Body Fluid Exposures Differential Diagnoses

1. Lohiya GS, Tan-Figueroa L, Lohiya S, Lohiya S. Human bites: bloodborne pathogen risk and postexposure follow-up algorithm. J Natl Med Assoc. 2013 Spring. 105(1):92-5. [QxMD MEDLINE Link].

2. [Guideline] PEP Quick Guide for Occupational Exposures. The National Clinician Consultation Center. June 18, 2021. [Full Text].

3. Henderson DK. Management of needlestick injuries: a house officer who has a needlestick. JAMA. 2012 Jan 4. 307(1):75-84. [QxMD MEDLINE Link].

4. Paz-Bailey G, Rosenberg ES, Sharp TM. Persistence of Zika Virus in Body Fluids - Final Report. N Engl J Med. 2019 Jan 10. 380 (2):198-199. [QxMD MEDLINE Link].

5. Gooch CM, Wadhwa R. Body Fluid Exposures. 2022 Jan. [QxMD MEDLINE Link]. [Full Text].

6. West CP, Tan AD, Shanafelt TD. Association of resident fatigue and distress with occupational blood and body fluid exposures and motor vehicle incidents. Mayo Clin Proc. 2012 Dec. 87(12):1138-44. [QxMD MEDLINE Link]. [Full Text].

7. Farsi D, Zare MA, Hassani SA, Abbasi S, Emaminaini A, Hafezimoghadam P, et al. Prevalence of occupational exposure to blood and body secretions and its related effective factors among health care workers of three Emergency Departments in Tehran. J Res Med Sci. 2012 Jul. 17(7):656-61. [QxMD MEDLINE Link]. [Full Text].

8. Chaiwarith R, Ngamsrikam T, Fupinwong S, Sirisanthana T. Occupational exposure to blood and body fluids among healthcare workers in a teaching hospital: an experience from northern Thailand. Jpn J Infect Dis. 2013. 66(2):121-5. [QxMD MEDLINE Link].

9. Blood/Body Fluid Exposure Option. Center for Disease Control and Prevention. 01/01/2013. [Full Text].

10. Liang SY, Theodoro DL, Schuur JD, Marschall J. Infection prevention in the emergency department. Ann Emerg Med. 2014 Sep. 64 (3):299-313. [QxMD MEDLINE Link].

11. [Guideline] New York State Department of Health AIDS Institute. Recommendations for HIV Postexposure Prophylaxis (PEP). 2008. Available at http://www.hivguidelines.org.

12. [Guideline] Panlilio AL, Cardo DM, Grohskopf LA, Heneine W, Ross CS. Updated U.S. Public Health Service guidelines for the management of occupational exposures to HIV and recommendations for postexposure prophylaxis. MMWR Recomm Rep. 2005 Sep 30. 54:1-17. [QxMD MEDLINE Link].

13. Henderson DK. Management of needlestick injuries: a house officer who has a needlestick. JAMA. 2012 Jan 4. 307 (1):75-84. [QxMD MEDLINE Link].

14. Henderson DK, Fahey BJ, Willy M, Schmitt JM, Carey K, Koziol DE. Risk for occupational transmission of human immunodeficiency virus type 1 (HIV-1) associated with clinical exposures. A prospective evaluation. Ann Intern Med. 1990 Nov 15. 113(10):740-6. [QxMD MEDLINE Link].

15. Simard EP, Miller JT, George PA, et al. Hepatitis B vaccination coverage levels among healthcare workers in the United States, 2002-2003. Infect Control Hosp Epidemiol. 2007 Jul. 28(7):783-90. [QxMD MEDLINE Link]. [Full Text].

16. Kamili S, Krawczynski K, McCaustland K, Li X, Alter MJ. Infectivity of hepatitis C virus in plasma after drying and storing at room temperature. Infect Control Hosp Epidemiol. 2007 May. 28(5):519-24. [QxMD MEDLINE Link].

17. van Tongeren M, Mee T, Whatmough P, Broad L, Maslanyj M, Allen S. Assessing occupational and domestic ELF magnetic field exposure in the uk adult brain tumour study: results of a feasibility study. Radiat Prot Dosimetry. 2004. 108(3):227-36. [QxMD MEDLINE Link]. [Full Text].

18. Myers DJ, Lipscomb HJ, Epling C, Hunt D, Richardson W, Smith-Lovin L, et al. Surgical Procedure Characteristics and Risk of Sharps-Related Blood and Body Fluid Exposure. Infect Control Hosp Epidemiol. 2016 Jan. 37 (1):80-7. [QxMD MEDLINE Link].

19. Stacey AW, Czyz CN, Kondapalli SS, Hill RH, Everman KR, Cahill KV, et al. Risk of ocular blood splatter during oculofacial plastic surgery. Ophthal Plast Reconstr Surg. 2015 May-Jun. 31 (3):182-6. [QxMD MEDLINE Link].

20. Kanamori H, Weber DJ, DiBiase LM, Pitman KL, Consoli SA, Hill J, et al. Impact of Safety-Engineered Devices on the Incidence of Occupational Blood and Body Fluid Exposures Among Healthcare Personnel in an Academic Facility, 2000-2014. Infect Control Hosp Epidemiol. 2016 May. 37 (5):497-504. [QxMD MEDLINE Link].

21. Katsevman GA, Braca JA 3rd, Sedney CL, Hatchett L. Needlestick injuries among healthcare professionals in training: using the surgical 'time-out' and hand-off protocols to deter high-risk needlesticks. J Hosp Infect. 2017 Jan. 95 (1):103-104. [QxMD MEDLINE Link].

22. Shkrum MJ, Kent J. An Autopsy Checklist: A Monitor of Safety and Risk Management. Am J Forensic Med Pathol. 2016 Sep. 37 (3):152-7. [QxMD MEDLINE Link].

23. Verbeek JH, Ijaz S, Mischke C, Ruotsalainen JH, Mäkelä E, Neuvonen K, et al. Personal protective equipment for preventing highly infectious diseases due to exposure to contaminated body fluids in healthcare staff. Cochrane Database Syst Rev. 2016 Apr 19. 4:CD011621. [QxMD MEDLINE Link].

24. Drew JL, Turner J, Mugele J, Hasty G, Duncan T, Zaiser R, et al. Beating the Spread: Developing a Simulation Analog for Contagious Body Fluids. Simul Healthc. 2016 Apr. 11 (2):100-5. [QxMD MEDLINE Link].

25. Merchant RC, Nettleton JE, Mayer KH, Becker BM. Blood or body fluid exposures and HIV postexposure prophylaxis utilization among first responders. Prehosp Emerg Care. 2009 Jan-Mar. 13(1):6-13. [QxMD MEDLINE Link].

26. P PK, C S, K S, Shenbagasree. Occupational Exposure to Blood and Body Fluids among Post-graduate Students in Tamilnadu: A Cross-sectional Study. J Assoc Physicians India. 2019 Jan. 67 (1):18-20. [QxMD MEDLINE Link].

27. [Guideline] National Institutes of health consensus development conference statement: management of hepatitis C. June 10-12, 2002. Available at http://consensus.nih.gov/2002/2002hepatitisc2002116html.htm.

28. Landovitz RJ, Currier JS. Clinical practice. Postexposure prophylaxis for HIV infection. N Engl J Med. 2009 Oct 29. 361(18):1768-75. [QxMD MEDLINE Link].

29. King KC, Strony R. Needlestick. 2019 Jan. [QxMD MEDLINE Link]. [Full Text].

30. Mallin R, Sinclair D. Needlestick injuries and potential body fluid exposure in the emergency department. CJEM. 2003 Jan. 5(1):36-7. [QxMD MEDLINE Link]. [Full Text].

31. [Guideline] Boyce JM, Pittet D. Guideline for Hand Hygiene in Health-Care Settings. Recommendations of the Healthcare Infection Control Practices Advisory Committee and the HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force. Society for Healthcare Epidemiology of America/Association for Professionals in Infection Control/Infectious Diseases Society of America. MMWR Recomm Rep. 2002 Oct 25. 51:1-45, quiz CE1-4. [QxMD MEDLINE Link].

32. Kuhar DT, Henderson DK, Struble KA, Heneine W, Thomas V, Cheever LW, et al. Updated US Public Health Service guidelines for the management of occupational exposures to human immunodeficiency virus and recommendations for postexposure prophylaxis. Infect Control Hosp Epidemiol. 2013 Sep. 34(9):875-92. [QxMD MEDLINE Link].

33. O'Donnell S, Bhate TD, Grafstein E, Lau W, Stenstrom R, Scheuermeyer FX. Missed Opportunities for HIV Prophylaxis Among Emergency Department Patients With Occupational and Nonoccupational Body Fluid Exposures. Ann Emerg Med. 2016 Sep. 68 (3):315-323.e1. [QxMD MEDLINE Link].

34. CDC Guidance for Evaluating Health-Care Personnel for Hepatitis B Virus Protection and for Administering Postexposure Management. MMWR Recomm Rep. 2013 Dec 20. 62:1-19. [QxMD MEDLINE Link].

35. Schillie S, Murphy TV, Sawyer M, Ly K, Hughes E, Jiles R, et al. CDC guidance for evaluating health-care personnel for hepatitis B virus protection and for administering postexposure management. MMWR Recomm Rep. 2013 Dec 20. 62:1-19. [QxMD MEDLINE Link].

36. Centers for Disease Control and Prevention. Hepatitis B virus: a comprehensive strategy for eliminating transmission in the United States through universal childhood vaccination. Recommendations of the Immunization Practices Advisory Committee (ACIP). MMWR Recomm Rep. 1991 Nov 22. 40:1-25. [QxMD MEDLINE Link].

37. Nguyen CT, Tran TT. Hepatitis vaccination and prophylaxis. Clin Liver Dis. 2009 May. 13(2):317-29. [QxMD MEDLINE Link].

38. Alter MJ. Occupational exposure to hepatitis C virus: a dilemma. Infect Control Hosp Epidemiol. 1994 Dec. 15(12):742-4. [QxMD MEDLINE Link].

39. [Guideline] CDC. Guidelines for prevention of transmission of human immunodeficiency virus and hepatitis B virus to health-care and public-safety workers. MMWR Morb Mortal Wkly Rep. 1989 Jun 23. 38 Suppl 6:1-37. [QxMD MEDLINE Link].

40. [Guideline] CDC. Protection against viral hepatitis. Recommendations of the Immunization Practices Advisory Committee (ACIP). MMWR Recomm Rep. 1990 Feb 9. 39:1-26. [QxMD MEDLINE Link].

41. [Guideline] CDC. Public Health Service guidelines for the management of health-care worker exposures to HIV and recommendations for postexposure prophylaxis. Centers for Disease Control and Prevention. MMWR Recomm Rep. 1998 May 15. 47:1-33. [QxMD MEDLINE Link].

42. Gerberding JL, Henderson DK. Management of occupational exposures to bloodborne pathogens: hepatitis B virus, hepatitis C virus, and human immunodeficiency virus. Clin Infect Dis. 1992 Jun. 14(6):1179-85. [QxMD MEDLINE Link].

43. Jagger J. Risky procedures, risky devices, risky job. Adv in Exposure Prev. 1994. 1:4-6.

44. Kiyosawa K, Sodeyama T, Tanaka E, et al. Hepatitis C in hospital employees with needlestick injuries. Ann Intern Med. 1991 Sep 1. 115(5):367-9. [QxMD MEDLINE Link].

45. Lanphear BP. Trends and patterns in the transmission of bloodborne pathogens to health care workers. Epidemiol Rev. 1994. 16(2):437-50. [QxMD MEDLINE Link].

46. Marcus R. Surveillance of health care workers exposed to blood from patients infected with the human immunodeficiency virus. N Engl J Med. 1988 Oct 27. 319(17):1118-23. [QxMD MEDLINE Link].

47. Mast ST, Woolwine JD, Gerberding JL. Efficacy of gloves in reducing blood volumes transferred during simulated needlestick injury. J Infect Dis. 1993 Dec. 168(6):1589-92. [QxMD MEDLINE Link].

48. Mauskopf JA, Bradley CJ, French MT. Benefit-cost analysis of hepatitis B vaccine programs for occupationally exposed workers. J Occup Med. 1991 Jun. 33(6):691-8. [QxMD MEDLINE Link].

49. Merchant RC, Becker BM, Mayer KH, Fuerch J, Schreck B. Emergency department blood or body fluid exposure evaluations and HIV postexposure prophylaxis usage. Acad Emerg Med. 2003 Dec. 10(12):1345-53. [QxMD MEDLINE Link].

50. Robert LM, Bell DM. HIV transmission in the health-care setting. Risks to health-care workers and patients. Infect Dis Clin North Am. 1994 Jun. 8(2):319-29. [QxMD MEDLINE Link].

51. Stewardson DA, Burke FJ, Elkhazindar MM, et al. The incidence of occupational exposures among students in four UK dental schools. Int Dent J. 2004 Feb. 54(1):26-32. [QxMD MEDLINE Link].

52. Vu T. Standardization of Body Surface Area Calculations. 1999. halls.md. Available at http://www.halls.md/bsa/bsaVuReport.htm.

53. Weinbaum CM, Williams I, Mast EE, et al. Recommendations for identification and public health management of persons with chronic hepatitis B virus infection. MMWR Recomm Rep. 2008 Sep 19. 57:1-20. [QxMD MEDLINE Link].

Muhammad Waseem, MBBS, MS, FAAP, FACEP, FAHA Professor of Emergency Medicine and Clinical Pediatrics, Weill Cornell Medical College; Attending Physician, Departments of Emergency Medicine and Pediatrics, Lincoln Medical and Mental Health Center; Adjunct Professor of Emergency Medicine, Adjunct Professor of Pediatrics, St George's University School of Medicine, Grenada

Muhammad Waseem, MBBS, MS, FAAP, FACEP, FAHA is a member of the following medical societies: American Academy of Pediatrics, American Academy of Urgent Care Medicine, American College of Emergency Physicians, American Heart Association, American Medical Association, Association of Clinical Research Professionals, Public Responsibility in Medicine and Research, Society for Academic Emergency Medicine, Society for Simulation in Healthcare

Disclosure: Nothing to disclose.

Joel R Gernsheimer, MD, FACEP Visiting Associate Professor, Department of Emergency Medicine, Attending Physician and Director of Geriatric Emergency Medicine, State University of New York Downstate Medical Center

Joel R Gernsheimer, MD, FACEP is a member of the following medical societies: American College of Emergency Physicians, American Geriatrics Society

Disclosure: Nothing to disclose.

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.

Jeter (Jay) Pritchard Taylor, III, MD Assistant Professor, Department of Surgery, University of South Carolina School of Medicine; Attending Physician / Clinical Instructor, Compliance Officer, Department of Emergency Medicine, Prisma Health Richland Hospital

Jeter (Jay) Pritchard Taylor, III, MD is a member of the following medical societies: American Academy of Emergency Medicine, American College of Emergency Physicians, American Medical Association, Columbia Medical Society, Society for Academic Emergency Medicine, South Carolina College of Emergency Physicians, South Carolina Medical Association

Disclosure: Serve(d) as a director, officer, partner, employee, advisor, consultant or trustee for: Employed contractor - Chief Editor for Medscape.

Samuel M Keim, MD Associate Professor, Department of Emergency Medicine, University of Arizona College of Medicine

Samuel M Keim, MD is a member of the following medical societies: American Academy of Emergency Medicine, American College of Emergency Physicians, American Medical Association, American Public Health Association, and Society for Academic Emergency Medicine

Disclosure: Nothing to disclose.

Darrell G Looney, MD, FAAEM Attending Physician, Department of Emergency Medicine, Long Island College Hospital

Darrell G Looney, MD is a member of the following medical societies: American Academy of Emergency Medicine, American College of Emergency Physicians, and National Medical Association

Disclosure: Nothing to disclose.

Nathalie Mathieu, MD Resident Physician, Department of Emergency Medicine, State University of New York Downstate Medical Center

Disclosure: Nothing to disclose.

Peter B Richman, MD Consulting Staff, Department of Emergency Medicine, Morristown Memorial Hospital

Peter B Richman, MD is a member of the following medical societies: American Academy of Emergency Medicine, Society for Academic Emergency Medicine, and Undersea and Hyperbaric Medical Society

Disclosure: Nothing to disclose.

Barry J Sheridan, DO Chief, Department of Emergency Medical Services, Brooke Army Medical Center

Barry J Sheridan, DO is a member of the following medical societies: American Academy of Emergency Medicine

Disclosure: Nothing to disclose.

Richard Dee Shih, MD Associate Professor, Department of Surgery, New Jersey Medical School, University of Medicine and Dentistry of New Jersey; Program Director, Department of Emergency Medicine, Morristown Memorial Hospital; Attending Physician, New Jersey Poison Center, Newark Beth Israel Medical Center

Richard Dee Shih, MD is a member of the following medical societies: American Academy of Clinical Toxicology, American Academy of Emergency Medicine, American College of Medical Toxicology, and Society for Academic Emergency Medicine

Disclosure: Nothing to disclose.

Mary L Windle, PharmD Adjunct Associate Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Nothing to disclose.

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