[MCOH-EH] BBP follow-up chart

[Erika Sweet]

Attached is our f/u protocol.

Thanks, Erika

Erika Sweet, RN, MSN, NP, CHON-S
Director of Employee Health Services
Los Angeles County Department of Health Services
1000 West Carson Street, Room B-03
Torrance, CA 90509
Office (310) 222.2360
FAX (310) 222.5326



From: MCOH-EH [mailto:mcoh-eh-bounces+esweet=dhs.lacounty.gov at mylist.net] On Behalf Of Elizabeth.Moline at capellahealth.com
Sent: Tuesday, June 07, 2016 10:22 AM
To: mcoh-eh at mylist.net; dr_abhik at yahoo.com
Subject: Re: [MCOH-EH] BBP follow-up chart

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 at 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 at 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.
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