Management of Needle Prick Injuries

Management of Needle Prick Injuries

Victim

• Wash with soap & running water.

• Assess the injury site • Inform to the Infection Control team • Do the risk assessment 2. Hepatitis B vaccination (if 3 doses completed & Hepatitis B antibody >10mIU/ml) 3. Do blood investigations for • Hepatitis B Surface antigen • Hepatitis B antibody (If not checked previous) • Hepatitis C antibody • HIV antibody

Source patient

Take proper History (Substance misuse, multiple sex partners, STDs)

Do the risk assessment

• Hepatitis B Surface antigen • Hepatitis C antibody • HIV antibody

DO THE STD REFERRAL

• Vaccinated for hepatitis B

If Hepatitis B antibody level<10mIU/ml or if not completed Hepatitis B Vaccination or not checked antibody level and if source patient antigen negative

1.Need opinion from consultant microbiologist (for booster dose/ Accelerated course/ restart the course)

• Unvaccinated victim

If the victim is a known hepatitis B

1.Need microbiology opinion for Ig therapy or vaccination • If a source is a known patient

with HIV, Start ARV Therapy to the victim. Need microbiology opinion to the further management.