NEEDLESTICK/SHARPS INJURYA skin puncture caused by a hypodermic needle or sharp or broken item of equipment (e.g. scalpel, mounted needle, broken glassware, etc.) A needlestick injury is of concern because of the risk of transmission of blood-borne viruses (HBV, HCV, HIV). Most common cause in healthcare professionals is attempted re-sheathing of needles. Health & Safety Executive Sharps injuries, 2013 https://www.hse.gov.uk/healthservices/needlesticks/ Public Health England. Eye of the Needle, 2014.
If the sharp was used or dirty:
See Green Book for prophylaxis and procedure where there is substantial risk of blood-borne infection (HIV or hepatitis), also for primary and reinforcing immunisation. Hepatitis B prophylaxisHBV immunoglobulin (HBIG) confers passive immunity and gives immediate but temporary protection after accidental inoculation or contamination with HBV-infected blood. HBIG is recommended only in high-risk situation or a known non-responder to vaccine. Should ideally be given with 24 hours of exposure, but can be considered at up to 1 week. An HBV vaccination course confers active immunity. If an unprotected individual is at high risk of infection, the vaccine can be given at the same time as HBIG. Practice Nurse featured articles Infection control in general practice Kate Taylor Issues in personal safety Dr Mary Lowth |
|