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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
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