TRACK(S): OEM Clinical Practice
Francesca K. Litow, MD, MPH, FACOEM*, Johns Hopkins School of Hygiene and Public Health, Baltimore, MD
Management of occupational exposure to bloodborne pathogens is a core competency for occupational medicine physicians and non-occupational medicine physicians in urgent care and/or emergency department
practice environments. Workers at risk include health care
workers, nursing home and/or assisted living personnel, emergency responders, fire-fighters, law enforcement personnel, and educators. Policies for evaluation and management of occupational exposure to bloodborne pathogens are required by OSHA Standard 1910.1030.
This case-based presentation will review the risks associated with exposure to HIV, hepatitis C, and hepatitis B, initial evaluation for exposures, and appropriate risk-based post-exposure prophylaxis measures, including follow-up care. Complex exposures such as human
bites and indication for use of advanced PEP agents will be discussed. Resources for development of organizational policies to standardize evaluation and management of these exposures will be provided. This
session may be of particular interest to residents and recent graduates.