PEP needlestick guidelines

Hepatitis b and c prophylaxis

(including needlestick and sharps injuries, sexual exposure and human bites) where there is a risk of transmission of bloodborne viruses and other infectious diseases Guidelines for the Emergency Management of Injuries and Post-Exposure Prophylaxis (PEP) toolkit Report of the Scientific Advisory Committee of the Health Protection Surveillance. The NCCC's consultation and advice on occupational needlesticks, splashes, and other potential exposures to HIV and hepatitis B and C is available from 11 a.m. to 8 p.m. ET every day. For consultation and advice on nonoccupational PEP, decision support is available from 9 a.m. - 8 p.m., Monday - Friday and 11 a.m. - 8 p.m. weekends and. Post-exposure prophylaxis (PEP) means taking HIV medicines within 72 hours after a possible exposure to HIV to prevent HIV infection. from a needlestick injury. A health care worker who has a possible exposure to HIV should seek medical attention immediately. provides guidelines on recommended HIV medicines for PEP. The CDC guidelines. PEP (Post-Exposure Prophylaxis) ; 2.2. Prevention of an Exposure Incident/Needlestick Injury . Most exposure incidents and needlestick injuries can be prevented by taking the appropriate precautions: 2.2.1. Assess the patient's readiness and ability to cooperate to allow the injection. Request that the patient remain calm and avoid sudden.

PEP: Post-Exposure Prophylaxis National Clinician

  1. PEP Quick Guide for Occupational Exposures. Updated: September 7, 2020. These NCCC post-exposure prophylaxis (PEP) recommendations will help you with urgent decision-making for occupational exposures to HIV and hepatitis B and C. Consultation can be obtained from Occupational Health or Employee Health Services, local experts, or the NCCC's.
  2. PEP is the use of antiretroviral drugs after a single high-risk event to stop HIV seroconversion. PEP must be started as soon as possible to be effective—and always within 72 hours of a possible exposure
  3. These guidelines now reflect new recommendations from the BASHH PEPSE guidelines and the Expert Advisory Group on AIDS. PEPSE is not routinely recommended after any type of sex or occupational exposure with HIV-positive source on antiretroviral therapy (ART)with a confirmed and sustained(>6 months) undetectable plasma HIV viral load(<200c/ml
  4. Institute, 2018; BC's PEP Guidelines, 2018 )- Increases the risk of female-to-male sexual transmission of HIV by 50% to 60% (PHAC, 2013). · Oral mucosa is not intact (oral lesions, wounds, ulcers)- for oral sex exposure (New York Stat
  5. PEP, or post-exposure prophylaxis, is a short course of HIV medicines taken very soon after a possible exposure to HIV to prevent the virus from taking hold in your body. You must start it within 72 hours (3 days) after a possible exposure to HIV, or it won't work
  6. Exposure to HIV is a medical emergency:PEP should be initiated immediately—ideally within 2 hours of an exposure but no later than 72 hours after an exposure—because the effectiveness of PEP decreases over time after 2 hours
  7. Post-Exposure Prophylaxis (PEP) August 2016: The Second edition of the Post-Exposure Prophylaxis after Non-Occupational and Occupational Exposure to HIV: Australian National Guidelines is available. These guidelines outline the management of individuals who have been exposed (or suspect they have been exposed) to HIV in non-occupational and.

These guidelines focus on the use of PEP for HIV and have been produced for the benefit of clinical staff working in Western Sussex Hospitals NHS Trust who assess patients or members of staff following potential exposure to HIV Post Exposure Prophylaxis (PEP) - NACO Guidelines Post exposure prophylaxis (PEP) refers to the comprehensive management given to minimize the risk of infection following potential exposure to blood-borne pathogens (HIV, HBV, HCY). This includes: 1. First aid 2. Counseling 3. Risk assessment 4

They also state that some experts may recommend PEP [postexposure prophylaxis] if the needlestick occurred in a high-risk community setting, such as a park known to be visited by injection drug. Based on the NYS Guidelines, the following exposures to HIV within 36 hours but not beyond 72 hours may warrant PEP:. Receptive and insertive anal intercourse; Receptive and insertive vaginal intercourse; Sharing of injection equipment; Injuries with exposure to blood or other potentially infected, including needlesticks with a hollow-bore needle, human bites and accident [Guideline] Elliot DeHaan, MD. Post-Exposure Prophylaxis (PEP) to Prevent HIV Infection. Johns Hopkins University HIV Clinical Guidelines Program. Baltimore MD: Jun 2020. . Sidwell RU, Green JS, Novelli V. Management of occupational exposure to HIV--what actually happens. Commun Dis Public Health. 1999 Dec. 2(4):287-90. Guidelines for the Management of Occupational Exposures to HBV, HCV, and HIV and Recommendations for Postexposure Prophylaxis. • Interval after which PEP is no longer likely to be effective in humans is unknown -initiating PEP even days or weeks after an exposure should be considered Contact the Occupational Health Department needlestick advice line immediately on 0141 201 0595 - Opening times are Monday to Friday 8am to 6pm excluding Public Holidays. Out of these hours staff must attend A&E. Notification of the incident to Occupational Health/A&E should not be delayed until the end of the working day. Time is of the essence and if HIV post exposure prophylaxis (PEP) is indicated it should, ideally, be started within one hour of exposure

Post-Exposure Prophylaxis (PEP) NI

Download the Full Guideline. PEP 2021 BASHH Guidelines. BASHH Guidelines. Home Back. Favourite. Download the Full Guideline click to expand contents. PEP 2021 loading. Clear text. New to the guidelines PEP is no longer routinely recommended for non-occupational exposure when an HIV-positive source has an undetectable viral load Tenofovir and emtricitabine or tenofovir and lamivudine are recommended as the preferred 2-drug PEP regime Standards, procedures, guidelines • Post-exposure prophylaxis after non-occupational and occupational exposure to HIV: National guidelines • Management of human immunodeficiency virus (HIV), hepatitis B virus and hepatitis C virus • needlestick with non-contaminated (clean) needle or sharp •no further follow-up, although. Guidelines for the Emergency Management of Injuries and Post-exposure Prophylaxis (PEP) (including needlestick and sharps injuries, sexual exposure and human bites) where there is a risk of transmission of bloodborne viruses and other infectious diseases. About EMI Guidelines Start post-exposure prophylaxis (PEP) as soon as possible after a known or possible HIV exposure (occupational or non-occupational sexual and injection exposures) These resources provide step-by-step instructions for the medical care of persons following possible sexual HIV exposur

However, PEP should be considered for a high-risk needlestick that occurred in the community, such as a needle or syringe contaminated with visible blood from a source known to be HIV-infected or. Post-Exposure Prophylaxis (PEP) initiation should be considered in people whose vagina, rectum, eye, mouth or other mucuous membrane, non-intact skin, or perforated skin (eg, needle stick) come into contact with potentially contaminated body fluids from an HIV-infected source, as long as exposure has occurred within a 72-hour window The guideline also covers special scenarios such as PEP in pregnancy, breastfeeding, chronic hepatitis B infection, and when PEP should be considered in people using HIV PrEP. The guidelines are aimed at clinical professionals directly involved in PEP provision and other stakeholders in the field. A proforma to assist PEP consultations is included

PEP Quick Guide for Occupational Exposures National

  1. update to the post-exposure prophylaxis (PEP) guidance. 8 September 2014. Added an update on the change to recommended regimen for post-exposure prophylaxis (PEP) 24 January 2014
  2. ated sharps instrument, most commonly a hypodermic needle. This session considers needlestick injuries in both healthcare workers (HCW) and members of the public. An occupational exposure occurs when a HCW is exposed to the blood or other bodily fluids of another person
  3. Box 4: Non-Occupational Exposure Risks and Indications for Post-Exposure Prophylaxis (PEP) Higher-Risk: PEP is Recommended: Receptive and insertive vaginal or anal intercourse [a]. Needle sharing [a]. Penetrating injury, such as a needlestick with a hollow-bore needle, with exposure to blood or other potentially infected fluids [a]
  4. Why guidelines are needed. For many people that are accidentally exposed to HIV, PEP provides a single opportunity to prevent HIV after exposure. Such accidental exposures may be among health care workers who had needle stick injuries or among adults and children who survived sexual violence
  5. The following is a compendium of current guidelines and regulations available to obviate needlestick and occupational exposure to infections, as well as post-exposure prophylaxis (PEP)
  6. development of resistance, a four week course of triple anti-retroviral post-exposure prophylaxis (PEP) is now recommended in certain circumstances. Three types of exposure pose a risk: (i) percutaneous exposure, eg. needlestick (ii) exposure of broken skin (iii) mucous membrane exposure The risk of transmission in increased with - deep injurie

Post-Exposure Prophylaxis (PEP) HIV Risk and Prevention

Current guidelines for post-exposure prophylaxis (PEP) are almost exclusively generated in the developed world, where HIV is far less prevalent than in the southern African region. 1 These guidelines largely reflect consensus opinion in regions where co-infection with hepatitis B and C is significantly different from that in our region NEW YORK STATE DEPARTMENT OF HEALTH AIDS INSTITUTE CLINICAL GUIDELINES PROGRAM WWW.HIVGUIDELINES.ORG Post-Exposure Prophylaxis (PEP) to Prevent HIV Infection . June 2020 . Table 2: Preferred Post-Exposure Prophylaxis Regimens for Patients Who Weigh . ≥. 40 kg [a,c]. decision on risk, and counsel the exposed employee offering the appropriate post exposure prophylaxis (PEP) based on CDC guidelines*. Source patient will be informed of HIV AB testing by on site health care provider. This includes research lab personnel who have exposures to high titers of cell-associated or free virus

Video: Post-Exposure Prophylaxis HIV

Post-Exposure Prophylaxis (PEP) to Prevent HIV Infection

Post-Exposure Prophylaxis (PEP) ASH

When Is Postexposure Prophylaxis Recommended for Needlestick

Needle Stick Injury. Additional notes. Queensland Health guideline community needlestick injury; Queensland Health guideline post-exposure prophylaxis for HIV; Queensland Health guideline tetanus prophylaxis in wound management; Children's Hospital Westmead guideline child exposed to blood or potentially blood contaminated secretions managemen Post-exposure prophylaxis, or PEP, is a method of preventing HIV infection. It involves using a four-week course of the drugs used to treat HIV, taken very soon after a person may have been exposed to the virus. It is an emergency measure, rather than one to be used as a regular method of preventing HIV transmission Guidelines for Blood-borne Pathogen Exposure and Post-Exposure Post-exposure prophylaxis refers to medications given to prevent infection after exposure. The in the case of a needle-stick from a discarded sharp or sexual assault by a perpetrator who is not in custody PEP Guidelines.[3,4,5,6] Occupational exposures, particularly those known to involve risk for HIV transmission, are urgent medical matters and clinicians should be familiar with updated PEP guidelines. In addition, all health care facilities and clinics should have policies and procedures in place to ensure that appropriate mechanisms are.

Post-Exposure Prophylaxis Provider FA

Per 2004 CDC recommendations, PEP is indicated for all healthcare workers who sustain a percuanteous injury from a known HIV-positive source. 3,8 For a less severe injury (e.g. solid needle or superficial injury), PEP with either a basic two-drug or three-drug regimen is indicated, depending on the source patient's viral load. 3,5,6, Exposure to human immunodeficiency virus (HIV) can occur in a number of situations unique to, or more common among, children and adolescents. Guidelines for postexposure prophylaxis (PEP) for occupational and nonoccupational (eg, sexual, needle-sharing) exposures to HIV have been published by the US Public Health Service, but they do not directly address nonoccupational HIV exposures unique to. PEP Guidelines from ASHM Australia. PEP recommendations after occupational exposure In the occupational setting, the source is usually able to be identified and tested for HIV, and PEP is usually only prescribed or continued for those who have definitely been exposed to HIV

Urgent message: Needlestick injuries are common and require a prompt response based on an understanding of the latest USPHS guidelines and informed consent and counseling of the patient. MAYA HECK, MS-2 and JOHN SHUFELDT, MD, JD, MBA, FACEP Your center is fortunate to contract with a variety of different business to provide employee health services 1-866-637-2342. National Clinicians Post-Exposure Prophylaxis Hotline (PEP line) - Hotline providing clinicians with guidance on managing occupational exposures to HIV, viral hepatitis, and other blood borne pathogens. Management of Occupational Exposures to HBV, HCV, and HIV and Recommendations for Post-exposure Prophylaxis, MMWR 2001;50 (RR-11

Needle-stick Guideline Treatment & Management: Approach

Also known as HIV Post-Exposure Prophylaxis (PEP) Probability of HIV transmission from a percutaneous needle stick is approximately 0.3% (1 in 300) and 0.09% from mucous membrane exposure. ~79% transmission reduction. Common side-effects = constitutional, gastrointestinal before starting post exposure prophylaxis (PEP). Step 1: Immediate measures. For skin — if the skin is broken after a needle-stick or sharp instrument: · Immediately wash the wound and surrounding skin with water and soap, and rinse. Do not scrub. · Do not use antiseptics or skin washes (bleach, chlorine, alcohol, betadine)

BASHH Guideline

The incidence of needlestick injuries has subsequently been reduced by advances in education, safer sharps disposal, engineering changes (eg, needleless devices, safety needles) and personnel protection. Guidelines on post-exposure prophylaxis for HIV and the use of co-trimoxazole prophylaxis for HIV-related infections among adults. Guideline for the use of post-exposure prophylaxis for HIV following sexual exposure; British Association for Sexual Health and HIV (2011) Siegfried N, van der Merwe L, Brocklehurst P, et al ; Antiretrovirals for reducing the risk of mother-to-child transmission of HIV Cochrane Database Syst Rev. 2011 Jul 6(7):CD003510

Fingerprick HIV Testing - Open Clinic

EMI Toolkit - Health Protection Surveillance Centr

Needlestick injury is relatively common amongst healthcare workers, particularly those, such as anaesthetists, who regularly perform invasive procedures. The risk of seroconversion following needlestick injury may be reduced by knowledge of body fluids that are high risk and knowledge of post-exposure prophylaxis following possible HIV. For the purposes of initiating PEP, the 2013 USPHS Occupational PEP Guidelines define an at-risk exposure as contact of blood, tissue, or other potentially infectious body fluids from a person with known or suspected HIV via (1) percutaneous injury (e.g. a needlestick or cut with a sharp object), (2) mucous membrane exposure, or (3) contact.

PPT - Post-Exposure Prophylaxis PowerPoint Presentation

Non-Occupational Post-Exposure Prophylaxis (nPEP) Toolkit

Where possible state the risks and treatment, so in needle stick HIV is 0.3%, Hep C 3% and Hep B 30%. State whether you think they need PEP and also say that you will confirm this and follow up with the specialists. You can educate that PEP is most effective if given within 2 hrs but can be given up to 72hrs later [Guideline] Dominguez, KL, Smith DK, Thomas V, Crepaz N, Lang KS, et al. Updated Guidelines for Antiretroviral Postexposure Prophylaxis After Sexual, Injection Drug Use, or Other Nonoccupational. Immediate action after Needlestick Injury. After a review of the accident with the doctor responsible for occupational health and safety a recommendation is given whether or not to prescribe Post Exposure Prophylaxis (PEP). If in doubt it is best to contact an AIDS expert. If PEP is advisable then it is important to discuss

The purpose of these guidelines is to provide health care providers in the United States with updated guidelines to the 2005 U.S. Department of Health and Human Services nonoccupational postexposure prophylaxis (nPEP) recommendation1 on the use of antiretroviral nPEP and other aspects of case management for persons with isolated exposure. Prophylaxis of Needlestick Injury or Mucosal Contact to HBV, HCV and HIV Background Occupational exposure to blood-borne pathogens is a well-recognised hazard to health care workers (HCW). Adherence to standard infection control practices is the best way to prevent blood-borne infections in the health care setting Recommend follow-up counseling, monitoring for symptoms/side effects at wk 1, 2, 4 and then follow-up with HIV testing at schedule above. Hepatitis B post-exposure prophylaxis. HCW unvaccinated and source HBsAg+: recommend HBIG + vaccine series (3 doses). HCW unvaccinated and source unknown: vaccine series (3 doses)

EDITOR,—The chief medical officer recently suggested a change in the guidance relating to the management of healthcare workers exposed to HIV.1 A move towards post-exposure prophylaxis would require a considerable change in the management of needlestick injuries. We recently analysed the management of needlestick injuries in the Merseyside area by means of a postal questionnaire sent to. Educate children not to handles needles - 2/3 CANSI's are from intentional handling! There is a risk of transmission of Hepatitis B, Hepatits C or HIV from a community-acquired needlestick injury (CANSI). Although the risk is very low, this is a source of significant concern to parents The risk of transmission of HCV after a needlestick exposure from a hepatitis C-positive source is estimated at between 2-10%. 114-116 This is less than the risk of hepatitis B virustransmission from a hepatitis B-positive source,but higher than the risk of HIV transmissionfrom an HIV-positive.

and do not require post-exposure prophylaxis. [B] Individuals at high risk are those who engage in needle sharing or high-risk sexual behaviors or were born in geographic areas with HBsAg prevalence of >2% [Weinbaum, et al. 2008]. [C] Based on info available at presentation. Responder is an individual with previously documented adequat needlestick, BBV testing and PEP Post Exposure Prophylaxis (PEP) Antiretroviral starter pack: Patient Information Leaflet PEP patient information leaflet. Give to patients who are starting PEP Testing for Blood Borne viruses Can be handed to patients who are or are considering being tested for BBV . 1.4 References . Department of Health experienced in the application of CDC post-exposure prophylaxis, and available for medical evaluation and follow-up care, including baseline and follow-up labs. (2) If PEPline does not recommend HIV PEP after a percutaneous injury from an unknown source; i.e., a sharp object that penetrates the skin and is potentially contaminated wit

185PEP Quick Guide for Occupational Exposures | NationalPreventing Needle Stick Injuries | Hiv/Aids | Hepatitis

Postexposure Prophylaxis Against Human Immunodeficiency

Short-term treatment started as soon as possible after high-risk occupational exposure to an infectious agent, such as HIV, hepatitis B virus (HBV), or hepatitis C virus (HCV). An example of a high-risk occupational exposure is exposure to an infectious agent as the result of a needlestick injury in a health care setting. The purpose of occupational post-exposure prophylaxis (oPEP) is to. PEP is not recommended for needle-sticks from an abandoned or discarded needle outside a health care or high-risk setting (e.g. supervised injection site). For further info see BC-Centre for Excellence in HIV/AIDS Post-Exposure Prophylaxis (PEP) Guidelines (Section 2.4.3)

Post exposure prophylaxis and prophylactic treatment for

Post‐exposure prophylaxis (PEP) is very effective at preventing transmission of HIV in cases of occupational exposure to HIV‐infected blood or body fluids. Health care providers managing cases of occupational exposure should be familiar with NYS Clinical Guidelines for HI Timely post-exposure prophylaxis, after needlestick exposure to high-risk body fluids, is believed to reduce the risk of seroconversion to HIV. Ignorance of this may increase the risk of seroconversion to HIV for anaesthetists and other healthcare professionals Post-Exposure Prophylaxis (PEP) The use of therapeutic agents to prevent infection following exposure to a pathogen High risk exposures are grouped into: -Occupational • Needle stick or other injury that pierces the skin or draws blood • Contact with another person's blood or other bodily fluid Guidelines for the Management of Exposures to Blood and Body Fluids Table of Contents outside the healthcare setting for needle-stick injuries is usually significantly less than in the recommendation for HIV post-exposure prophylaxis (PEP). The risk of transmission is calculated based on the Post-exposure prophylaxis, also known as post-exposure prevention (PEP), is any preventive medical treatment started after exposure to a pathogen to prevent the infection from occurring. PEP (post-exposure prophylaxis) means taking antiretroviral medicines (ART) after being potentially exposed to HIV to prevent becoming infected

UK Guideline for the use of HIV Post-Exposure Prophylaxis 202

Post-Exposure Prophylaxis Guidelines for Ireland. 8 Apr. Posted on April 8, 2013 April 8, 2013 Author Andy Neill 0. I mentioned these on Twitter a while back but I thought they deserved a little plug. All hospitals have pretty good policies and procedures about what to do when a staff member gets a needlestick injury. A lot of these patients in. This report updates previous US Public Health Service recommendations for the management of health-care personnel (HCP) who experience occupational exposure to blood and/or other body fluids that might contain human immunodeficiency virus (HIV). Although the principles of exposure management have not changed, recommended HIV postexposure prophylaxis (PEP) regimens and th Overview. OSHA's final rule for Occupational Exposure to Bloodborne Pathogens [29 CFR 1910.1030 (f)] requires the dental employer to make immediately available confidential medical evaluation and follow-up to an employee reporting an exposure incident. An exposure incident is any eye, mouth, mucous membrane, non-intact skin, or other parenteral. Needlestick injuries continue to pose a threat to all healthcare professionals (HCPs) involved in patient care. Despite the preventative processes health care institutions have put into place to prevent needlestick injuries, HCPs still face this threat every day. There is a plethora of information and recommendations now available on the appropriate treatment for occupational exposures and the. Call the PEP (post-exposure prophylaxis) hotline at 1-888-448-4911 immediately for guidance on treating exposures. Promptly report the needlestick exposure injury and seek care from a licensed healthcare provider at an occupational health clinic, urgent care, emergency department, or your healthcare provider for appropriate treatment

PPT - HIV Pre-Exposure and Post-Exposure Prophylaxis(PDF) Use of the Coding Causes of Death in HIV in thePPT - 2014: HIV, HCV, and HBV Update PowerPoint

PEP involves taking antiretroviral medications as soon as possible after a potential exposure to HIV to reduce the likelihood of HIV infection. There are two types of PEP: 1) occupational PEP, for an exposure that happens in the workplace (such as a needle stick in a healthcare setting), and 2) non-occupational PEP (nPEP), for when someone is. HIV post-exposure prophylaxis - Guidance from the UK Chief Medical Officers' Expert Advisory Group on AIDS 289897 1p 4k Sep 08 (COL) Produced by COI for the Department of Health If you require further copies of this title visit www.orderline.dh.gov.uk and quote: If you require further copies of this title quote 289897/HIV post-exposure. To ensure timely postexposure management and administration of HIV PEP, clinicians should consider occupational exposures as urgent medical concerns, and institutions should take steps to ensure that staff are aware of both the importance of, and the institutional mechanisms available for, reporting and seeking care for such exposures