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Post-exposure prophylaxis in resource-poor settings: review and recommendations for pre-departure risk assessment and planning for expatriate healthcare workers.
Trop Med Int Health. 2013 May; 18(5):588-95.TM

Abstract

It is estimated that more than 3 million healthcare workers worldwide suffer needlestick and splash injuries whilst at work resulting in the potential transmission of blood-borne pathogens via exposure to bodily fluids. Under-reporting and the subsequent management of occupational injuries is a problem both in the United Kingdom and abroad. Many expatriate health care workers will work in low resource settings where the risk of transmission is greatest but in contrast to wealthier countries such as the United Kingdom, there is often a lack of effective systems for its safe management. This article provides important information about this risk and how to minimise it. The reasons for an increased risk in transmission, its subsequent management and pre-departure planning are discussed, together with the evidence for initiation of post-exposure prophylaxis; current National and International guidelines as well as the urgent need for International standardisation of these is also discussed.

Authors+Show Affiliations

Department of Acute Medicine, The Royal London Hospital, London, UK.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

23461554

Citation

Vaid, Nidhi, et al. "Post-exposure Prophylaxis in Resource-poor Settings: Review and Recommendations for Pre-departure Risk Assessment and Planning for Expatriate Healthcare Workers." Tropical Medicine & International Health : TM & IH, vol. 18, no. 5, 2013, pp. 588-95.
Vaid N, Langan KM, Maude RJ. Post-exposure prophylaxis in resource-poor settings: review and recommendations for pre-departure risk assessment and planning for expatriate healthcare workers. Trop Med Int Health. 2013;18(5):588-95.
Vaid, N., Langan, K. M., & Maude, R. J. (2013). Post-exposure prophylaxis in resource-poor settings: review and recommendations for pre-departure risk assessment and planning for expatriate healthcare workers. Tropical Medicine & International Health : TM & IH, 18(5), 588-95. https://doi.org/10.1111/tmi.12080
Vaid N, Langan KM, Maude RJ. Post-exposure Prophylaxis in Resource-poor Settings: Review and Recommendations for Pre-departure Risk Assessment and Planning for Expatriate Healthcare Workers. Trop Med Int Health. 2013;18(5):588-95. PubMed PMID: 23461554.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Post-exposure prophylaxis in resource-poor settings: review and recommendations for pre-departure risk assessment and planning for expatriate healthcare workers. AU - Vaid,Nidhi, AU - Langan,Katherine M, AU - Maude,Richard J, Y1 - 2013/03/06/ PY - 2013/3/7/entrez PY - 2013/3/7/pubmed PY - 2013/6/14/medline SP - 588 EP - 95 JF - Tropical medicine & international health : TM & IH JO - Trop. Med. Int. Health VL - 18 IS - 5 N2 - It is estimated that more than 3 million healthcare workers worldwide suffer needlestick and splash injuries whilst at work resulting in the potential transmission of blood-borne pathogens via exposure to bodily fluids. Under-reporting and the subsequent management of occupational injuries is a problem both in the United Kingdom and abroad. Many expatriate health care workers will work in low resource settings where the risk of transmission is greatest but in contrast to wealthier countries such as the United Kingdom, there is often a lack of effective systems for its safe management. This article provides important information about this risk and how to minimise it. The reasons for an increased risk in transmission, its subsequent management and pre-departure planning are discussed, together with the evidence for initiation of post-exposure prophylaxis; current National and International guidelines as well as the urgent need for International standardisation of these is also discussed. SN - 1365-3156 UR - https://www.unboundmedicine.com/medline/citation/23461554/full_citation L2 - https://doi.org/10.1111/tmi.12080 DB - PRIME DP - Unbound Medicine ER -