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Thursday, November 27, 2014   3:46 PM    |   61°F
 
 

In Case of Needlestick Injury

  1. Wash and clean injury/flush mucous membranes immediately.
  2. Assess risk
    1. Characterize exposure
    2. Evaluate exposure by medical history (see attached questionnaire)
    3. Evaluate and test exposed individuals
  3. Perform Quick HIV test - this test is usually available at your nearest hospital ER. The rapid HIV test should be performed on the Source Patient.
  4. Decide whether or not Prophylaxis is needed.

The decision to initiate post exposure Prophylaxis is a clinical judgment. For assistance, please contact the Center for Disease Control at 1-888-232-6348 or Dr. Angela McLean of Student Health (504) 525-4839.

Blood Monitoring Schedule

  • Initial Draw:
On Exposed Person
HIV - Antibody
Anti HBsAb
Hep C Ab
On Patient
Rapid HIV and/or
HIV Ab
HepB Surface Ab
Hep C Ab
HepB Serology
  • If PEP: CBC - liver and kidney functions; pregnancy test for women.
  • If PEP: Recheck kidney and liver functions in 2 weeks.

    At 6 weeks
    • HIV - Antibody

    At 3 months
    • HIV - Antibody
    • Hep C Ab

    At 6 months
    • HIV - Antibody

    At 1 year
    • HIV - Antibody

It is YOUR responsibility to come for testing.

PEP Meds -- Isentress 400 mg twice daily and Truvada one daily

Source Risk Assessment Questionnaire

Have you ever tested positive for HIV? Yes No
Have you ever tested positive for Hepatitis B or Hepatitis C? Yes No
Have you ever had a sexually transmitted disease? Yes No
Did you receive a blood transfusion or blood products between 1978 and 1985 Yes No
Have you ever used needles to inject street drugs? Yes No
Have you ever shared needles to inject street drugs? Yes No
Have you ever had sex with another person with HIV and AIDS? Yes No
Are you a male who has had sex with male partners? Yes No
Have you had sex with a person who injects street drugs? Yes No
Have you ever traded sex for money, drugs, food or housing? Yes No
Have you had unprotected sex (of any kind) within the last 10 years with someone other than your spouse? Yes No
Have you ever been sexually assaulted? Yes No
Have you had occupational exposure to blood or body fluids such as a needle stick within the last 10 years? Yes No
Do you have a sex partner with any of the above risks for HIV? Yes No
Are you or may you be pregnant? Yes No

Comments:

Signature: ___________________________________________

Date: ___________________________________________

Reviewed By: ___________________________________________

 

Obtain anti-retroviral meds from:

Walgreens Pharmacy, 900 Canal Street, (504) 568-1271

 

 

Blue Cross Blue Shield of Louisiana Insurance Company
Louisiana State University Needle Stick Standalone Benefit Summary

Coverage is provided for eligible students for testing and prophylactic treatment of blood-borne diseases following at-risk contact with blood or other body fluids from human or animal sources. This contact may include but is not limited to needle sticks. This benefit is not subject to any co-payment or annual deductible requirement.

Services must be received at: Louisiana State University Health Sciences Center Student Health Center (LSUHSC Student Health Center), Children's Hospital New Orleans, Our Lady of the Lake, Baton Rouge General Hospital, Women's Hospital in Baton Rouge, Ochsner Hospital, Ochsner Baptist, Baton Rouge General Occupational Health, LabCorp, Our Lady of Lourdes Rapides Medical Center, Medical Center of Louisiana at New Orleans, Lafayette General in Lafayette, Walter Moss Medical Center, Leonard Chabert Medical Center, Lallie Kemp Medical Center, Bogalusa Medical Center, Touro Infirmary, East Jefferson General Hospital, and West Jefferson Medical Center. Any services provided outside of these providers are excluded from coverage.