
OSHA BLOODBORNE PATHOGENS TRAINING Annual Update 2007 Overview Review of BBP Exposure Control Plan Hepatitis B Vaccination Control Measures Personal Protective Equipment Waste Management Post Exposure Management Abbreviations Used in This Presentation
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Adopted from USAF BBP Briefing Program
TYPES OF HEPATITIS
A
B
C
D
E
Source of
feces
blood/
blood/
blood/
feces
virus
blood-derived
blood-derived
blood-derived
body fluids
body fluids
body fluids
Route of
fecal-oral
percutaneous
percutaneous
percutaneous
fecal-oral
transmission
permucosal
permucosal
permucosal
Chronic
no
yes
yes
yes
no
infection
Prevention
pre/post-
pre/post-
blood donor
pre/post-
ensure safe
exposure
exposure
screening;
exposure
drinking
immunization
immunization
risk behavior
immunization;
water
modification
risk behavior
modification
Signs and symptoms are less common in children than adults.
jaundice
fatigue
abdominal pain
loss of appetite
nausea, vomiting
joint pain
HBV SYMPTOMShttp://www.cdc.gov/ncidod/diseases/hepatitis/b/fact.htm
jaundice
fatigue
dark urine
abdominal pain
loss of appetite
nausea
HCV SYMPTOMShttp://www.cdc.gov/ncidod/diseases/hepatitis/c/fact.htm
Risk (%)
Source
0.3
1.8
30.0
HIV
Hepatitis C
Hepatitis B (only HBeAg+)
1. Occupational exposure for all job tasks
2. Occupational exposure for some job tasks
with blood or OPIM possible.
for a patient.
Updated U.S. Public Health Service Guidelines for theManagement of Occupational Exposures to HBV, HCV, and HIV and Recommendations for Postexposure Prophylaxis
Percutaneous
Mucous membrane
Non-intact skin
Bites resulting in blood exposure
Body substance
Blood
Bloody fluid
Potentially infectious fluid or tissue
Source evaluation
Presence of HBsAg
Presence of HCV antibody
Presence of HIV antibody
If source unknown, assess epidemiologic evidence
Postexposure Management: Assessment of Infection RiskPostexposure prophylaxis against HIV
**dependent on risk assessment regarding the setting, type and severity of exposure, type and amount of fluid/tissue exposed/transferred, HIV status of source, and susceptibility of the injured