Am Fam Physician. 1997 Dec;56(9):2291-300, 2303-6. Unique Identifier :
Health care workers may be exposed to a variety of infections as they
carry out their job responsibilities. Guidelines have been issued for
prophylaxis following exposure to blood or body fluids known to be
infected with the human immunodeficiency virus. Hepatitis B vaccine must
be offered to all workers who may be exposed to blood and body fluids.
Chemoprophylaxis is not available for workers exposed to hepatitis C.
Health care facilities must conduct a tuberculosis risk assessment,
provide skin testing at least yearly and develop isolation procedures
for potentially infectious patients. The Occupational Safety and Health
Administration currently mandates two-stage skin testing for all new
employees at risk for tuberculosis exposure who have not had a skin test
in the past year. Recent skin-test converters should be evaluated for
isoniazid prophylaxis after a chest radiograph rules out active
tuberculosis. Workers should be removed from the workplace from days 10
to 21 following exposure to varicella infection; vaccination of
nonimmune workers should be considered. Because of possible side
effects, the standard pertussis vaccine is not used in adults, but a new
acellular pertussis vaccine has been effective in this group.
*Health Personnel *Infection Control/METHODS *Occupational
Diseases/PREVENTION & CONTROL