Delaware County Medicine & Health Winter 2017 - 19

Call to schedule an
appointment at one of our
convenient locations:
Crozer POB
II, Suite 324
Glen Mills
Brinton Lake 300
Evergreen Drive, Suite 200
Media
200 East State Street, Suite 108
Wilmington
St. Francis Hospital, Suite 600
North Wilmington
2004 Foulk Road, Unit 3

610-876-0347 or
302-656-2643
premierortho.com
to the vaccine. Each of these situations are treated differently.
Even non-occupational exposures are treated differently than
occupational exposures.
If the HCW is unvaccinated prior to an exposure and subsequently declines the vaccination after an exposure, reported
rates of Hepatitis B transmission from a positive source patient
could exceed 50%. In the case of an unknown antibody response for a HCW post-Hepatitis B vaccination and exposure
by a positive source, tests should be done to evaluate Hepatitis B antibodies. Should the antibody levels be inadequate,
further treatment would include HBIG and a booster. If a
known non-responder to the vaccine prior to an occupational
exposure incident involves a positive source, treatment would
include HBIG and/or revaccination.
Human Immunodeficiency Virus (HIV)
If the exposure source is known to be seronegative for HIV, no
post-exposure prophylaxis (PEP) treatment for HIV is indicated. If the exposure source status is unknown and the individual
consents to a rapid HIV-antibody test, this would also avoid
PEP treatment if a negative result is obtained. If the source individual is known to seropositive for HIV or has an unknown
HIV status (i.e. declines consent for testing), PEP should not
be delayed. Upon obtaining any additional exposure source
information, the treatment plan can be altered.

Hepatitis C Virus (HCV)
Fortunately, the risk of transmission of HCV from an occupational exposure incident involving a positive exposure source
is very low. No PEP is required. HCV Antibody testing should
be performed at 4-6 months to determine if any treatment is
necessary.
Don't Wait! Be Prepared
Due to advances in personal protective equipment and safer
needle devices, exposure incidents have thankfully declined
but there will always be a risk. Be prepared. Have an exposure
incident form ready, should you ever need one. Know your
state laws regarding consent for the source individual.
Our First Healthcare Compliance clients have the benefit of
following a checklist to be sure they have covered the necessary
steps when an exposure incident occurs, including a customizable Exposure Incident form and form letter for the examining
healthcare provider.

-------------------------------------------------------------------------Founded in 2012 in Wilmington, DE by Julie Sheppard, Esq.
1ST Healthcare Compliance is a privately-owned women business
enterprise created to address the void of healthcare compliance resources
available to help physicians and other healthcare providers in private
practice, hospital networks and health systems, healthcare billing
companies and skilled nursing facilities comply with federal rules and
regulations. Learn more at www.1sthcc.com or call 888-54-FIRST.

www.delcomedsoc.org

DELAWARE COUNTY MEDICINE & HEALTH

17


http://www.premierortho.com http://www.1sthcc.com http://www.delcomedsoc.org

Table of Contents for the Digital Edition of Delaware County Medicine & Health Winter 2017

Delaware County Medicine & Health Winter 2017 - 1
Delaware County Medicine & Health Winter 2017 - 2
Delaware County Medicine & Health Winter 2017 - 3
Delaware County Medicine & Health Winter 2017 - 4
Delaware County Medicine & Health Winter 2017 - 5
Delaware County Medicine & Health Winter 2017 - 6
Delaware County Medicine & Health Winter 2017 - 7
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Delaware County Medicine & Health Winter 2017 - 12
Delaware County Medicine & Health Winter 2017 - 13
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Delaware County Medicine & Health Winter 2017 - 15
Delaware County Medicine & Health Winter 2017 - 16
Delaware County Medicine & Health Winter 2017 - 17
Delaware County Medicine & Health Winter 2017 - 18
Delaware County Medicine & Health Winter 2017 - 19
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Delaware County Medicine & Health Winter 2017 - 21
Delaware County Medicine & Health Winter 2017 - 22
Delaware County Medicine & Health Winter 2017 - 23
Delaware County Medicine & Health Winter 2017 - 24
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https://www.nxtbook.com/hoffmann/delcomed/DelawareCountyMedicalSocietyWinter2017
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https://www.nxtbook.com/hoffmann/delcomed/DelawareCountyMedicalSociety
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