![]() Advantages of follow-up testing include: (1) reassurance for exposed persons who need additional confirmation (2) documentation of the lack of transmission to confer liability protection and (3) conformity with local regulations (e.g., state, hospital, or practice protocols/guidelines). In the absence of clear federal guidelines on follow-up HBV and HCV testing following non-bloody saliva exposures, the PEPline recommendation, above, has taken many factors into consideration. They emphasize that certain non-bloody fluids, including saliva, are unlikely to transmit those viruses (various terms are used in the different guidelines), but do not make specific recommendations regarding follow-up testing. The federal guidelines on HBV and HCV are not as clear. * Federal guidelines consistently emphasize that non-bloody saliva does not carry risk for transmitting HIV, stating that non-bloody saliva is not considered infectious for HIV. The PEPline does not recommend routine HIV, HBV or HCV surveillance testing following exposure or possible exposure to non-bloody saliva.* The risks of HBV and HCV transmission from non-bloody saliva are considered to be negligible. Note that saliva, vomitus, urine, feces, sweat, tears and respiratory secretions do not transmit HIV (unless visibly bloody).Infectious body fluid: Blood, semen, vaginal fluid, amniotic fluid, breast milk, cerebrospinal fluid, pericardial fluid, peritoneal fluid, pleural fluid and synovial fluid can transmit HIV, HBV and HCV.What is considered to be a potential exposure to HIV, HBV or HCV?įor transmission of blood borne pathogens (HIV, HBV and HCV) to occur, an exposure must include both of the following: ![]() Irrigate eyes with clean water, saline, or sterile irrigants.Flush splashes to the nose, mouth, or skin with water.Lightly wash needlestick/cut exposed area with soap and water. ![]()
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