Bloodborne Pathogens: Risks and Prevention

Bloodborne pathogens – microorganisms  such as viruses or bacteria that can cause  disease in humans and are carried in  blood, internal body fluids and unfixed  human body tissue

  • Semen
  • Vaginal Secretions
  • Cerebrospinal Fluid :- colorless liquid that surrounds the brain and spinal cord
  • Synovial fluid :- fluid that lubricates and cushious the joints
  • Pleural fluid :- fluid between the pleural membranes of the lungs and the inner chest wall
  • Peritoneal fluid :- fluid in the gastrointestinal organs
  • Amniotic fluid :- fluid which surrounds the fetus
  • Saliva :- in dental procedures
  • Breast Milk
  • Any body fluid that is visibly contaminated with blood
  • Any body fluid that cannot be clearly identified

The three most common bloodborne diseases are:

  • Human Immunodeficiency Virus (HIV)
  • Hepatitis C Virus (HCV)
  • Hepatitis B Virus (HBV)

Following exposure,the risk of disease varies and can be affected by 

  • Pathogen involved
  • Type of exposure
  • Amount of blood involved in the exposure
  • Amount of virus present in infected blood at time of exposure

The average risk of infection

  • After a needlestick or cut exposure to HIV-infected blood is 0.3% (1 in 300)
  • After exposure to mucus membrane(eye,mouth,nose) is 0.1%(1 in 1000)
  • After exposure to intact skin <0.1%

There is no vaccine or cure;

  • Post-Exposure Prophylaxis(PEP) can decrease the chances of developing HIV up to 79%.
  • PEP should start within 1-2 hours of the exposure for maximum effectiveness

 

 

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