We tailor the labs to the pathogen of concern, so we limit post exposure testing (except the t=0 series) of the exposed worker to those blood tests that detect any source positives. This is why: If you have an initial Hep C neg in the source and then the employee was initially negative but then converts to positive, that would be very difficult to interpret. Is this occupational? Is this personal? What do you do with the source patient? You cannot notify the source patient of the private information of the exposed worker but you are assuming that the "source" of the Hep C was the source patient. Do you tell the source? How would the source be then "confirmed" serologically? Is this a public health concern? etc etc.

So, if the source is completely negative, the exposed worker has no further testing beyond t=0.

Nancy Rodway MD MPH FACOEM

Sent from Outlook

From: MCOH-EH <mcoh-eh-bounces+nrodway=hotmail.com@mylist.net> on behalf of Thrasher, Terri (Terri) <Terri.Thrasher@cchmc.org>
Sent: Thursday, December 21, 2017 9:41 AM
To: MCOH/EH
Subject: Re: [MCOH-EH] BBP serial testing

We do the same

From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Lawrence Budnick
Sent: Thursday, December 21, 2017 9:39 AM
To: MCOH/EH <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] BBP serial testing

Both

Lawrence D. Budnick, MD, MPH

Director, Occupational Medicine Service

Professor of Medicine

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@rutgers.edu

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From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Morelli, Karen J
Sent: Thursday, December 21, 2017 9:33 AM
To: 'mcoh-eh@mylist.net' <mcoh-eh@mylist.net>
Subject: [MCOH-EH] BBP serial testing

Our company has performed both HIV and Hep C serial testing on HCW’s that had an exposure to source patient that was positive for either one of the diseases (or if source unknown/untested). I am curious if your facility tests for both or just the component that the source patient was positive for. Example, Hep C positive source-do you test for both HIV and Hep C on HCW serial testing or just the Hep C?

Thank you,

Karen Morelli RN, BSN, Clinical Manager

WorkHealth LLC

973-7382

kmorelli@emhs.org

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