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Journal of the American Academy of Dermatology
Volume 77, n° 5
page 946 (novembre 2017)
Doi : 10.1016/j.jaad.2017.06.040
accepted : 18 June 2017

Managing sharps injuries and other occupational exposures to HIV, HBV, and HCV in the dermatology office

Jerry D. Brewer, MD, MS a, , Dirk M. Elston, MD b, Allison T. Vidimos, MD c, Stacey A. Rizza, MD d, Stanley J. Miller, MD e
a Division of Dermatologic Surgery, Mayo Clinic, Rochester, Minnesota 
d Division of Infectious Diseases, Mayo Clinic, Rochester, Minnesota 
b Department of Dermatology, Medical University of South Carolina, Charleston, South Carolina 
c Department of Dermatology, Cleveland Clinic, Cleveland, Ohio 
e Department of Dermatology, Johns Hopkins Hospital, Baltimore, Maryland 

Reprint requests: Jerry D. Brewer, MD, Division of Dermatologic Surgery, Mayo Clinic, 200 First St SW, Rochester, MN 55905.Division of Dermatologic SurgeryMayo Clinic200 First St SWRochesterMN55905

Dermatologists and their staff are at risk for needlestick injuries and exposures to body fluids. Despite the availability of treatment to reduce the risk of blood-borne infection, many exposures go unreported. This paper identifies current recommendations and the specific details for response to occupational exposures to HIV, hepatitis B virus, and hepatitis C virus in the dermatology office. Issues surrounding each virus are discussed individually, and a summary step-by-step algorithm of how to proceed in the event of an occupational exposure is presented. In addition, a focused Practice Improvement Activity that is based on this paper and provides Maintenance of Certification credit has been developed. To view and participate, visit abdermorg/.

The full text of this article is available in PDF format.

Key words : hepatitis B, hepatitis C, HIV, needlestick injuries, occupational exposures

Abbreviations used : anti-HBs, CDC, HBeAg, HBIG, HBsAg, HBV, HCV, PEP

 Funding sources: None.
 Conflicts of interest: None declared.
 Level of evidence: IV.

© 2017  American Academy of Dermatology, Inc.@@#104156@@
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