Online Safety Community

A blood-borne pathogen, as the term suggests, is a disease or infection-producing agent that can be acquired through exposure to blood and other body fluids containing blood. BBPs are transmitted from one individual to another when blood or body fluids from the infected individual enter the body of a previously uninfected individual.

Significant exposure involves a route of entry into the body:

* sexual transmission through the mucous membranes of the genital tract,
* splashes to the mucous membranes of the eyes (conjunctiva), nasal passages or mouth,
* contamination or exposure of broken or damaged skin (broken, abraded, chapped, cuts, wounds, scratches, breaks around nail-beds, eczema, psoriasis, dermatitis, etc.)
* percutaneous (across the skin barrier) transmission with a contaminated sharp (sharing of intravenous drug paraphernalia, sharps injury with a contaminated device)

There are a number of different infectious agents that can be transmitted through blood and body fluids containing blood including the human immunodeficiency virus (HIV), hepatitis B (HBV) and C (HCV) viruses, Treponema pallidum, malarial plasmodia, Trypanosoma cruzi and others. The three most common blood-borne infections in North America are HBV, followed by HCV, then HIV.

The specific body fluids capable of transmitting BBPs include:

* blood, serum, plasma and all biologic fluids visibly contaminated with blood
* tissues
* pleural, amniotic, pericardial, peritoneal, synovial and cerebrospinal fluids (CSF)
* cervical/vaginal secretions or semen (HCV)
* saliva contamination in a bite wound

Infection occurs when the pathogen contained in the body fluid multiplies and causes disease. Exposure does not necessarily result in transmission, and transmission does not necessarily result in infection.

A number of factors affect the risk of transmission and infection following exposure:

* Type of fluid exposure – blood poses a greater risk than saliva, for example
* Volume of fluid – a hollow bore needle such as one that is used for venipuncture contains more blood on average than a suture needle or lancet
* Probability of exposure – dependent on type of risk behaviour and work performed
* Specific pathogen involved – on average, HBV infection is associated with greater numbers of viral particles in the patient’s blood and tissues at any one time than HCV or HIV
* Route of exposure – percutaneous exposure results in greater risk of infection than exposure through mucous membranes or non-intact skin
* Disease progression – viral particles may be found in much greater numbers in patients whose disease has progressed
* Virus concentration in fluid or tissue (viral load)

Blood is the single most important source of HIV, HBV, and other BBPs in the occupational setting; therefore, transmission is most likely to occur in workers involved in rescue or patient care activities, or during other interactions where workers are directly exposed to infected blood. Occupational transmission of HIV, HBV and HCV in health care and public service settings is most commonly associated with injuries involving needles or other sharp instruments. Most HCW BBP exposures occur due to percutaneous sharps injury.

Health care workers (HCW) who handle blood and body fluids are at increased risk of infection with HBV, HCV and HIV – those most at risk include phlebotomists, nurses, clinical laboratory workers, and physicians. Exposure is most commonly associated with needle-stick injury or percutaneous injury resulting from other sharp instruments (i.e. lancets, scalpel blades, suture needles, broken glass, etc.). Other HCWs at risk are surgeons (scalpels and suture needles) and dental workers, as well as housekeepers and laundry workers who are exposed due to discarded or lost needles in waste and laundry.

The WHO reports that about 3 million of the 35 million health workers worldwide experience percutaneous exposures to blood-borne pathogens each

Year (2,000,000 to HBV, 900,000 to HCV and 170,000 to HIV). Of these injuries, approximately: 70,000 result in HBV infections, 15,000 HCV infections and 1,000 HIV infections. Greater than 90% of these infections occur in developing countries.

Emergency medical service and public-safety workers are also at risk of occupational exposure to BBPs. Emergency medical technicians (EMTs), fire fighters, law officers and prison guards may be exposed during the performance of their duties. In addition to exposure risk associated with responding to trauma scenes and sharps injuries, law officers and prison guards also risk bite wounds from suspects and prisoners. HBV infected saliva has been shown to contain much lower concentrations of virus than blood; therefore, the risk of infection via a bite wound is considerably less than injection/inoculation of infected blood, plasma or serum.

In the U.S., the Occupational Safety and Health Administration (OSHA) estimates that more than 5.6 million workers in health care and related occupations are at risk of occupational exposure to BBPs, including HIV, HBV, HCV, and other potentially infectious agents. Approximately 800,000 needle-stick injuries are reported in U.S. hospitals annually – one injury every 10 seconds. However, the number of occupational exposures is likely much higher than this. In Canada, Health Canada suggests that as many as 50% of injuries go unreported in both health-care and public safety settings.

Worldwide, unsafe injections are estimated to account for 30% of HBV infection, 31% of HCV infection, and 5% of HIV infections (WHO). Approximately, 500,000 deaths result each year from unsafe injection practices in medical settings. Reuse of syringes and needles in the absence of adequate sterilization exposes millions of people to infection – in some countries reuse of injection equipment is estimated at approximately 70%. Syringes and needles are often just rinsed in a pot of tepid (luke-warm) water between injections.

Disposal of dirty injection equipment also results in significant HCW exposure, and in some countries unsafe disposal of used equipment may lead to re-sale on the black market.

BBP infections are preventable in many cases. Prevention strategies include training of health care workers, HBV immunization, post-exposure prophylaxis and improved waste management.

Views: 28

Take our poll!

Take our poll!

Latest Activity

Mark Nilson posted events
1 hour ago
Russel Stuart posted a blog post

Bullying at the Workplace Has to be Countered Holistically

Bullying at the workplace is a serious issue that can have major consequences for employees and the organization. HR has to nip it in the bud before it spirals out of control.Very quickly, bullying includes all or any of these:Swearing at other employeesHarassingHumiliatingThreateningAbusingInterfering in another colleague’s work,Intimidating, and the like.Bullying at the workplace, like violence, is a fact of life. At differing levels, it is prevalent almost globally. Having said this, it is…See More
17 hours ago
Training Doyens posted events
18 hours ago
Nakul Pratap posted blog posts
19 hours ago

Discussion Forum

How Workplace Safety Applies To Every Business 1 Reply

Any good business knows how to make money. But any good employer knows the important role employees play in their business. They perfectly understand that one of their top priorities is keeping their…Continue

Tags: online, compliance, employee, safety, training

Started by Safety Training International. Last reply by Jen McDade Aug 22.

Campus Safety For Students

In today’s campus environment students face a variety of risks. In 2015, there were over 5,000 reported rapes, 2,500 aggravated assaults and 30 murders on college campuses across the US.We need…Continue

Tags: IoT, safety, campus

Started by Jen McDade Aug 9.

Campus Safety For Students

In today’s campus environment students face a variety of risks. In 2015, there were over 5,000 reported rapes, 2,500 aggravated assaults and 30 murders on college campuses across the US.We need…Continue

Tags: IoT, safety, campus

Started by Jen McDade Aug 9.

Swine flu may make a comeback when children head back to school. 2 Replies

Experts say that the H1N1 virus, also known as swine flu, could make a comeback when kids head back to school, leaving parents to worry about their children’s health. In light of these mounting…Continue

Tags: daycare, education, kids, children, parents

Started by SafetySkills. Last reply by Paul Spresser Mar 18, 2010.

Success Is For Those Who Never Stop Learning

Today lifelong learning opportunities are plentiful and instructors well-versed in space age information delivery. Still, millions fail to take advantage. They need constant reminders of the pot of…Continue

Tags: PPE, Safety, Training, workplace, osha

Started by Safety Training International Feb 2, 2009.



© 2018   Created by Safety Community.   Powered by

Badges  |  Report an Issue  |  Terms of Service