Blood or body fluid exposures and HIV postexposure prophylaxis utilization among first responders

Prehospital Emergency Care

Volumn 13, Issue 1, 2009, Pages 6-13

  Merchant, Roland C ^a,c   Nettleton, Jacob E ^b   Mayer, Kenneth H ^a   Becker, Bruce M ^a  

^a Division of Infectious Diseases   (United States)

^b BROWN UNIVERSITY   (United States)

^c RHODE ISLAND HOSPITAL   (United States)

Author keywords

Blood; Blood borne pathogens; Disease transmission; Emergency medical technicians; Needlestick injuries; Occupational exposures

Indexed keywords

ADOLESCENT; ADULT; ANTI-RETROVIRAL AGENTS; BLOOD-BORNE PATHOGENS; EMERGENCY MEDICAL TECHNICIANS; FEMALE; HIV INFECTIONS; HOSPITALS, COMMUNITY; HOSPITALS, TEACHING; HUMANS; INFECTIOUS DISEASE TRANSMISSION, PATIENT-TO-PROFESSIONAL; MALE; MIDDLE AGED; NEEDLESTICK INJURIES; OCCUPATIONAL EXPOSURE; PATIENT ACCEPTANCE OF HEALTH CARE; RETROSPECTIVE STUDIES; RHODE ISLAND; YOUNG ADULT;

EID: 61649102892     PISSN: 10903127     EISSN: 15450066     Source Type: Journal    
DOI: 10.1080/10903120802471931     Document Type: Article

References (19)

1. Leiss JK, et al. Blood exposure among paramedics: incidence rates from the National Study to Prevent Blood Exposure in Paramedics. Ann Epidemiol. 2006;16:720-5.
2. Reed E, et al. Occupational infectious disease exposures in EMS personnel. J Emerg Med. 1993;11(1):9-16.
3. Hochreiter MC, Barton LL. Epidemiology of needlestick injury in emergency medical service personnel. J Emerg Med. 1988;6(1):9-12.
4. Boal WL, Hales T, Ross CS. Blood-borne pathogens among fire-fighters and emergency medical technicians. Prehosp Emerg Care. 2005;9:236-47.
5. Marcus R, et al. Occupational blood contact among prehospital providers. Ann Emerg Med. 1995;25:776-9.
6. Carrillo L, Fleming LE, Lee DJ. Bloodborne pathogens risk and precautions among urban fire-rescue workers. J Occup Environ Med. 1996;38:920-4.
7. Gildon B, Harkess J. Occupational risk exposure reports among first responders in Oklahoma, January 1989-December 1990. J Okla State Med Assoc. 1991;84:604-6.
8. Update: provisional Public Health Service recommendations for chemoprophylaxis after occupational exposure to HIV. MMWR Morb Mortal Wkly Rep. 1996;45:468-80.
9. Public Health Service guidelines for the management of healthcare worker exposures to HIV and recommendations for postexposure prophylaxis. Centers for Disease Control and Prevention. MMWR Recomm Rep. 1998;47(RR-7):1-33.
10. Updated U.S. Public Health Service guidelines for the management of occupational exposures to HBV, HCV, and HIV and recommendations for postexposure prophylaxis. MMWR Recomm Rep. 2001;50(RR-11):1-52.
11. Rhode Island Department of Health Division of Emergency Medical Services. Directory of Licensed Ambulance Services in Rhode Island. Providence, RI: State of Rhode Island, 2008.
12. U.S. Bureau of Labor Statistics. Occupational Employment and Wage Estimates. Washington, DC: Division of Occupational Employment Statistics, U.S. Bureau of Labor Statistics, 2005.
13. Recommendations for prevention of HIV transmission in health-care settings. MMWR Morb Mortal Wkly Rep. 1987;36(suppl 2):1S-18S.
14. 29 CFR Part 1910.1030. Occupational Exposure to Bloodborne Pathogens; Final Rule. Fed Regist. 1991;56:64004-182.
15. Chen GX, Jenkins EL. Potential work-related bloodborne pathogen exposures by industry and occupation in the United States part I: an emergency department-based surveillance study. Am J Ind Med. 2007;50:183-90.
16. Gillen M, et al. Sharps-related injuries in California healthcare facilities: pilot study results from the Sharps Injury Surveillance Registry. Infect Control Hosp Epidemiol. 2003;24:113-21.
17. Laramie AK, et al. Sharps Injuries among Hospital Workers in Massachusetts, 2002. Boston, MA: Massachusetts Department of Public Health, 2004.
18. Perry J, Parker G, Jagger J. EPINet report: 2003 percutaneous injury rates. Adv Exposure Prev. 2005;7(4):42-43.
19. Merchant RC, et al. Incidence of visits for health care worker blood or body fluid exposures and HIV post exposure phrophylaxis provision at Rhode Island emergency departments. J Acquir Immune Defic Syndr. 2008 Mar 1;47(3):358-68.