When should hepatitis B treatment start?
Treatment is generally indicated in chronic hepatitis B patients with HBV DNA >2000 IU/mL, elevated ALT and/or at least moderate histological lesions, while all patients with cirrhosis and detectable HBV DNA should be treated.
What is the post exposure management for HBV?
Post-exposure prophylaxis (PEP) is treatment that can be used after possible exposure to the hepatitis B virus through sex, drug injecting equipment or injury such as needle stick injury. PEP is given to decrease the risk of infection with the hepatitis B virus.
Can hepatitis B vaccine be given after exposure?
Can hepatitis B vaccine be given after exposure to HBV? Yes. After a person has been exposed to HBV, appropriate prophylaxis, given as soon as possible but preferably within 24 hours, can effectively prevent infection.
What are the CDC recommendations for treatment immediately following an exposure?
Postexposure treatment should begin as soon as possible after exposure, prefer- ably within 24 hours, and no later than 7 days. Treatment should be started as soon as possible, preferably within hours as opposed to days, after the exposure.
What are the steps in post exposure follow up?
The post-exposure follow-up must include counseling the worker about the possible implications of the exposure and his or her infection status, including the results and interpretation of all tests and how to protect personal contacts.
What is the first step in post exposure prophylaxis management?
PEP Step 1: Treat Exposure Site ® Use soap and water to wash areas exposed to potentially infectious fluids as soon as possible after exposure. ® Flush exposed mucous membranes with water. ® Flush exposed eyes with water or saline solution.
When do you give Hep B immunoglobulin?
These should both be given on the day of birth, at the same time but in separate thighs. The dose of HBIG is 100 IU given by intramuscular injection. Infants should receive HBIG immediately after birth — preferably within 12 hours of birth and certainly within 48 hours.
What should you do if you are exposed to hepatitis?
If you think you have been exposed to the hepatitis A virus, call your health professional or your local or state health department as soon as possible, ideally within 2 weeks. A health professional can decide next steps based on your age and overall health.
What timely post-exposure is to be followed if a worker is exposed to HBV?
Currently, for employees who have not received the HBV vaccine series, HBV vaccine (and in some circumstances hepatitis B immune globulin) is to be offered as soon as possible after the exposure incident, but no more than seven days after the incident.
Who handles post-exposure management?
Health care professionals caring for exposed health care workers can call the National Clinicians' Post-exposure Prophylaxis Hotline (PEPline) for advice on managing occupational exposures to HIV and hepatitis B and C viruses. PEPline is available 24 hours a day, 7 days a week, at 1-888-448-4911.
What do you do first when a blood exposure incident occurs quizlet?
What is usually the first action in the event of an exposure incident? The person to notify in the event of an exposure incident is always the direct supervisor. Employees exposed to blood or OPIM are asked to consider several things when deciding to take post-exposure preventative medications.