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SHEA Guideline for Management of Healthcare Workers Who Are Infected with Hepatitis B Virus, Hepatitis C Virus, and/or Human Immunodeficiency Virus

Published online by Cambridge University Press:  02 January 2015

David K. Henderson ,
Louise Dembry ,
Neil O. Fishman ,
Christine Grady ,
Tammy Lundstrom ,
Tara N. Palmore ,
Kent A. Sepkowitz ,
David J. Weber  and
Society for Healthcare Epidemiology of America
David K. Henderson*
Affiliation:
National Institutes of Health Clinical Center, Bethesda, Maryland
Louise Dembry
Affiliation:
Department of Quality Improvement Support Services, Yale–New Haven HospitalNew Haven, Connecticut
Neil O. Fishman
Affiliation:
Division of Infectious Diseases, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania
Christine Grady
Affiliation:
Department of Bioethics, National Institutes of Health Clinical Center, Bethesda, Maryland
Tammy Lundstrom
Affiliation:
Section of Infectious Diseases, Providence Hospitaland Medical Center, Southfield, Detroit, Michigan
Tara N. Palmore
Affiliation:
Infectious Disease Fellowship Training Program, National Institutes of Health Clinical Center, Bethesda, Maryland
Kent A. Sepkowitz
Affiliation:
Infectious Diseases Service, Memorial Sloan-Kettering Cancer Center, New York, New York
David J. Weber
Affiliation:
Division of Infectious Diseases, University of North Carolina, Chapel Hill, North Carolina
*
Deputy Director for Clinical Care, Clinical Center, National Institutes of Health, Bldg. 10, Rm. 6-1480, 10 Center Dr., MSC 1504, Bethesda, MD 20892-1504 ([email protected])
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Extract

This guideline provides the updated recommendations of the Society for Healthcare Epidemiology of America (SHEA) regarding the management of healthcare providers who are infected with hepatitis B virus (HBV), hepatitis C virus (HCV), and/or the human immunodeficiency virus (HIV). For the reasons cited in the guideline, SHEA continues to recommend that, although some aspects of the approach to and administrative management of each of these infectious syndromes in healthcare providers are similar, separate management strategies for healthcare workers who are infected with these unrelated viruses remain appropriate. As we did in both prior iterations of this document, SHEA emphasizes the use of appropriate infection control procedures to minimize exposure of patients or providers to blood, emphasizes that transfers of blood from patients to providers and from providers to patients should be avoided, and recommends that infected healthcare providers should not be totally prohibited from participating in patient-care activities solely on the basis of a bloodborne pathogen infection. The types of procedures assessed by the panel as associated with an increased risk for provider-to-patient transmission of these pathogens are discussed in detail. For each pathogen, recommendations are graduated according to the relative viral load level of the infected provider (Tables 1 and 2). However, SHEA emphasizes that, because of the complexity of these cases, each such case will be slightly different from the next, and each should be independently considered in context.

Type
SHEA Guideline
Information
Infection Control & Hospital Epidemiology , Volume 31 , Issue 3 , March 2010 , pp. 203 - 232
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2010

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