[MCOH-EH] SGPT/ALT response

Lawrence Budnick budnicla at njms.rutgers.edu
Mon Dec 30 11:06:43 PST 2019


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

CONFIDENTIALITY NOTICE: This email communication may contain private, confidential, or legally privileged information intended for the sole use of the designated and/or duly authorized recipient(s). If you are not the intended recipient or have received this email in error, please notify me immediately by email and permanently delete all copies of this email, including all attachments without reading them. If you are the intended recipient, please secure the contents in a manner that conforms to all applicable state and/or federal requirements related to privacy and confidentiality of such information. Thank you.

-----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
https://nam02.safelinks.protection.outlook.com/?url=www.osfhealthcare.org&data=02%7C01%7Cbudnicla%40njms.rutgers.edu%7C428063fd11944d0368ea08d78d5730cf%7Cb92d2b234d35447093ff69aca6632ffe%7C1%7C0%7C637133277934468657&sdata=ItNL76c1nggLASZ0QRbCHCQfZKd2dPLRViCd9AAW1aE%3D&reserved=0

"Serving with the greatest Care and Love."


-----Original Message-----
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of mcoh-eh-request at mylist.net
Sent: Thursday, December 26, 2019 2:00 PM
To: mcoh-eh at mylist.net
Subject: [EXTERNAL] MCOH-EH Digest, Vol 254, Issue 343

CAUTION: This email originated from outside of the OSF HealthCare network. Do not click links or open attachments unless you recognize the sender and know the content is safe. If you have any questions about the legitimacy of this email, please call the OSF Service Center at (800) 673-5721.


Send MCOH-EH mailing list submissions to
	mcoh-eh at mylist.net

To subscribe or unsubscribe via the World Wide Web, visit
	https://nam02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fmylist.net%2Flistinfo%2Fmcoh-eh&data=02%7C01%7Cbudnicla%40njms.rutgers.edu%7C428063fd11944d0368ea08d78d5730cf%7Cb92d2b234d35447093ff69aca6632ffe%7C1%7C0%7C637133277934468657&sdata=NaU8ci7R4W8Xvt7n9%2Bwt7B%2BE3RFoLuFC%2B3hcafRHyt4%3D&reserved=0
or, via email, send a message with subject or body 'help' to
	mcoh-eh-request at mylist.net

You can reach the person managing the list at
	mcoh-eh-owner at mylist.net

When replying, please edit your Subject line so it is more specific than "Re: Contents of MCOH-EH digest..."


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:  
 
  <!--#yiv3504196059 _filtered {} _filtered {}#yiv3504196059 #yiv3504196059 p.yiv3504196059MsoNormal, #yiv3504196059 li.yiv3504196059MsoNormal, #yiv3504196059 div.yiv3504196059MsoNormal {margin:0in;margin-bottom:.0001pt;font-size:11.0pt;font-family:"Calibri", "sans-serif";}#yiv3504196059 a:link, #yiv3504196059 span.yiv3504196059MsoHyperlink {color:blue;text-decoration:underline;}#yiv3504196059 a:visited, #yiv3504196059 span.yiv3504196059MsoHyperlinkFollowed {color:purple;text-decoration:underline;}#yiv3504196059 span.yiv3504196059EmailStyle17 {font-family:"Calibri", "sans-serif";color:windowtext;}#yiv3504196059 .yiv3504196059MsoChpDefault {font-family:"Calibri", "sans-serif";} _filtered {}#yiv3504196059 div.yiv3504196059WordSection1 {}--> I?m told there are safety issues that prevent the use of PAPR?s (PPE to prevent exposure to plume) when using lasers.? What are facilities using and what is best practice??
 
 ?
 
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
 
Follow us onFacebook|Twitter|Pinterest|YouTube|Instagram|Linked In
 
https://nam02.safelinks.protection.outlook.com/?url=www.evergreenhealth.com&data=02%7C01%7Cbudnicla%40njms.rutgers.edu%7C428063fd11944d0368ea08d78d5730cf%7Cb92d2b234d35447093ff69aca6632ffe%7C1%7C0%7C637133277934468657&sdata=qO8JRTFdpVlQy9no4xafgBV5hj0vQEZ5irzjqgmTxZA%3D&reserved=0






More information about the MCOH-EH mailing list