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Needle-stick Guideline Workup

  • Author: Brenda Cosens, RN; Chief Editor: Rick Kulkarni, MD  more...
Updated: May 11, 2014

Laboratory Studies

See the list below:

  • Source patient (if available)
    • HIV
    • Hepatitis B antigen
    • Hepatitis C antibody
    • Aspartate aminotransferase/alanine aminotransferase (AST/ALT) and alkaline phosphatase levels
  • Victim/health care worker
    • Hepatitis B surface antibody
    • HIV
    • Hepatitis C antibody testing at 2 weeks, 4 weeks, and 8 weeks
  • Prior to initiating retrovirals
    • Pregnancy test (stat)
    • CBC count with differential and platelets
    • Serum creatinine/BUN levels
    • Urinalysis with microscopic analysis
    • AST/ALT levels
    • Alkaline phosphatase level
    • Total bilirubin level
Contributor Information and Disclosures

Brenda Cosens, RN Branch Director, Encompass Home Health

Disclosure: Nothing to disclose.


Robert E Suter, DO, MHA Professor, Division of Emergency Medicine, University of Texas at Southwestern Medical School

Robert E Suter, DO, MHA is a member of the following medical societies: American College of Emergency Physicians

Disclosure: Nothing to disclose.

Specialty Editor Board

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Received salary from Medscape for employment. for: Medscape.

Eric L Weiss, MD, DTM&H Medical Director, Office of Service Continuity and Disaster Planning, Fellowship Director, Stanford University Medical Center Disaster Medicine Fellowship, Chairman, SUMC and LPCH Bioterrorism and Emergency Preparedness Task Force, Clinical Associate Professor, Department of Surgery (Emergency Medicine), Stanford University Medical Center

Eric L Weiss, MD, DTM&H is a member of the following medical societies: American College of Emergency Physicians, American College of Occupational and Environmental Medicine, American Medical Association, American Society of Tropical Medicine and Hygiene, Physicians for Social Responsibility, Southeastern Surgical Congress, Southern Oncology Association of Practices, Southern Clinical Neurological Society, Wilderness Medical Society

Disclosure: Nothing to disclose.

Chief Editor

Rick Kulkarni, MD Attending Physician, Department of Emergency Medicine, Cambridge Health Alliance, Division of Emergency Medicine, Harvard Medical School

Rick Kulkarni, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Emergency Medicine, American College of Emergency Physicians, American Medical Association, American Medical Informatics Association, Phi Beta Kappa, Society for Academic Emergency Medicine

Disclosure: Received salary from WebMD for employment.

Additional Contributors

William G Gossman, MD, FAAEM Associate Clinical Professor of Emergency Medicine, Creighton University School of Medicine; Chairman, Department of Emergency Medicine, Creighton University Medical Center

William G Gossman, MD, FAAEM is a member of the following medical societies: American Academy of Emergency Medicine

Disclosure: Nothing to disclose.

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