Leeds, Grenville & Lanark District Health Unit
Topics
Leeds, Grenville & Lanark District Health Unit Adult / Seniors
Leeds, Grenville & Lanark District Health Unit Alcohol / Drugs
Leeds, Grenville & Lanark District Health Unit Babies / Children
Leeds, Grenville & Lanark District Health Unit Beauty & Body Art
Leeds, Grenville & Lanark District Health Unit Cancer
Leeds, Grenville & Lanark District Health Unit Emergencies / Disasters
Leeds, Grenville & Lanark District Health Unit Food Safety
Leeds, Grenville & Lanark District Health Unit Handwashing
Leeds, Grenville & Lanark District Health Unit Health Hazards
Leeds, Grenville & Lanark District Health Unit Heart Health
Leeds, Grenville & Lanark District Health Unit Immunization / Vaccines
Leeds, Grenville & Lanark District Health Unit Infectious Diseases /
Prevention / Control
Leeds, Grenville & Lanark District Health Unit Injury Prevention
Leeds, Grenville & Lanark District Health Unit Lyme Disease
Leeds, Grenville & Lanark District Health Unit Nutrition
Leeds, Grenville & Lanark District Health Unit Dental Services / Oral Health
Leeds, Grenville & Lanark District Health Unit Pandemic (H1N1) 2009
Leeds, Grenville & Lanark District Health Unit Physical Activity
Leeds, Grenville & Lanark District Health Unit Pregnancy
Leeds, Grenville & Lanark District Health Unit Rabies
Leeds, Grenville & Lanark District Health Unit Sexual Health
Leeds, Grenville & Lanark District Health Unit Sun Safety
Leeds, Grenville & Lanark District Health Unit Smoking / Tobacco
Leeds, Grenville & Lanark District Health Unit West Nile Virus
Leeds, Grenville & Lanark District Health Unit Workplace Health


  Services
Leeds, Grenville & Lanark District Health Unit Clinics
Leeds, Grenville & Lanark District Health Unit District Health Profile
Leeds, Grenville & Lanark District Health Unit Health Care Professionals
Leeds, Grenville & Lanark District Health Unit Reports & Publications
Leeds, Grenville & Lanark District Health Unit School
Leeds, Grenville & Lanark District Health Unit Sewage / Land Control
Leeds, Grenville & Lanark District Health Unit Water / Small Drinking
Water Systems

Leeds, Grenville & Lanark District Health Unit
Home About Us Board of Health Careers Contact Us Media Search
Leeds, Grenville & Lanark District Health Unit
Leeds, Grenville & Lanark District Health Unit

Health Care Professionals
- Exposure to Blood and Body Fluids



Exposure to Blood and Body Fluids

Emergency Department Guide to Mandatory Blood Testing Act Feb 2008 (113 kb) pdf format

The Leeds, Grenville and Lanark District Health Unit developed Guidelines for Managing Exposures to Blood Borne Pathogens - These guidelines are to support health care providers in their assessment and management of persons with accidental exposures to blood and body fluids that may be infected with hepatitis B virus (HBV), hepatitis C virus (HCV) and human immunodeficiency virus (HIV). The guidelines address both occupational and non-occupational exposures.

All persons with significant recent exposures to blood or body fluids should be immediately referred to the nearest emergency department.

The Health Unit is currently revising this document and an updated version will be available soon.

Full Document: (bookmarked/indexed)
Guidelines for Managing Exposures to Blood Borne Pathogens pdf format (125 kb PDF )

Table of Contents

Introduction - Page 1

Exposure to Blood/Body Fluids - Page 2

A. Initial Management Guidelines

    I. General Measures - Page 2

    II. Evaluate the Significance of the Exposure - Page 2

    III. Serologic Testing for HBV, HCV and HIV - Page 4
    • Test the Source Patient
    • Mandatory Blood Testing Act, 2006 Chapter 26
    • Test the Exposed Person

 

B. Post Exposure Management: Human Immunodeficiency Virus (HIV)

    I. Risk of HIV Infection Post Exposure - Page 6

    II. The Importance of Timing - Page 6

    III. Medication Availability and Cost (Antiretrovials) - Page 6

    IV. Serologic Testing (if antiretrovirals are indicated) - Page 7

 

C. Post Exposure Management: Hepatitis B Virus (HBV)                 

    I. Risk of HBV Infection Post Exposure - Page 9

    II. Post Exposure Prophylaxis for HBV - Page 9

 

D. Post Exposure Management: Hepatitis C Virus (HCV)

    I. Risk of HCV Infection Post Exposure - Page 9

    II. Post Exposure Prophylaxis for HCV/Early Treatment for HCV - Page 9



E. Post Exposure Counseling
                                                                          

    I. Risk of Infection Post Exposure - Page 11

    II. Reporting Illness in the Follow-up Period - Page 11

    III. Secondary Spread - Page 11

    IV. Medication (PEP) Compliance and Medical Follow-up - Page 11

 

Managing Non-Occupational Exposures to Blood/Body Fluids

F. Community Acquired Needle Stick Injuries

    I. Decisions Surrounding Community Exposures - Page 13

    II. Infectious Risks - Page 13

    III. Counseling Recommendations and Follow-up - Page 14

 

G. Sexual Exposures

    I. The Risk of Transmission following a Sexual Assault - Page 15

    II. Evidence to Support HIV Post Exposure Prophylaxis - Page 15

    III. Treatment - Page 15

 

H. Human Bites

    I. Significance of the Exposure - Page 16

    II. Management of Human Bites - Page 17

I. Important Contact Information - Page 17

 

J. Bibliography - Page 18




Leeds, Grenville & Lanark District Health Unit
Leeds, Grenville & Lanark District Health Unit Quick Links



Leeds, Grenville & Lanark District Health Unit
Copyright © 2010 | Disclaimer | Privacy Statement
In Case of Public Health Emergency Please Call
613-345-5685
An Accredited Health Unit Since 1990
Any questions or concerns with the website, please contact
Webmaster
Leeds, Grenville and Lanark District Health Unit
Leeds, Grenville & Lanark District Health Unit Leeds, Grenville & Lanark District Health Unit