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Postexposure interventions to prevent infection with HBV, HCV, or HIV, and Tetanus in people wounded during bombings and other mass casualty events - United States, 2008 recommendations of the Centers for Disease Control and Prevention and Disaster Medicine and Public Health Preparedness.

Authors
Chapman-LE; Sullivent-EE; Grohskopf-LA; Beltrami-EM; Perz-JF; Kretsinger-K; Panlilio-AL; Thompson-ND; Ehrenberg-RL; Gensheimer-KF; Duchin-JS; Kilmarx-PH; Hunt-RC
Source
Disaster Med Public Health Prep 2008 Oct; 2(3):150-165
NIOSHTIC No.
20035016
Abstract
People wounded during bombings or other events resulting in mass casualties or in conjunction with the resulting emergency response may be exposed to blood, body fluids, or tissue from other injured people and thus be at risk for bloodborne infections such as hepatitis B virus, hepatitis C virus, human immunodeficiency virus, or tetanus. This report adapts existing general recommendations on the use of immunization and postexposure prophylaxis for tetanus and for occupational and nonoccupational exposures to bloodborne pathogens to the specific situation of a mass casualty event. Decisions regarding the implementation of prophylaxis are complex, and drawing parallels from existing guidelines is difficult. For any prophylactic intervention to be implemented effectively, guidance must be simple, straightforward, and logistically undemanding. Critical review during development of this guidance was provided by representatives of the National Association of County and City Health Officials, the Council of State and Territorial Epidemiologists, and representatives of the acute injury care, trauma, and emergency response medical communities participating in the Centers for Disease Control and Prevention's Terrorism Injuries: Information, Dissemination and Exchange project. The recommendations contained in this report represent the consensus of US federal public health officials and reflect the experience and input of public health officials at all levels of government and the acute injury response community.
Keywords
Emergency-response; Emergency-treatment; Infection-control; Infectious-diseases; Hepatitis; HIV; Humans; Preventive-medicine; Public-health; Bloodborne-pathogens; Body-fluids; Prophylaxis; Vaccines; Viral-diseases; Viral-infections
Contact
Louisa Chapman, MD, National Center for Immunizations and Respiratory Diseases, CDC, Mailstop D-68, 1600 Clifton Road, N.E., Atlanta, GA 30333
Publication Date
20081001
Document Type
Journal Article; Academic/Scholarly
Email Address
LChapman@cdc.gov
Fiscal Year
2009
NTIS Accession No.
NTIS Price
Issue of Publication
3
ISSN
1935-7893
NIOSH Division
EPRO
Source Name
Disaster Medicine and Public Health Preparedness
State
DC; GA; ME; WA
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