[MCOH-EH] SGPT/ALT response

[Lawrence Budnick]

On the other hand, we do Chem, CBC and urinalysis at baseline for all. However, we are in a high prevalence environment. Approx 15-25% of our source patients are HIV positive and 40% of our employees who report an NSI initiate HIV PEP.

Lawrence D. Budnick, MD, MPH
Professor of Medicine
Director, Occupational Medicine Service
Rutgers University New Jersey Medical School
65 Bergen Street, Suite GA-167, Newark, NJ 07107
tel 973.972.2900
fax 973.972.2904
lawrence.budnick at rutgers.edu

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-----Original Message-----
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Thanassi, Wendy via MCOH-EH
Sent: Monday, December 30, 2019 1:36 PM
To: MCOH-EH <mcoh-eh at mylist.net>
Cc: Thanassi, Wendy <Wendy.Thanassi at va.gov>
Subject: Re: [MCOH-EH] SGPT/ALT response

Our BBP testing is Hep B, Hep C, HIV.
We do not do any other labs. The LFTs done initially are in the event that the employee would have to take 30=-30 days of PEP which is liver toxic. Since that rarely occurs, we just add LFTs in the event of HIV PEP.

Wendy Thanassi MD
Chief, OHS
PAVAHCS
Stanford, CA

-----Original Message-----
From: MCOH-EH <mcoh-eh-bounces at mylist.net> On Behalf Of Knoblauch, Denise
Sent: Friday, December 27, 2019 8:38 AM
To: 'mcoh-eh at mylist.net' <mcoh-eh at mylist.net>
Subject: [EXTERNAL] [MCOH-EH] SGPT/ALT response

Our clinic still orders these tests on the exposed individual at this time.
We have a performance project team that is reviewing standardization of BBP exposure order sets across our corporate structure 

Denise Knoblauch MSN, RN, COHN-S/CM, FAAOHN Supervisor OSF HealthCare Occupational Health at Saint Francis Medical Center
530 NE Glen Oak
Peoria, IL 61637
309-624-2613 /F: 309-624-9460
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Today's Topics:

   1. Re:  SGPT/ALT (Abhijay Karandikar)


----------------------------------------------------------------------

Message: 1
Date: Thu, 26 Dec 2019 14:16:16 +0000 (UTC)
From: Abhijay Karandikar <dr_abhik at yahoo.com>
To: "'mcoh-eh at mylist.net'" <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] SGPT/ALT
Message-ID: <158313237.3709738.1577369776141 at mail.yahoo.com>
Content-Type: text/plain; charset="utf-8"

 Hope everyone is enjoying the holidays so far!

I am curious to know if your health center / institution includes SGPT/ALT in your BBP exposure follow-up protocol for either the source or the employee. I would be interested in knowing why you include or do not do so. It used to be a part of routine protocol as a proxy to detect asymptomatic hepatitis in the source, but am not sure if that is relevant now, given the current more sensitive tests.

I am aware of a study done by Bill Buchta in Mayo many years ago and a talk that he gave on this topic.

Thanks!

Abhijay

Abhijay P. Karandikar, MD, MPH, FACOEM     On Tuesday, December 24, 2019, 3:02:59 PM EST, Therese Bovee-McKelvey <tmboveemckelvey at evergreenhealthcare.org> wrote:  
 
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Thank you,
 
 ?
 
Therese Bovee McKelvey, MN, RN?Supervisor - Employee Health
 
425.899.2278 (P)? |? 425.899.2277 (F)?
 
EvergreenHealth MS-42,12040 NE 128th St., Kirkland, WA 98034
 
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