We do the same, with the minor difference that we are able to complete most HIV follow up testing by 4 months by using 4th generation testing (https://stacks.cdc.gov/view/cdc/20711).
stacks.cdc.gov
Updated U.S. Public Health Service guidelines for the management of occupational exposures to HIV and recommendations for postexposure prophylaxis.
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Amy J Behrman, MD, FACOEM, FACP
Professor, Department of Emergency Medicine
Medical Director, Occupational Medicine
Perelman School of Medicine
University of Pennsylvania
3400 Spruce Street
Philadelphia, PA 19104
We do baseline HCV Ab and chemistry, as well as testing for HIV Ag/Ab, and 3 week follow-up with HCV PCR and 6 week, 3 months and 6 months for HIV. Additional chem, cbc, u/a testing if they take PEP and HB testing and Tdap PRN. Please see the attached CDC 2016 algorithm for recommended HCV testing.
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
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From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net]
On Behalf Of Therese Bovee-McKelvey
Sent: Thursday, May 09, 2019 11:28 AM
To: mcoh-eh@mylist.net
Subject: Re: [MCOH-EH] Post exposure Hepatitis C
3 Wk |
HCV RNA-PCR & ALT/SGPT |
6 Wk |
HCsAb |
3 Mo |
HCsAb |
6 Mo |
HCsAb & ALT/SGPT |
If signs or symptoms referral to ID; would include additional tests per ID.
Therese Bovee McKelvey, MN, RN Supervisor - Employee Health
425.899.2278 (P) | 425.899.2277 (F) | TMBoveeMcKelvey@evergreenhealth.com
EvergreenHealth MS-42, 12040 NE 128th St., Kirkland, WA 98034
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From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net]
On Behalf Of PRATER, DEANNA
Sent: Thursday, May 09, 2019 7:47 AM
To:
mcoh-eh@mylist.net
Subject: [MCOH-EH] Post exposure Hepatitis C
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I’d like to hear how others are managing post-exposure with a source patient who shows REACTIVE HCV antibody and HCV RNA DETECT/QUANT 200,000+. Do you typically perform a baseline panel on employee with a repeat in 6 weeks, 4 months, and 6 months. Other than counseling the patient to practice safe sex and report any symptoms, is there anything else you would recommend?
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