Our largest work comp insurer in Oregon dictates what they will pay. This is their schedule:

 

Baseline

HIV

Hep B surface antibody and surface antigen

Hep C

ALT

 

6 weeks

HIV

Hep C

 

3 months

HIV

 

4 months

HIV final (if 4th generation HIV p24antigen-HIVantibody test used)

 

6 months

HIV final (if 3rd generation or less testing used)

Hep B surface antibody and surface antigen (if no indication of immunity at baseline)

Hep C

ALT

 

Beth

 

 

Beth Colbert Moline, MSN, FNP-BC

Nurse Practitioner, Occupational Medicine

National Certified Medical Examiner

WIllamette Valley Medical Center

(503) 435 6586     FAX  (503) 435-6555

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From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Swift, Melanie
Sent: Tuesday, June 07, 2016 9:50 AM
To: Abhijay Karandikar; MCOH/EH
Subject: Re: [MCOH-EH] BBP follow-up chart

 

Abjay, if you use a 4th generation HIV test that includes antigen testing, you can just do the followup employee test at 6 weeks and 4 months post exposure.

Moving to this led us to consolidate the schedule so we do HCV Ab testing at 4 months also. In high risk exposures to HCV we add HCV PCR testing at 6 weeks. So it’s pretty simple, just 2 dates for followup testing.

If you use a 3rd generation HIV test you have more followup dates.

 

Melanie Swift, MD

Director, Vanderbilt Occupational Health Clinic

http://occupationalhealth.vanderbilt.edu

 

From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Abhijay Karandikar via MCOH-EH
Sent: Tuesday, June 07, 2016 11:45 AM
To: MCOH/EH
Cc: Abhijay Karandikar
Subject: Re: [MCOH-EH] BBP follow-up chart

 

List,

 

I am creating a one page table that our providers can follow for follow-up testing for exposure to BBP (source testing, testing of the exposed at 6, 12, 24 weeks and so on). Can anyone share their versions of such "tables" with me? 

 

Although the creating of such a table/algorithm itself is non-problematic, I do not want to "overload" the page by too much information (planning to add items such as anti-HIV PEP best within 72 hours, etc.) and would appreciate seeing a few examples!

 

Thanks,
Abhijay

 

 

 

Abhijay P. Karandikar, MD, MPH, FACOEM

Medical Director - Occupational Medicine

CONNCare / Backus / BPS

Norwich, CT 06360.