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Article

Management of Accidental Exposure to HCV, HBV and HIV in Healthcare Workers in Romania

by
Eyal Malka
1,*,
Anca Streinu-Cercel
2,3,
Daniela PiŢIgoi
3,4 and
Rodica Bacruban
3
1
Rabin Medical Center (RMC), Hasharon Hospital, Petah Tikva, Israel
2
Department of Infectious Diseases, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
3
National Institute for Infectious Diseases “Prof. Dr. Matei Balş”, Romania
4
Department of Epidemiology, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
*
Author to whom correspondence should be addressed.
GERMS 2012, 2(4), 137-141; https://doi.org/10.11599/germs.2012.1025
Submission received: 20 September 2012 / Revised: 20 October 2012 / Accepted: 30 November 2012 / Published: 1 December 2012

Abstract

Introduction: Accidental blood exposure in healthcare workers is an important issue worldwide. We present a study which analyzed the route of exposure, the source of infection and the post-exposure prophylaxis treatment administered. Method: We performed retrospective study of occupational exposure to HBV, HCV and HIV and the subsequent post-exposure prophylaxis among healthcare workers at the National Institute of Infectious Diseases “Prof.Dr. Matei Balş”, Bucharest, Romania, from December 2002 to December 2011. Results: Sixty healthcare workers with a mean age of 36 reported an occupational exposure during a period of 9 years, 54 (90%) were females and 6 (10%) were males. 48 (80%) exposed healthcare workers were nurses, 7 (11.6%) were doctors and 5 (8.3%) were medical assisting staff. In 49 (81.6%) cases the exposure was percutaneous and in 11 (18.3%) cases the exposure was mucosal/corneal. Ten (16.6%) exposed healthcare workers had insufficient levels of antibody (HBsAb) response, (below 10 mIU/mL), 6 (10%) had titers between 11 and 500 mIU/mL, 31 (51.6%) between 501-1000 mIU/mL, and 13 (21.6%) above 1000 mIU/mL). Discussion: The exposure events analysis in this study yielded similar results compared to other previous parallel studies. Minimizing risks to HCWs for acquisition of blood-borne pathogens and correct and rapid post-exposure prophylaxis treatment in case of exposure should be an integral part of the infection control and occupational health programs in all healthcare facilities.
Keywords: accidental exposure; injuries; post-exposure prophylaxis; PEP; healthcare workers; HCW; HIV; HBV; HCV accidental exposure; injuries; post-exposure prophylaxis; PEP; healthcare workers; HCW; HIV; HBV; HCV

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MDPI and ACS Style

Malka, E.; Streinu-Cercel, A.; PiŢIgoi, D.; Bacruban, R. Management of Accidental Exposure to HCV, HBV and HIV in Healthcare Workers in Romania. GERMS 2012, 2, 137-141. https://doi.org/10.11599/germs.2012.1025

AMA Style

Malka E, Streinu-Cercel A, PiŢIgoi D, Bacruban R. Management of Accidental Exposure to HCV, HBV and HIV in Healthcare Workers in Romania. GERMS. 2012; 2(4):137-141. https://doi.org/10.11599/germs.2012.1025

Chicago/Turabian Style

Malka, Eyal, Anca Streinu-Cercel, Daniela PiŢIgoi, and Rodica Bacruban. 2012. "Management of Accidental Exposure to HCV, HBV and HIV in Healthcare Workers in Romania" GERMS 2, no. 4: 137-141. https://doi.org/10.11599/germs.2012.1025

APA Style

Malka, E., Streinu-Cercel, A., PiŢIgoi, D., & Bacruban, R. (2012). Management of Accidental Exposure to HCV, HBV and HIV in Healthcare Workers in Romania. GERMS, 2(4), 137-141. https://doi.org/10.11599/germs.2012.1025

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