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Bloodborne Pathogen Exposures in a Developmental Center 1993–2000

Published online by Cambridge University Press:  02 January 2015

Ghan-Shyam Lohiya*
Affiliation:
Fairview Developmental Center, Costa Mesa, California, and Revelle College, University of California at San Diego, La Jolla, California
Lilia Tan-Figueroa
Affiliation:
Fairview Developmental Center, Costa Mesa, California, and Revelle College, University of California at San Diego, La Jolla, California
Sonia Lohiya
Affiliation:
Fairview Developmental Center, Costa Mesa, California, and Revelle College, University of California at San Diego, La Jolla, California
*
Fairview Development Center, 2501 Harbor Blvd, Costa Mesa, CA 92626

Abstract

In a developmental center, 257 potential bloodborne pathogen exposures (119 bites, 91 scratches, 30 sharps injuries, 17 mucosal breaks) occurred during 8 years (13,187 employee-years and 6,980 resident-years). Of the residents, 9% were hepatitis B virus (HBV) surface antigen carriers. Serological follow-up of exposed, susceptible employees and residents identified no transmission of HBV, hepatitis C virus (HCV), or human immunodeficiency (HIV) virus. This outcome has been due primarily to hepatitis B immunization and low prevalences of HCV or HIV infections among the subjects. Proper follow-up of all potential exposures is crucial to identify transmission promptly, allay anxiety, and prevent unwarranted workmen's compensation claims. Measures are suggested to reduce exposure further.

Type
Concise Communication
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2001

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References

1.Beltrami, E, Willimas, I, Shapiro, C. Risk and management of bloodborne infections in health care workers. Clin Microbiol Rev 2000;13:385407.CrossRefGoogle ScholarPubMed
2.US Department of Labor, Occupational Safety and Health Administration. Occupational exposure to bloodborne pathogens; final rule(29 CFR Part 1910.1030). Federal Register December 6,1991;56:6386164186.Google Scholar
3.Centers for Disease Control and Prevention. Recommendations for followup of health care workers after occupational exposure to hepatitis C virus. MMWR 1997;46:603606.Google Scholar
4.Lakin, KC, Anderson, L, Prouty, R, Pollster, B, Braddock, D, Smith, G. State institution populations less than one third of 1977, residents older with more impairments. In: Trends and milestones. Mental Retard 1999;37:8586.Google Scholar
5.Lohiya, G, Lohiya, S, Caires, S. Occupational risk of hepatitis B from institutionalized mentally retarded HBsAg carriers. J Infect Dis 1986;154:990995.Google Scholar
6.Lohiya, GS. Human immunodeficiency virus type-1 antibody in 6703 institutionalized mentally retarded clients: an unlinked serosurvey at seven California developmental centers. AIDS Res Hum Retroviruses 1993;9:247249.Google Scholar
7.Doebbling, B. Protecting the healthcare worker from infection and injury. In: Wenzel, R, ed. Prevention and Control of Nosocomial Infections. 3rd ed. Baltimore, MD: Williams & Wilkins; 1995:397435.Google Scholar
8.Bowden, F, Pollett, B, Birrell, F. Occupational exposure to the human immunodeficiency virus and other blood-borne pathogens: a six-year prospective study. Med J Aust 1993;158:810812.CrossRefGoogle Scholar
9.Marr, JS, Beck, AM, Lugo, JA JrAn epidemiologic study of human bites. Public Health Rep 1979;94:514521.Google Scholar
10.Tereskerz, P, Bentley, M, Jagger, J. Risk of HrV transmission after human bites. Lancet 1996;348:1512.Google Scholar
11.Hoofnagle, J, Lindsay, K. Acute and chronic viral hepatitis. In: Goldman, L, Bennett, J, eds. Cecil Textbook of Medicine. 21st ed. Philadelphia, PA: WB Saunders Co; 2000:783796.Google Scholar
12.Gerberding, J. Management of occupational exposures to bloodborne viruses. N Engl J Med 1995;332:444451.CrossRefGoogle Scholar
13.Ippolito, G, Puro, V, Heptonstall, J. Occupational human immunodeficiency virus infection in health care workers. Clin Infect Dis 1999;365383.Google Scholar
14.Industrial Medical Council. State of California. Compensability of an injury. Physicians' Guide. San Francisco, CA: Industrial Medical Council;1994:1832.Google Scholar