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Blood and Body Fluid Exposure: Next Steps
Hepatitis B: If you are not immune to hepatitis B, you will be vaccinated.
If the source patient has hepatitis B infection then you may also be given Contact CHSS if you
passive antibodies to hepatitis B (HBIG). If you have been vaccinated develop any of the
and your blood test has shown that you are immune to hepatitis B then following:
you are not at risk of infection and you do not require any further test or
treatment.
• Yellow eyes or skin
• Loss of appetite
Hepatitis C: There is no preventative treatment for hepatitis C after an • Nausea or vomiting
exposure at this time; however, there are treatments for hepatitis C • • Fever
Stomach pain
infection, and these are most effective when the infection is detected • Joint pain or muscle aches
early.
• Swollen glands
• Extreme fatigue
HIV: If you have had a significant exposure, HIV antiviral medication • Sudden or severe flu-like
(PEP) will be offered to you to prevent infection. If you take this, it is illness
important to take the first dose right as soon as possible to maximize its • New rash
effectiveness. You must take it for 28 days.
Follow-up Schedule in CHSS Hepatitis Hepatitis HIV
B
C
First visit to
You need to follow-up in CHSS 6 weeks, 3 months and CHSS X X X
3 months after the exposure.
2 weeks (for PEP)
After exposure, we will test you to determine whether
you have hepatitis C or HIV infection, as well as
immunity to hepatitis B (if we do not already have 6 weeks X
evidence of this in your CHSS record). In the following
weeks, we will test you for infection.
3 months
X X X
If you are started on HIV PEP, we will test your blood
after 2 weeks to ensure that your body is tolerating the
medication well. 6 months (if still not
immune)
While you are waiting for your test results, follow these steps to prevent spreading infection to
others:
• Do not have sex (vaginal, oral or anal). If you have sex, use a condom every time.
• Do not donate blood, plasma, organs, breast milk, tissue, or sperm.
• Do not share toothbrushes, dental floss, razors, or other items that may have blood or body fluids on
them.
• Cover open cuts and scratches until they heal.
• Carefully throw away anything with blood on it, such as tampons, pads, tissues, dental floss, and
bandages. Put sharp items such as used razors or needles into a container and tape shut. Throw
away in the garbage – do not place in a recycling box.
• If you are breastfeeding, contact your healthcare provider for advice
CHSS - 2nd floor Shuter Wing - T (416 864-5013 - F (416) 864-5405

