Skip to main content Accessibility help
×
Home
Hostname: page-component-55597f9d44-dfw9g Total loading time: 0.27 Render date: 2022-08-19T06:28:02.990Z Has data issue: true Feature Flags: { "shouldUseShareProductTool": true, "shouldUseHypothesis": true, "isUnsiloEnabled": true, "useRatesEcommerce": false, "useNewApi": true } hasContentIssue true

Posttraumatic Stress Disorder After Occupational HIV Exposure: Two Cases and a Literature Review

Published online by Cambridge University Press:  21 June 2016

Michael G. Worthington*
Affiliation:
Division of Infectious Diseases, Caritas Saint Elizabeth's Medical Center, Boston, Massachusetts
John J. Ross
Affiliation:
Division of Infectious Diseases, Caritas Saint Elizabeth's Medical Center, Boston, Massachusetts
Ellen K. Bergeron
Affiliation:
Department of Nursing, Caritas Saint Elizabeth's Medical Center, Boston, Massachusetts
*
Division of Infectious Diseases, Caritas St. Elizabeth's Medical Center, 736 Cambridge St., Boston, MA 02135 (mworth@cchcs.org)

Abstract

Two healthcare workers developed disabling chronic posttraumatic stress disorder after needlestick exposures to blood from a patient infected with human immunodeficiency virus (HIV), even though both continue to test negative for HIV antibody more than 22 months after their exposures. We describe these 2 cases and review the relevant literature. Prospective studies of psychological morbidity after occupational needlestick injuries are required to determine the role of long-term psychological follow-up, counseling, and support.

Type
Concise Communications
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2006

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Gerberding, JL. Occupational exposure to HIV in health care settings. N Engl J Med 2003; 348:826833.CrossRefGoogle ScholarPubMed
2.Henderson, DK. HIV postexposure prophylaxis in the 21 st century. Emerg Infect Dis 2001; 7:254258.CrossRefGoogle Scholar
3.Worthington, MG, Pino, M, Bergeron, EK. Occupational exposure to HIV [letter]. N Engl J Med 2003; 349:10911092.Google Scholar
4.Howsepian, AA. Post-traumatic stress disorder following needle-stick contaminated with suspected HIV-positive blood. Gen Hosp Psychiatry 1998; 20:123127.Google Scholar
5.Geller, JL. A bite of AIDS?—institutional line staff and the fear of HIV contagion. Psych Quarterly 1989; 60:243251.CrossRefGoogle ScholarPubMed
6.Treloar, CJ, Higginbotham, N, Malcom, JA, Sutherland, DC. The personal experience of Australian health-care workers accidentally exposed to risk of HIV infection. AIDS 1995; 9:13851386.CrossRefGoogle Scholar
7.Henry, K, Campbell, S, Jackson, B, et al. Long-term follow-up of health care workers with work-site exposure to human immunodeficiency virus. JAMA 1990; 263:17651766.CrossRefGoogle Scholar
8.Gershon, R, Flanagan, P, Karkashian, C, et al. Health care workers' experience with postexposure management of bloodborne pathogen exposures: a pilot study. Am J Infect Control 2000; 28:421428.CrossRefGoogle ScholarPubMed
9.Cardo, DM, Culver, DH, Ciesielski, CA, et al. A case-control study of HIV seroconversion in health care workers after percutaneous exposure. N Engl J Med 1997; 337:14851543.CrossRefGoogle Scholar
10.Pratt, RD, Shapiro, JF, McKinney, N, Kwok, S, Spector, SA. Virologic characterization of primary human immunodeficiency virus type 1 infection in a health care worker following needlestick injury. J Infect Dis 1995; 172:851854.CrossRefGoogle Scholar
11.Updated US public health service guidelines for the management of occupational exposures to HBV, HCV, and HIV and recommendations for postexposure prophylaxis. MMWR Morb Mortal Wkly Rep 2001; 50(RR-11):142.Google Scholar
12.Roland, ME, Havlir, DV. Responding to organ failure in HIV-infected patients. N Engl J Med 2003; 348:22792281.CrossRefGoogle ScholarPubMed
13.Calabrese, LH, Albrecht, M, Young, J, et al. Successful cardiac transplantation in an HIV-1-infected patient with advanced disease. N Engl J Med 2003; 348:23232328.CrossRefGoogle Scholar
14.Reissman, DB, Whitney, EA, Taylor, TH, et al. One-year health assessment of adult survivors of Bacillus anthracis infection. JAMA 2004; 291:19941998.CrossRefGoogle Scholar
15.Seibert, C. Stuck. Ann Intern Med 2003; 138:765766.CrossRefGoogle ScholarPubMed
37
Cited by

Save article to Kindle

To save this article to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Posttraumatic Stress Disorder After Occupational HIV Exposure: Two Cases and a Literature Review
Available formats
×

Save article to Dropbox

To save this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you used this feature, you will be asked to authorise Cambridge Core to connect with your Dropbox account. Find out more about saving content to Dropbox.

Posttraumatic Stress Disorder After Occupational HIV Exposure: Two Cases and a Literature Review
Available formats
×

Save article to Google Drive

To save this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you used this feature, you will be asked to authorise Cambridge Core to connect with your Google Drive account. Find out more about saving content to Google Drive.

Posttraumatic Stress Disorder After Occupational HIV Exposure: Two Cases and a Literature Review
Available formats
×
×

Reply to: Submit a response

Please enter your response.

Your details

Please enter a valid email address.

Conflicting interests

Do you have any conflicting interests? *