Most infectious diseases can be transmitted by needlestick injury but the main concerns are Hepatitis B, Hepatitis C and HIV infection. Encourage bleeding at the injury site and wash it-with either 70% alcohol, antiseptic handwash or soap and water. Do not scrub the injury.
Send the nurse or receptionist to ask the patient to return to the surgery as a matter of urgency. The patient should be informed of the occurrence and consent for blood test must be taken.It is important to treat the situation with confidentiality and discretion.Most patients are happy to cooperate.
The most urgent priority is to assess whether there is a significant risk of transmission of HIV infection. Post exposure Prophylaxis with Antiretroviral drugs can significantly reduce the chance of transmission of HIV, but for maximum effectiveness it is recommended that it is administered within 1 hour. The incident should also be recorded and reported to the concerned authorities.
Needlestick-type injuries do not always result from needles. Burs, broken plastic and hand instruments and other contaminated sharps all constitute a risk. You should:-