Addendum to HSG (93)40: Protecting healthcare workers and patients from hepatitis B. Letter EL (96) 77. Department of Health (1996) | National Resource for Infection Control (NRIC)

Addendum to HSG (93)40: Protecting healthcare workers and patients from hepatitis B. Letter EL (96) 77. Department of Health (1996)

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Abstract: 
This addendum to Health Service Guidance (93)40: Protecting healthcare workers and patients from hepatitis B contains further advice on implementing the guidance and the main points covered by the addendum are: - 1.Target dates for immunisation and testing of healthcare workers who perform exposure prone procedures set out in HSG (93)40 having passed recommendations are set out where this has not been complied with. 2.Security of establishing immunity/infectivity when blood samples are taken and recommendations on who and where this should be undertaken 3.Treatment with alpha interferon and successful treatment criteria The recommendations in HSG(93)40 that carriers of HBV who are known to be e-antigen positive must not carry out procedures where there is a risk that injury to themselves will result in their blood contaminating a patient’s open tissues remain unchanged See also HSC 2000/020: Hepatitis B infected health workershttp://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/Healthservicecirculars/DH_4004553 This circular supplements previous guidance on hepatitis B infected health care workers, and aims to reduce further the risk of transmission of infection to patients. The circular recommends carrying out additional testing of hepatitis B infected care workers who are e-antigen (HBeAg) negative and perform exposure prone procedures, and restricting the working practices of those with higher viral loads. Previous guidance on hepatitis B infected health care workers who are e-antigen positive still applies (Health Service Guidelines HSG (93)40: Protecting health care workers and patients from hepatitis B - 18 August 1993, and its Addendum issued under cover of EL(96)77 - 26 September 1996). 23 June 2000
Authors: 
Department of Health
Category: 
Control
Management
Prevention