Dr' Amany Tharwat Abdel Rahman

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Guidelines For Management Of Occupational
Exposures To
Bloodborne Pathogen
Dr. Amany Tharwat Abdel Rahman  Assistant
Professour of Medical Microbiology Ain Shams
University
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• In 1991, scientific uncertainty about the risk of
  transmission of HIV, HBV led that CDC to
  recommend that infected health care workers
  (HCWs) be reviewed by an expert panel to permit
  them to practice. Even so, they must still inform
  patients of their serologic status before
  engaging in exposure-prone procedures.
• Implementation of this policy poses significant
  human rights burdens on HCWs, but does not
  improve patient safety.

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Exposure control plan
For the management of
Occupational
Bloodborne pathogen exposures
Are outlined
In September 1999 by
CDC

• The program focuses on safer systems of IC
  practice rather than on excluding and
  stigmatizing infected HCWs

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• Preventive Program To Ensure
• Safe Invasive Procedures
• Role Of HCWs Public Health
• Authorities
• Post Exposure Prophylaxis (PEP)
• (Management of Occupational Blood Exposures)

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A
5 Recommendations could help patients receiving
care in a safe environment, while treating HCWs
with respect and dignity
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Standard Universal Precaution
eg, Hand washing barrier equipment, such as
gloves, gowns, and face protection
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Reprocessing Patient Care Equipment
(eg, cleaning, disinfecting, and sterilizing)

Cleaning Environmental Surfaces
Blood spots Use 70 alcohol swab Free flowing
blood sodium hypochlorite (10,000 P.P.M
chlorine ) 20-30 minutes before before wiping up
with absorbent material.
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Infection Control Training
in professional schools and in the health care
setting
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Injury Exposure Prevention During surgical
Procedures
By Using
Less invasive alternatives to conventional
interventions (eg, laparoscopy), Practice
changes (eg, "no touch" techniques and
double-gloving, puncture resistant gloves),
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Use Safer devices (eg, blunted suture needles
staples instead of sutures, auto retractable
scalpels, blade removal system , auto-disable
syringes, needle with needle protection device,
auto retractable needles)