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著者:Philip M. Buttaravoli and Kevin J. Brochu
 
Abstract
Needlestick injuries are relatively common among health care professionals. Overall, transmission of disease is a rare event but may have significant consequences for the employee. Source testing, employee testing, and postexposure prophylaxis are discussed. In all cases, local institutional protocol should override the recommendations made in this chapter.
 
Keywords
antacids
bloodborne pathogens
breastfeeding
employee health
found needles
HBV exposure
HBV PEP
HCV exposure
health care provider
HIV exposure
HIV PEP
needlestick injury
PEP
postexposure prophylaxis
pregnancy
seroconversion
source patient

Presentation  
    An employee presents for evaluation and treatment after an accidental needle stick injury to the hand obtained in the process of providing patient care. The employee requests postexposure prophylaxis (PEP).
     
    This chapter will discuss the risk of transmission and appropriate PEP of three bloodborne pathogens after accidental occupational needle stick injuries: hepatitis B virus (HBV), hepatitis C virus (HCV), and human immunodeficiency virus (HIV).
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