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This page was last modified on 18 May 2016, at 10:26.

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Condition

Accidental penetration of the skin, or splash in the eye, with an object potentially contaminated with human bodily fluids.

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Individual at risk

Recipient

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Guidance at RECRUITMENT for adult volunteer donor and maternal donor (cord blood donation)

ACCEPTABLE

Guidance at CT/WORK-UP

Acceptable if four months have passed since injury and validated nucleic acid testing (NAT) is used for hepatitis B and C.

Unacceptable if needle/instrument may have been contaminated with abnormal prion protein.

This deferral period may be shortened at the discretion of the requesting transplant centre.

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Justification for guidance

There is a risk of transmission of blood-borne viruses through an accidental innoculation injury if the offending instrument is contaminated with bodily fluids.

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References

Scaggiante R, Chemello L, Rinaldi R, Bartolucci GB, Trevisan A. Acute hepatitis C virus infection in a nurse trainee following a needlestick injury. World J Gastroenterol 2013; 19(4): 581-5.

Res S, Bowden FJ. Acute hepatitis B infection following a community-acquired needlestick injury. J Infect 2011; 62(6): 487-9.

Morand P, Dutertre N, Minazzi H, Burnichon J, Pernollet M, Baud M et al. Lack of seroconversion in a health care worker after polymerase chain reaction-documented acute hepatitis C resulting from a needlestick injury. Clin Infect Dis 2001; 33(5): 727-9.

Wormser GP. Estimation of risk of transmission of non-A, non-B hepatitis by needlestick injury. Gastroenterology 1991; 101(3): 871-2.

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