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Staff Health Care Infectious Disease view

Staff Health Care Infectious Disease view. Jameel Adnan, MD. Community & Primary Health Care KAAU- RABEG BRANCH. What do you look for?. Reduces the risk to health care consumer of acquiring an infection Reduces the risk to health care provider of acquiring an infection.

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Staff Health Care Infectious Disease view

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  1. Staff Health CareInfectious Disease view Jameel Adnan, MD. Community & Primary Health CareKAAU-RABEG BRANCH

  2. What do you look for? • Reduces the risk to health care consumer of acquiring an infection • Reduces the risk to health care provider of acquiring an infection

  3. What are we at risk of? • Hepatitis B and C • HIV • TB • Chicken Pox • Measles • Influenza • Meningococcal disease • Hemorrhagic fever

  4. Blood-borne pathogens • Vaccine preventable • Practice preventable • Pre-employment evaluation • Vaccination • Not immunized • Immunized but no documented response • Immunized with documented response • Partially immunized

  5. Cont…blood-borne pathogens • Post-exposure prophylaxis • Status of the exposed • Unvaccinated • Known responder • Known non-responder • Not revaccinated • Revaccinated • Unknown antibody response

  6. Cont…blood-borne pathogen • What about the source • HBsAg positive • HBsAg negative • Unknown source • High risk • Low risk

  7. Pulmonary Tuberculosis • 1.6 billion are infected with M. tuberculosis • 15 million have clinical disease • 9 million diagnosis each year • 2 million TB related deaths • After good decline late in the 70’s and early 80’s; the surge came back late in the 80’s and the early 90’s

  8. Cont…Pulmonary Tuberculosis • 25 – 49 case/100,000 population • Pre-employment screening (look for risks of exposure) • Pre-employment and on-employment measures • Follow up

  9. Risks for exposure • High risk of exposure • Close contacts • Borne at prevalent area • Living in prevalent area • Ethnic minority • Children of high risks • IDU • HCW who serve high risks

  10. Cont…Pulmonary Tuberculosis • Post-exposure prophylaxis • Mode of transmission • Factors for transmission • Proximity • Contact time • Work restrictions • Adequate therapy is being received • The cough has resolved • Sputum is negative for AFB x3

  11. Cont…Pulmonary Tuberculosis • BCG vaccination • It is not a primary preventive strategy among HCW • Effectiveness • Still consider when; • High risk of exposure • Strong likelihood of transmission of MDR • Despite implementation of precaution failure of prevention is recorded

  12. Chicken Pox • Pre-employment screening • Post-exposure management

  13. Measles • Pre-employment screening • Post-exposure prophylaxis

  14. Respiratory and contact borne pathogens • Influenza • Meningococcal disease • Hemorrhagic fever

  15. THANK YOU

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