|Workplace exposure and HIV PEP?
Jan 8, 2006
Dear Dr. Frascino,
I am a surgery resident in Philadelphia, Pa, and I have a couple of questions regarding an incidnet that I was involved with recently.
I was teaching some med students how to do a debridement and dressing change on a patient with AIDS, and when I was finished I noticed that my latex glove had a tear and that my left index finger was covered with a sanguinous fluid from the patient. I immediatley rinsed my finger with tap water. I had no obvious percutaneous injury, but a discussion arose as to whether or not the fingernail bed consititutes a mucous membrane and whether or not there are microscopic lacerations around the fingernail? Another discussion arose involving the role of PEP in general and whether or not it was warranted in this case? Also, what is your knowledges as to the risk to surgeons involving glove failures and blood under the fingernail?
Thank you very much, and your website is excellent!
| Response from Dr. Frascino
Hello Dr. Shaw,
1. The fingernail bed is not a mucous membrane. I'd suggest you review your old dermatology and anatomy notes from medical school.
2. "Microscopic lacerations" around the fingernail are not considered a risk for HIV transmission, even if they were to exist.
3. PEP is not warranted in the "incidnet" you describe.
4. For a detailed discussion of PEP for occupational exposures, check out the "Updated U.S. Public Health Service Guidelines for Management of Occupational Exposures to HBV, HCV and HIV and Recommendations for Post-Exposure Prophylaxis." It can be downloaded from the CDC website or the MMWR. And please do those medical students a favor by giving them a copy as well.
Get Email Notifications When This Forum Updates or Subscribe With RSS
- How Many Documented Cases Of Hiv Are Attributed To Exposure In The Workplace?
- Is Blood The Most Common Source Of Hbv And Hiv In The Workplace?
- Non-nucleoside Reverse Transcriptase Inhibitors Stop Hiv Production By Binding To
- Contraindications For Hiv
- Are Blood Tests Used To Determine If You Have Been Infected With Hbv Or Hiv?
- Is Hepatitis C Worse Then Having Aids?
This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.
Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.