Sharp Injuries : Percutaneous Injuries : hollow-bore needles -Blood Borne Infections
- needlestick Injuries
WHO
B (HBeAg)
(HBSAg) (HBeAg)
B (HBSAg)
B B
B C
3-World Health Organization
B HIV
HIV
HBV
HCV HIV
CDC
) (B
- Centers for Disease Control and Prevention
.
OSHA .
OSHA
BBP
PI
NIOSH
Universal Precautions
- Occupational Safety and Health Administration : standard precautions
- The National Institute for Occupational Safety and Health
.
CDC
CDC
- Guidelines
) PEP (
PEP
Occupational Hazards
- Post Exposure Prophylaxis
- health care workers
- occupational hazard - reccaping
B C
HIV B
B B C
HIV
- Human Immunodeficiency Virus
Occupational Exposure
HBV ,sϹ HIV
(
HBV HCV HIV
- hepatitis B virus
HIV
HBV HCV HIV
B e
HBe Ag DNA
HBs Ag
- synovial fluid
B
HCV HBV
B
HIV
HIV
HCV
CDC
1- viremia - gauge
- Hollow- bore needles - Centers for Disease Control
HIV
HIV
B
HIV
B
CSR
box safety
scalpel
AD
Safety Box
Safe Injection
CDC
-Centers for Disease Control
SI
(CLEAN WORK PLAIN )
safety box
(HAND WASHING)
- Sharp Injuries
(SKIN CLEANING)
APPROPRIATE COLLECTION OF SHARPS safety box
safety box
safety box safety box
safety box
safety box
B C HIV
HBV HCV HIV
B
B HBV
HBV
HBV HBV
B
HBV
HBV
HBV
e HBeAg
HBV
HBV
HBV
HBV HBV B
HBV
: serologic evidence
: oral inoculation Airborne transmission
C
C
HCV HBV
HCV anti HCV
HCV HBV
anti- HCV+
HCV HCV HCV
HIV
: ELISA
: PCR
HIV HIV
HIV HBV
HCV
HIV
HIV
HIV CDC
HIV
HIV
HIV
: Life style factor
HIV HIV
HIV HIV
Universal Precaution
CDC
HIV HBV
: zidovudin
Sheild
Gown
needleguard
One Hand Scoop
Autoclave PSI
PSI
HBV HCV HIV
PEP HIV
B
PEP
: post-exposure prophylaxis
HBV,HCV,HIV
PAD
ABG
SCOOP
HIV
HIV,HBV
C B HIV
C B HIV
HIV,HBV,HCV
B
B
HIV,HBV,HCV
a b c HCV
d e HBV
HIV,HCV
f HIV
HIV
HBV,HCV,HIV
B (HBS Ag) HCV- RNA, HIV
HIV
(HBS
Ag)
HCV HIV
B [ϭϰ
]
B (HBeAg) (HBSAg)
(HBeAg) B
(HBSAg)
B B
B B
B B
B
CSF
HBSAg
C C
B C
HCV
HIV
HIV HIV
HIV
ϰ RNA
HOLLOW- Bore needles
HIV,HCVAb,HBSAg
B
B
B
B
HBSAb
B Ab
miu/mI HBSAg
miu/mI Nonresponder
HBIG
HIV
HbsAb
Ab
HBIG Ab
HBIg
HBSAb HBIG
HIV
HIV Screening
g
HBSAb HIV
HCVAb S
HBSAg HIV
, HCVAb
Management Of Expoures To HBV s
HBSAg
B
When source Is :
Source Not Tested or unknown
HBsAg Negative
HBsAg positive Exposed person
Initiate HB Vaccine series
Initiate HB Vaccine series HBIG l and
initiate
HB vaccine series
Unvaccinated
Previously vaccinated
No treatment No treatment
No treatment Known responder
If known high-risk source ,treat as if source were HBsAg positive
Test exposed for anti- HBs:
l.if adequate, no treatment
Ϯ͘ŝĨŝŶĂĚĞƋƵĂƚĞ͘
initiate Revacination No treatment
No treatment
,'ϮKZ HBIgl
And initiatc Revaccination Test exposed For
Anti-HBS:
l.if adequate no treatment Ϯ͘ŝĨ/ŶĂĚĞƋƵĂƚĞ And *HBIg l VACCINE BOOSTER, Known
Nonresponder
unknown
C C Baseline
Alkph SGOT,SGPT
Baseline
h HIV
HIV
N/S
HIV
LARGE HOLLOW
HIV
HIV
HIV HIV
ϰ͕ZE ϰ͕ZE
,/s^ϭ ,/s^Ϯ
EXPOSURE CODE HIV
(STATES CODE)
HIV
PEP receommendation
HIV sc EC
PEP may not be warranted Consider basic regimen Recommend basic regimen Recommend expanded regimen Unknown consider PEP basic regimen or
S Ϯ
HIV
ϰ RNA
SCI Basic
i S
HIV
^Ϯ
^ϭ Expanded
j HIV
Basic
k Basic
HIV ZDV
ϲϬϬŵŐ
ϯd ϭϱϬŵŐ
l Expanded
ϳϱϬŵŐEĞ/ĮŶĂǀŝƌĂƐŝĐ
m
CBC BUN/Creatinin U/A AST/ALT
A B
C
AIDS/HIV
B (TD)
BCG
Sepsis Recurrent
(
HIV,HCV Ab,HBe Ag,HBsAg
PPD BCG
PPD
PPD
S/C& S/E
C.X.R PPD
CXR
needIe stick injury
source
B C
B C
(the national institute for
occupational safety and health:NIOSH)
HBV HCV HIV