Review - Document Details

 



Review - Reviewer's Assessment

1. Short summary / abstract
The paper summarises the views of the PHLS Hepatitis Subcommittee on prophylaxis after exposure to known and potential sources of hepatitis B virus (HBV) at work and in the community and expands on the guidance on hepatitis B immunisation and the prevention of occupational exposure to blood outlined in other BBV documents.
The paper provides information on: -
The risk of HBV transmission according to type of exposure, status of source and the HBV status of the person exposed
o Significant exposure - percutaneous, mucocutaneous and sexual exposure
o HBV status of source – known, determinable or unknown and undeterminable
o HBV status of the exposed person
Incident reporting in the workplace
Incident recording and risk assessment
Serological testing and storage of serum
Post exposure prophylaxis after type of exposure determined
Follow-up of exposed persons
Supplies of HBIG
The information included in the above sections gives guidance on incident recording, risk assessment, testing and storage of incident-related blood specimens and follow up.


2. What question is the document addressing?
The paper gives guidance on the risk of hepatitis B transmission associated with an exposure incident and includes information on incident recording, risk assessment, post exposure prophylaxis, testing and storage of incident-related blood specimens and follow up.

3. Type of study
Best Practice, Journal Article

4. Methods valid & appropriate?
Yes

Comments:
Should be read in conjunction with references on post exposure prophylaxis for HIV

5. Results / recommendations reliable?
Yes

6. Any major problems and biases?
Paper 13 years old but recommendations still relevant and should be read with HSC 1998/063: Guidance for clinical health care workers - protection against infection with blood-borne viruses

7. Any other important / relevant studies which confirm or contradict?
1. Hepatitis B key documents http://www.dh.gov.uk/PolicyAndGuidance/HealthAndSocialCareTopics/HepatitisB/HepatitisBGeneralInformation/fs/en
2. Guidance for clinical health care workers: protection against infection with blood-borne viruses http://www.dh.gov.uk/PublicationsAndStatistics/Publications/PublicationsPolicyAndGuidance/PublicationsPolicyAndGuidanceArticle/fs/en?CONTENT_ID=4002766&chk=sjOK8W
3. Health Service Circular (HSC) 1998/063: Guidance for clinical health care workers – protection against infection with blood-borne viruses http://www.dh.gov.uk/PublicationsAndStatistics/LettersAndCirculars/HealthServiceCirculars/HealthServiceCircularsArticle/fs/en?CONTENT_ID=4003818&chk=NzClJx
4. HIV Infected Health Care Workers: guidance on management and patient notification. Department of Health http://www.dh.gov.uk/PublicationsAndStatistics/Publications/PublicationsPolicyAndGuidance/PublicationsPolicyAndGuidanceArticle/fs/en?CONTENT_ID=4116415&chk=grcFbM
5. Health Clearance for Serious Communicable Diseases new health care workers draft guidance for consultation Department of health (2003) http://www.dh.gov.uk/PublicationsAndStatistics/Publications/PublicationsPolicyAndGuidance/PublicationsPolicyAndGuidanceArticle/fs/en?CONTENT_ID=4009668&chk=rvQlg1
6. HIV Post Exposure Prophylaxis: Guidance from the United Kingdom Chief Medical Officers’ Expert Group on AIDS http://www.dh.gov.uk/PublicationsAndStatistics/Publications/PublicationsPolicyAndGuidance/PublicationsPolicyAndGuidanceArticle/fs/en?CONTENT_ID=4083638&chk=qtPweH
7. Hepatitis C key documents http://www.dh.gov.uk/PolicyAndGuidance/HealthAndSocialCareTopics/HepatitisC/HepatitisCGeneralInformation/fs/en
HIV key documents http://www.dh.gov.uk/PolicyAndGuidance/HealthAndSocialCareTopics/HIV/HIVGeneralInformation/fs/en


8. Keywords
hepatitis B post exposure prophylaxis immunisation exposure incident



Reviewer's Details:

Name:Sue Wiseman
Post:Nurse Consultant –Infection Control, DH
Affiliations
(Society / Organisation / Advisory Committee):
Member Advisory Committee on Dangerous Pathogens
Health Protection Adviser Royal College of Nursing P/T
Member Infection Control Nurses Association


*** Note: These are the views of a professional expert rather than an official statement from his or her society, organisation or advisory committee.






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