A peer-reviewed journal that offers evidence-based clinical information and continuing education for dentists.

Are You Prepared for the Unexpected When It Comes to Occupational Exposures?

Knowing how to respond to an occupational exposure to HIV, hepatitis B, or hepatitis C can protect your health, reduce anxiety, and ensure timely, evidence-based care.

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Which bloodborne pathogen poses the greatest risk of occupational transmission in the dental setting?

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HBV is significantly more infectious than HIV or HCV and can survive on environmental surfaces for more than 7 days. Because of its high transmissibility, vaccination and confirmation of immunity are essential for all oral health professionals. Approximately 5% of vaccinated individuals do not develop immunity and should know their post-exposure management plan.

What should be the first action after sustaining a needlestick or sharps injury?

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Immediate wound cleansing with soap and water is the United States Centers for Disease Control and Prevention recommended first step following a needlestick or laceration. Bleach and other caustic agents should never be used. The exposure should then be reported promptly so that appropriate medical evaluation and post-exposure prophylaxis can begin if indicated.

Why should dentists and dental hygienists avoid selecting their own HIV post-exposure prophylaxis (PEP) regimen?

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HIV post-exposure prophylaxis typically consists of three antiretroviral medications selected based on multiple clinical factors, including drug resistance, kidney function, medication interactions, and the patient’s medical history when available. For this reason, treatment decisions should be made by an infectious disease specialist or another clinician experienced in prescribing HIV medications.

Are You Prepared for the Unexpected When It Comes to Occupational Exposures?
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