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participating institutions:
Johns Hopkins University AIDS Service, New York State DOH AIDS Institute, The CORE Center, Cook County Hospital



POST-EXPOSURE PROPHYLAXIS

last updated: June 29, 2001


COMPLETE GUIDELINES:


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Exposure Report

If an occupational exposure occurs, the circumstances and postexposure manage-ment should be recorded in the exposed person's confidential medical record (usually on a form the facility designates for this purpose) (Box 1). In addition, employers should follow all federal (including OSHA) and state requirements for recording and reporting occupational injuries and exposures.

BOX 1. Recommendations for the contents of the occupational exposure report

  • date and time of exposure;
  • details of the procedure being performed, including where and how the exposure occurred; if related to a sharp device, the type and brand of device and how and when in the course of handling the device the exposure occurred;
  • details of the exposure, including the type and amount of fluid or material and the severity of the exposure (e.g., for a percutaneous exposure, depth of injury and whether fluid was injected; for a skin or mucous membrane exposure, the estimated volume of material and the condition of the skin [e.g., chapped, abraded, intact]);
  • details about the exposure source (e.g., whether the source material contained HBV, HCV, or HIV; if the source is HIV-infected, the stage of disease, history of antiretroviral therapy, viral load, and antiretroviral resistance information, if known);
  • details about the exposed person (e.g., hepatitis B vaccination and vaccine-response status); and
  • details about counseling, postexposure management, and follow-up.






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