Advertisement
The Body: The Complete HIV/AIDS Resource Follow Us Follow Us on Facebook Follow Us on Twitter
Professionals >> Visit The Body PROThe Body en Espanol
Take Tell Us What YOU Think! Take The Body's Visitor Survey!
  
  • Email Email
  • Printable Single-Page Print-Friendly
  • Glossary Glossary

Public Health Service Guidelines for the Management of Health-Care Worker Exposures to HIV and Recommendations for Postexposure Prophylaxis

References

May 15, 1998

1

. CDC. Public Health Service statement on management of occupational exposure to human immunodeficiency virus, including considerations regarding zidovudine postexposure use. MMWR 1990;39(no. RR-1).

2. CDC. Case-control study of HIV seroconversion in health-care workers after percutaneous exposure to HIV-infected blood -- France, United Kingdom, and United States, January 1988-August 1994. MMWR 1995;44:929-33.

3. Connor EM, Sperling RS, Gelber R, et al. Reduction of maternal-infant transmission of human immunodeficiency virus type 1 with zidovudine treatment. N Engl J Med 1994;331:1173-80.

Advertisement
4. Black RJ. Animal studies of prophylaxis. Am J Med 1997;102(suppl 5B):39-44.

5. Bell DM, Gerberding JL, eds. Human immunodeficiency virus (HIV) postexposure management of healthcare workers. Am J Med 1997;102(suppl 5B).

6. CDC. Update: provisional Public Health Service recommendations for chemoprophylaxis after occupational exposure to HIV. MMWR 1996;45:468-72.

7. Ippolito G, Puro V, the Italian Registry of Antiretroviral Prophylaxis. Zidovudine toxicity in uninfected healthcare workers. Am J Med 1997;102(suppl 5B):58-62.

8. Wang SA, the HIV PEP Registry Group. Human immunodeficiency virus (HIV) postexposure prophylaxis (PEP) following occupational HIV exposure: findings from the HIV PEP registry [Abstract 482]. In: Program and abstracts of the Infectious Diseases Society of America 35th annual meeting. Alexandria, VA: Infectious Diseases Society of America, 1997:161.

9. Steger KA, Swotinsky R, Snyder S, Craven DE. Recent experience with post-exposure prophylaxis (PEP) with combination antiretrovirals for occupational exposure (OE) to HIV [Abstract 480]. In: Program and abstracts of the Infectious Diseases Society of America 35th annual meeting. Alexandria, VA: Infectious Diseases Society of America, 1997:161.

10. Beekmann R, Fahrner R, Nelson L, Henderson DK, Gerberding JL. Combination post-exposure prophylaxis (PEP): a prospective study of HIV-exposed health care workers (HCW) [Abstract 481]. In: Program and abstracts of the Infectious Diseases Society of America 35th annual meeting. Alexandria, VA: Infectious Diseases Society of America, 1997:161.

11. CDC. Recommendations for prevention of HIV transmission in health-care settings. MMWR 1987;36(suppl no. 2S).

12. CDC. Update: universal precautions for prevention of transmission of human immunodeficiency virus, hepatitis B virus, and other bloodborne pathogens in health-care settings. MMWR 1988;37:377-82,387-8.

13. CDC. Transmission of HIV possibly associated with exposure of mucous membrane to contaminated blood. MMWR 1997;46:620-3.

14. Garner JS, Hospital Infection Control Practices Advisory Committee. Guideline for isolation precautions in hospitals. Infect Control Hosp Epidemiol 1996;17:53-80.

15. Occupational Safety and Health Administration, Department of Labor. 29 CFR Part 1910.1030, occupational exposure to bloodborne pathogens; final rule. Federal Register 1991;56:64004-182.

16. Bell DM. Occupational risk of human immunodeficiency virus infection in healthcare workers: an overview. Am J Med 1997;102(suppl 5B):9-15.

17. Marcus R, Bell DM. Occupational risk of human immunodeficiency virus infection in health care workers. In: DeVita VT Jr, Hellman S, Rosenberg SA, eds. AIDS: biology, diagnosis, treatment and prevention. 4th ed. Philadelphia, PA: Lippincott-Raven Publishers, 1997:645-54.

18. Cardo DM, Bell DM. Postexposure management. In: DeVita VT Jr, Hellman S, Rosenberg SA, eds. AIDS: biology, diagnosis, treatment and prevention. 4th ed. Philadelphia, PA: Lippincott-Raven Publishers, 1997:701-8.

19. Ippolito G, Puro V, De Carli G, the Italian Study Group on Occupational Risk of HIV Infection. The risk of occupational human immunodeficiency virus infection in health care workers. Arch Intern Med 1993;153:1451-8.

20. CDC. Update: human immunodeficiency virus infections in health-care workers exposed to blood of infected patients. MMWR 1987;36:285-9.

21. Fahey BJ, Koziol DE, Banks SM, Henderson DK. Frequency of nonparenteral occupational exposures to blood and body fluids before and after universal precautions training. Am J Med 1991;90:145-53.

22. CDC. HIV/AIDS surveillance report 1997;9:15.

23. 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;337:1485-90.

24. Mast ST, Woolwine JD, Gerberding JL. Efficacy of gloves in reducing blood volumes transferred during simulated needlestick injury. J Infect Dis 1993;168:1589-92.

25. Cao Y, Krogstad P, Korber BT, et al. Maternal HIV-1 viral load and vertical transmission of infection: the Ariel Project for the Prevention of HIV transmission from mother to infant. Nature Med 1997;3:549-52.

26. Sperling RS, Shapiro DE, Coombs RW, et al. Maternal viral load, zidovudine treatment, and the risk of transmission of human immunodeficiency virus type 1 from mother to infant. N Engl J Med 1996;335:1621-9.

27. Pinto LA, Landay AL, Berzofsky JA, Kessler HA, Shearer GM. Immune response to human immunodeficiency virus (HIV) in healthcare workers occupationally exposed to HIV-contaminated blood. Am J Med 1997;102(suppl 5B):21-4.

28. Clerici M, Giorgi JV, Chou C-C, et al. Cell-mediated immune response to human immunodeficiency virus (HIV) type 1 in seronegative homosexual men with recent sexual exposure to HIV-1. J Infect Dis 1992;165:1012-9.

29. Ranki A, Mattinen S, Yarchoan R, et al. T-cell response towards HIV in infected individuals with and without zidovudine therapy, and in HIV-exposed sexual partners. AIDS 1989;3:63-9.

30. Cheynier R, Langlade-Demoyen P, Marescot M-R, et al. Cytotoxic T lymphocyte responses in the peripheral blood of children born to human immunodeficiency virus-1-infected mothers. Eur J Immunol 1992;22:2211-7.

31. Kelker HC, Seidlin M, Vogler M, Valentine FT. Lymphocytes from some long-term seronegative heterosexual partners of HIV-infected individuals proliferate in response to HIV antigens. AIDS Res Hum Retroviruses 1992;8:1355-9.

32. Langlade-Demoyen P, Ngo-Giang-Huong N, Ferchal F, Oksenhendler E. Human immuno-deficiency virus (HIV) nef-specific cytotoxic T lymphocytes in noninfected heterosexual contacts of HIV-infected patients. J Clin Invest 1994;93:1293-7.

33. Rowland-Jones S, Sutton J, Ariyoshi K, et al. HIV-specific cytotoxic T-cells in HIV-exposed but uninfected Gambian women. Nature Medicine 1995;1:59-64.

34. Busch MP, Satten GA. Time course of viremia and antibody seroconversion following human immunodeficiency virus exposure. Am J Med 1997;102(suppl 5B):117-24.

35. Saag MS. Clinical spectrum of human immunodeficiency virus diseases. In: DeVita VT Jr, Hellman S, Rosenberg SA, eds. AIDS: biology, diagnosis, treatment and prevention. 4th ed. Philadelphia, PA: Lippincott-Raven Publishers, 1997:203-13. 24 MMWR May 15, 1998

36. Ciesielski CA, Metler RP. Duration of time between exposure and seroconversion in healthcare workers with occupationally acquired infection with human immunodeficiency virus. Am J Med 1997;102(suppl 5B):115-6.

37. Ridzon R, Gallagher K, Ciesielski C, et al. Simultaneous transmission of human immunodeficiency virus and hepatitis C virus from a needle-stick injury. N Engl J Med 1997;336:919-22.

38. Blauvelt A. The role of skin dendritic cells in the initiation of human immunodeficiency virus infection. Am J Med 1997;102(suppl 5B):16-20.

39. Spira AI, Marx PA, Patterson BK, et al. Cellular targets of infection and route of viral dissemination after an intravaginal inoculation of simian immunodeficiency virus into rhesus macaques. J Exp Med 1996;183:215-25.

40. Saag MS. Candidate antiretroviral agents for use in postexposure prophylaxis. Am J Med 1997;102(suppl 5B):25-31.

41. Van Rompay KKA, Otsyula MG, Marthas ML, Miller CJ, McChesney MB, Pedersen NC. Immediate zidovudine treatment protects simian immunodeficiency virus-infected newborn macaques against rapid onset of AIDS. Antimicrob Agents and Chemother 1995;39:125-31.

42. Shih C-C, Kaneshima H, Rabin L, et al. Postexposure prophylaxis with zidovudine suppresses human immunodeficiency virus type 1 infection in SCID-hu mice in a time-dependent manner. J Infect Dis 1991;163:625-7.

43. Martin LN, Murphey-Corb M, Soike KF, Davison-Fairburn B, Baskin GB. Effects of initiation of 3'-azido,3'-deoxythymidine (zidovudine) treatment at different times after infection of rhesus monkeys with simian immunodeficiency virus. J Infect Dis 1993;168:825-35.

44. Hayes KA, Lafrado LJ, Erickson JG, Marr JM, Mathes LE. Prophylactic ZDV therapy prevents early viremia and lymphocyte decline but not primary infection in feline immunodeficiency virus-inoculated cats. J AIDS 1993;6:127-34.

45. Mathes LE, Polas PJ, Hayes KA, Swenson CL, Johnson S, Kociba GJ. Pre- and postexposure chemoprophylaxis: evidence that 3'-azido-3-dideoxythymidine inhibits feline leukemia virus disease by a drug-induced vaccine response. Antimicrob Agents and Chemother 1992;36:2715-21.

46. Rausch DM, Heyes MP, Murray EA, Eiden LE. Zidovudine treatment prolongs survival and decreases virus load in the central nervous system of rhesus macaques infected perinatally with simian immunodeficiency virus. J Infect Dis 1995;172:59-69.

47. Sinet M, Desforges B, Launay O, Colin JN, Pocidalo JJ. Factors influencing zidovudine efficacy when administered at early stages of Friend virus infection in mice. Antiviral Res 1991;16:163-71.

48. Ruprecht RM, Bronson R. Chemoprevention of retroviral infection: success is determined by virus inoculum and strength and cellular immunity. DNA & Cell Biol 1994;13:59-66.

49. Ruprecht RM, Mullaney S, Bernard LD, Gama Sosa MA, Hom RC, Finberg RW. Vaccination with a live retrovirus: the nature of the protective immune response. Proc Natl Acad Sci USA 1990;87:5558-62.

50. Tavares L, Roneker C, Johnston K, Nusinoff Lehrman S, de Noronha F. 3'-azido-3'-deoxythymidine in feline leukemia virus-infected cats: a model for therapy and prophylaxis of AIDS. Cancer Res 1987;47:3190-4.

51. Ruprecht RM, Chou, T-C, Chipty F, et al. Interferon- and 3'-azido-3'-deoxythymidine are highly synergistic in mice and prevent viremia after acute retrovirus exposure. J AIDS 1990;3:591-600.

52. Van Rompay KKA, Marthas ML, Ramos RA, et al. Simian immunodeficiency virus (SIV) infection of infant rhesus macaques as a model to test antiretroviral drug prophylaxis and therapy: oral 3-azido-3'-deoxythymidine prevents SIV infection. Antimicrob Agents and Chemother 1992;36:2381-6.

53. Fazely F, Haseltine WA, Rodger RF, Ruprecht RM. Postexposure chemoprophylaxis with ZDV or ZDV combined with interferon-a: failure after inoculating rhesus monkeys with a high dose of SIV. J AIDS 1991;4:1093-7.

54. McClure HM, Anderson DC, Ansari AA, Fultz PN, Klumpp SA, Schinazi RF. Nonhuman primate models for evaluation of AIDS therapy. In: AIDS: anti-HIV agents, therapies and vaccines. Ann N Y Acad Sci 1990;100;616:287-98.

55. Tsai C-C, Follis KE, Sabo A, et al. Prevention of SIV infection in macaques by (R)-9-(2-phosphonylmethoxypropyl) adenine. Science 1995;270:1197-9. Vol. 47 / No. RR-7 MMWR 25

56. Böttiger D, Johansson N-G, Samuelsson B, et al. Prevention of simian immunodeficiency virus, SIVsm, or HIV-2 infection in cynomolgus monkeys by pre- and postexposure administration of BEA-005. AIDS 1997;11:157-62.

57. Niu MT, Stein DS, Schnittman SM. Primary human immunodeficiency virus type 1 infection: review of pathogenesis and early treatment intervention in humans and animal retrovirus infections. J Infect Dis 1993;168:1490-501.

58. Lundgren B, Böttiger D, Ljungdahl-Ståhle E, et al. Antiviral effects of 3'-fluorothymidine and 3'-azidothymidine in cynomolgus monkeys infected with simian immunodeficiency virus. J AIDS 1991;4:489-98.

59. Böttiger D, Putkonen P, Oberg B. Prevention of HIV-2 and SIV infections in cynomolgus macaques by prophylactic treatment with 3'-fluorothymidine. AIDS Res Human Retroviruses 1992;8:1235-8.

60. Böttiger D, Oberg B. Influence of the infectious dose of SIV on the acute infection in cynomolgus monkeys and on the effect of treatment with 3'-fluorothymidine [Abstract no. 81]. Symposium on Nonhuman Primate Models for AIDS, 1991.

61. LaFon SW, Mooney BD, McMullen JP, et al. A double-blind, placebo-controlled study of the safety and efficacy of Retrovir ® (zidovudine, ZDV) as a chemoprophylactic agent in health care workers (HCW) exposed to HIV [Abstract 489]. In: Program and abstracts, 30th Interscience Conference on Antimicrobial Agents and Chemotherapy. Washington, DC: American Society for Microbiology, 1990:167.

62. Jochimsen EM. Failures of zidovudine postexposure prophylaxis. Am J Med 1997;102(suppl 5B):52-5.

63. Weisburd G, Biglione J, Arbulu MM, Terrazzino JC, Pesiri A. HIV seroconversion after a work place accident and treated with zidovudine [Abstract Pub.C.1141] In: Program and abstracts of the XI International Conference on AIDS. Vancouver, British Columbia, Canada, June 1996:460.

64. Lot F, Abiteboul D. Health-care workers infected with HIV in France: as of June 30, 1995. Bulletin Epidemiologique Hebdomadiaire 1995;44:193-4.

65. Mayers DL. Prevalence and incidence of resistance to zidovudine and other antiretroviral drugs. Am J Med 1997;102(suppl 5B):70-5.

66. Coombs RW, Shapiro DE, Eastman PS, et al. Maternal viral genotypic zidovudine (ZDV) resistance and infrequent failure of ZDV therapy to prevent perinatal transmission [Abstract 17]. In: Program and abstracts of the Infectious Disease Society of America 35th annual meeting. Alexandria, VA: Infectious Disease Society of America, 1997:74.

67. Manion DJ, Hirsch MS. Combination chemotherapy for human immunodeficiency virus-1. Am J Med 1997;102(suppl 5B):76-80.

68. Lafeuillade A, Poggi C, Tamalet C, Profizi N, Tourres C, Costes O. Effects of a combination of zidovudine, didanosine, and lamivudine on primary human immunodeficiency virus type 1 infection. J Infect Dis 1997;175:1051-5.

69. CDC. Guidelines for the use of antiretroviral agents in HIV-infected adults and adolescents. MMWR 1997;46(no. RR-5):43-82.

70. Katlama C, Ingrand D, Loveday C, et al. Safety and efficacy of lamivudine-zidovudine combination therapy in antiretroviral naive patients: a randomized controlled comparison with zidovudine monotherapy. JAMA 1996;276:118-25.

71. Larder BA. Viral resistance and the selection of antiretroviral combinations. J AIDS 1995;10(suppl 1):S28-S33.

72. Anonymous. New drugs for HIV infection. The Medical Letter on Drugs and Therapeutics 1996;38:35-7.

73. Grob PM, Cao Y, Muchmore E, et al. Prophylaxis against HIV-1 infection in chimpanzees by nevirapine, a nonnucleoside inhibitor of reverse transcriptase. Nature Medicine 1997;3:665-70.

74. Struble KA, Pratt RD, Gitterman SR. Toxicity of antiretroviral agents. Am J Med 1997;102(suppl 5B):65-7.

75. Food and Drug Administration. Protease inhibitors may increase blood glucose in HIV patients. FDA Medical Bulletin 1997:27.

76. Dever LL, Oruwari PA, O'Donovan CA, Eng RHK. Hyperglycemia associated with protease inhibitors in HIV-infected patients [Abstract LB-8]. In: Abstracts of the 37th Interscience Conference on Antimicrobial Agents and Chemotherapy. Washington, DC: American Society for Microbiology, 1997.

77. Dubé MP, Johnson DL, Currier JS, Leedom JM. Protease inhibitor-associated hyperglycaemia [Letter]. Lancet 1997;350:713-4.

78. Tokars JI, Marcus R, Culver DH, et al. Surveillance of HIV infection and zidovudine use among health care workers after occupational exposure to HIV-infected blood. Ann Intern Med 1993;118:913-9.

79. Forseter G, Joline C, Wormser GP. Tolerability, safety, and acceptability of zidovudine prophylaxis in health care workers. Arch Intern Med 1994;154:2745-9.

80. Henry K, Acosta EP, Jochimsen E. Hepatotoxicity and rash associated with zidovudine and zalcitabine chemoprophylaxis [Letter]. Ann Intern Med 1996;124:855.

81. Imrie A, Beveridge A, Genn W, Vizzard J, Cooper DA, the Sydney Primary HIV Infection Study Group. Transmission of human immunodeficiency virus type 1 resistant to nevirapine and zidovudine. J Infect Dis 1997;175:1502-6.

82. Veenstra J, Schuurman R, Cornelissen M, et al. Transmission of zidovudine-resistant human immunodeficiency virus type 1 variants following deliberate injection of blood from a patient with AIDS: characteristics and natural history of the virus. Clin Infect Dis 1995;21:556-60.

83. Erice A, Mayers DL, Strike DG, et al. Brief report: primary infection with zidovudine-resistant human immunodeficiency virus type 1. N Engl J Med 1993;328:1163-5.

84. Fitzgibbon JE, Gaur S, Frenkel LD, et al. Transmission from one child to another of human immunodeficiency virus type 1 with a zidovudine-resistance mutation. N Engl J Med 1993;329:1835-41.

85. Frenkel LM, Wagner LE, Demeter LM, et al. Effects of zidovudine use during pregnancy on resistance and vertical transmission of human immunodeficiency virus type 1. Clin Infect Dis 1995;20:1321-6.

86. CDC. Public Health Service task force recommendations for the use of antiretroviral drugs in pregnant women infected with HIV-1 for maternal health and for reducing perinatal HIV-1 transmission in the United States. MMWR 1998;47(no. RR-2).

87. O'Sullivan MJ, Boyer PJJ, Scott GB, et al. The pharmacokinetics and safety of zidovudine in the third trimester of pregnancy for women infected with human immunodeficiency virus and their infants: Phase I Acquired Immunodeficiency Syndrome Clinical Trials Group Study (protocol 082). Am J Obstet Gynecol 1993;168:1510-6.

88. CDC. Birth outcomes following zidovudine therapy in pregnant women. MMWR 1994;43: 409,415-6.

89. White A, Eldridge R, Andrews E, the Antiretroviral Pregnancy Registry Advisory Committee. Birth outcomes following zidovudine exposure in pregnant women: the Antiretroviral Pregnancy Registry. Acta Paediatr Suppl 1997;421:86-8.

90. Culnane M, Fowler MG, Lee S, et al. Evaluation for late effects of in utero (IU) ZDV exposure among uninfected infants born to HIV+ women enrolled in ACTG 076 and 219 [Abstract 485]. Clin Infect Dis 1997;25:445.

91. Anonymous. Antiretroviral Pregnancy Registry for didanosine (VIDEX®, ddI), lamivudine (EPIVIR™ , 3tc), saquinavir (INVIRASE®, SAQ), stavudine (ZERIT®, d4T), zalcitabine (HIVID®, ddC), zidovudine (RETROVIR®, ZDV), interim report, 1 January 1989 through 31 December 1996. Research Triangle Park, NC: Bristol Myers Squibb Co., Glaxo Wellcome, Hoffman-LaRoche, and Merck Inc., 1997.

92. Johnson MA, Goodwin C, Yuen GJ, et al. The pharmacokinetics of 3TC administered to HIV-1 infected women (pre-partum, during labour and post-partum) and their offspring [Abstract Tu.C.445]. In: Proceedings from the XI International Conference on AIDS, Vancouver, British Columbia, Canada; July 7-12, 1996; vol I:249-50.

93. Moodley J, Moodley D, Pillay K, et al. Antiviral effect of lamivudine alone and in combination with zidovudine in HIV-infected pregnant women [Abstract 607]. In: Abstracts of the 4th Conference on Retroviruses and Opportunistic Infections. Washington D.C.: January 22-26, 1997:176.

94. Ayers KM, Clive D, Tucker WE Jr., Hajian G, de Miranda P. Nonclinical toxicology studies with zidovudine: genetic toxicity tests and carcinogenicity bioassays in mice and rats. Fundamental Appl Toxicol 1996;32:148-58.

95. Ayers KM, Torrey CE, Reynolds DJ. A transplacental carcinogenicity bioassay in CD-1 mice with zidovudine. Fundamental Appl Toxicol 1997;38:195-8.

96. Olivero OA, Anderson LM, Diwan BA, et al. AZT is a genomic transplacental carcinogen in animal models. J AIDS 1997;14:A29 (Abstract 52).

97. National Institute for Allergy and Infectious Diseases, National Institutes of Health. Summary of the meeting of a panel to review studies of transplacental toxicity of AZT. Washington, DC: National Institutes of Health, 1997.

98. CDC. Immunization of health-care workers -- recommendations of the Advisory Committee on Immunization Practices (ACIP) and the Hospital Infection Control Practices Advisory Committee (HICPAC). MMWR 1997;46(no. RR-18):21-2.

99. CDC. Recommendations for follow-up of health-care workers after occupational exposure to hepatitis C virus. MMWR 1997;46:603-6.

100. Richman KM, Rickman LS. The potential for transmission of human immunodeficiency virus through human bites. J AIDS 1993;6:402-6.

101. Vidmar L, Poljak M, Tomai J, Seme K, Klavs I. Transmission of HIV-1 by human bite [Letter]. Lancet 1996;347:1762.

102. Gerberding JL, Henderson DK. Management of occupational exposures to bloodborne pathogens: hepatitis B virus, hepatitis C virus, and human immunodeficiency virus. Clin Infect Dis 1992;14:1179-85.

103. Armstrong K, Gorden R, Santorella G. Occupational exposure of health care workers (HCWs) to human immunodeficiency virus (HIV): stress reactions and counseling interventions. Social Work in Health Care 1995;21(3):61-80.

104. CDC. Recommendations for preventing transmission of human immunodeficiency virus and hepatitis B virus to patients during exposure-prone invasive procedures. MMWR 1991;40(no. RR-8).


Back | Next
Table of Contents


  
  • Email Email
  • Printable Single-Page Print-Friendly
  • Glossary Glossary

This article was provided by U.S. Centers for Disease Control and Prevention. It is a part of the publication Morbidity and Mortality Weekly Report.
 

 

Advertisement