Transcript Staff Health Care Infectious Disease view

Staff Health Care
Infectious Disease view
Jameel Adnan, MD.
Community & Primary Health
Care
KAAU-RABEG BRANCH
What do you look for?
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Reduces the risk to health care consumer of
acquiring an infection
Reduces the risk to health care provider of
acquiring an infection
What are we at risk of?
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Hepatitis B and C
HIV
TB
Chicken Pox
Measles
Influenza
Meningococcal disease
Hemorrhagic fever
Blood-borne pathogens
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Vaccine preventable
Practice preventable
Pre-employment evaluation
Vaccination
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Not immunized
Immunized but no documented response
Immunized with documented response
Partially immunized
Cont…blood-borne pathogens
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Post-exposure prophylaxis
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Status of the exposed
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Unvaccinated
Known responder
Known non-responder
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Not revaccinated
Revaccinated
Unknown antibody response
Cont…blood-borne pathogen
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What about the source
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HBsAg positive
HBsAg negative
Unknown source
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High risk
Low risk
Pulmonary Tuberculosis
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1.6 billion are infected with M. tuberculosis
15 million have clinical disease
9 million diagnosis each year
2 million TB related deaths
After good decline late in the 70’s and early
80’s; the surge came back late in the 80’s
and the early 90’s
Cont…Pulmonary
Tuberculosis
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25 – 49 case/100,000 population
Pre-employment screening (look for risks of
exposure)
Pre-employment and on-employment
measures
Follow up
Risks for exposure
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High risk of exposure
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Close contacts
Borne at prevalent area
Living in prevalent area
Ethnic minority
Children of high risks
IDU
HCW who serve high risks
Cont…Pulmonary
Tuberculosis
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Post-exposure prophylaxis
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Mode of transmission
Factors for transmission
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Proximity
Contact time
Work restrictions
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Adequate therapy is being received
The cough has resolved
Sputum is negative for AFB x3
Cont…Pulmonary
Tuberculosis
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BCG vaccination
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It is not a primary preventive strategy among
HCW
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Effectiveness
Still consider when;
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High risk of exposure
Strong likelihood of transmission of MDR
Despite implementation of precaution failure of
prevention is recorded
Chicken Pox
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Pre-employment screening
Post-exposure management
Measles
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Pre-employment screening
Post-exposure prophylaxis
Respiratory and contact borne
pathogens
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Influenza
Meningococcal disease
Hemorrhagic fever
THANK YOU