Advertisement
The Body: The Complete HIV/AIDS Resource
Follow Us Follow Us on Facebook Follow Us on Twitter Download Our App
Professionals >> Visit The Body PROThe Body en Espanol
Read Now: TheBodyPRO.com Covers AIDS 2014

HIV Transmission and Education >> Am I Infected?

Pages: 1
Faith77
Newbie

Reged: 09/11/13
Posts: 3
confused about exposure to tears of a positive patient
      #273892 - 09/12/13 03:49 AM

An HIV positive patient came to our hospital with perhaps tear duct block and I was asked to do Syringing of the eye by the ophthalmologist. I did the procedure without gloves because it is easier and also saw the nose with an endoscope. later on the patient told me about her positive HIV status and she is on treatment for 2 years. Am I at risk? Also, how do I sterilize the Instruments used to prevent cross infection?

Post Extras: Remind Me!   Notify Moderator  
crabmanModerator
Moderator

Reged: 03/10/11
Posts: 1019
Re: confused about exposure to tears of a positive patient new
      #273894 - 09/12/13 07:44 AM

You weren't at risk. While some HIV can be found in tears it's not enough to cause infection. As far as sterilization of the equipment, I'm surprised you haven't been taught those basic procedures. It's the same no matter the patient's status.

I really think you need to rethink your career path.

Post Extras: Remind Me!   Notify Moderator  
Faith77
Newbie

Reged: 09/11/13
Posts: 3
Re: confused about exposure to tears of a positive patient new
      #273895 - 09/12/13 10:33 AM

Dear Crabman,
thanks for the feedback. however, endoscopes are specialised instruments and cleaning with spirit damages the glue in their fibre optic cables. I had sterilized them with 2% glutaraldehyde for 1/2 hour since the ones we have are not autoclavable, and then disposed of the solution. But, a microbiologist friend told me that only foolproof method is to dip them in 1% hypochlorite solution, which again damages the scope & I don't have E2O, so what do I do know? Put it in formalin chamber? I have searched various guidelines, but haven't found any specific to my situation. Could you please help me out?

Post Extras: Remind Me!   Notify Moderator  
crabmanModerator
Moderator

Reged: 03/10/11
Posts: 1019
Re: confused about exposure to tears of a positive patient new
      #273898 - 09/12/13 11:03 AM

Pretty sure your patient isn't the first patient with HIV in the last 30+ years to need such a procedure. There is always the possibility that a patient may have an infectious disease, which is why sterilization procedures are put in place for ALL equipment regardless of a patient's status. By the way The WHO says that 2% glutaraldehyde is an acceptable method when dealing with HIV.

Since you remain unsure, I would suggest you seek guidance from your supervisor instead of various friends and public forum boards.

Post Extras: Remind Me!   Notify Moderator  
Faith77
Newbie

Reged: 09/11/13
Posts: 3
Re: confused about exposure to tears of a positive patient new
      #273899 - 09/12/13 01:21 PM

Dear Crabman,
Thanks for the suggestion. I was pretty sure about cidex till someone confused me and caused me to second guess my approach. Anyway, I talked to the manufacturers and learnt that cidex is enough. Though they recommended that no other instrument be sterilized in the cidex tray other than the scope and a tray should be earmarked specially for it.

Post Extras: Remind Me!   Notify Moderator  
Pages: 1


What's New at TheBody.com

Additional Information
0 registered and 2 anonymous users are browsing this forum.

Moderator:  TheBody, bogart, crabman, riverprincess 

Permissions
      You cannot start new topics
      You cannot reply to topics
      HTML is enabled
      UBBCode is enabled

Thread views: 1143

 
Jump to

Contact Us | Privacy Statement The Body

*
UBB.threads™ 6.2.3