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Needlestick, Emergency Medicine

Gordon S. Chew Reviewed 06/2017
 


Basics

Description

  • Mechanisms of exposure to blood or body fluid:

    • Percutaneous

    • Mucous membrane

    • Skin

  • General prevention:

    • Universal precautions

    • Avoid recapping of needles

    • Wear gloves: Decreases amount of blood ...

Diagnosis

Signs and Symptoms

History

Exposure to blood or body fluid: 
  • Date, time, circumstances, details of exposure, source

  • Immunizations

Diagnosis Tests & Interpretation

Women with body fluid exposur...

Treatment

Pre-Hospital

  • Pre-hospital personnel should always maintain universal precautions to prevent needlestick or other body fluid exposure.

  • Patients with exposure should be evaluated within hours fo...

Follow-Up

Disposition

Admission Criteria

Admission not necessary 

Discharge Criteria

Manage as outpatients with appropriate follow-up in occupational medicine clinic 

Additional Reading

  • Beltrami  EM, Williams  IT, Shapiro  CN, et al. Risk and management of blood-borne infections in health care workers. Clin Microbiol Rev.  2000;13:385–407.

  • Panlilio  AL, Cardo  ...

Codes

ICD9

  • V01.79 Contact with or exposure to other viral diseases

  • V07.8 Other specified prophylactic or treatment measure

  • V15.85 Personal history of contact with and (suspected) exposure to potentially ...

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