Medical Center Occupational Health Basics-Guidance for Infectious Exposure

Video Transcription

Video Summary

Dr. Russi's presentation focused on workplace exposures to blood-borne pathogens, particularly needle stick injuries, and updated guidance on post-exposure prophylaxis (PEP), especially concerning HIV. The talk emphasized that significant advancements, such as the Needlestick Safety and Prevention Act and engineered safety devices, have reduced needle stick injuries, though they still frequently occur, notably in operating rooms. The updated PEP guidance includes newer antiretroviral regimens that are more effective and well-tolerated. Despite a prevailing tendency toward the undetectable equals untransmittable philosophy, occupational and sexual exposures are discussed separately due to the lack of comprehensive data regarding the former. The session also detailed the importance of rapid initiation of PEP, ideally within hours, and outlined various drug regimens. Gaps in reporting needle stick injuries were highlighted, as well, along with the importance of immediate reporting to improve outcomes for impacted healthcare workers. Finally, discussions covered the management of hepatitis B and C exposures, emphasizing testing and vaccination to prevent transmission and infections in healthcare settings.

Keywords

blood-borne pathogens

needle stick injuries

post-exposure prophylaxis

HIV

Needlestick Safety and Prevention Act

antiretroviral regimens

PEP initiation

hepatitis B and C