Publication: Post-exposure prophylaxis in resource-poor settings: Review and recommendations for pre-departure risk assessment and planning for expatriate healthcare workers
Issued Date
2013-05-01
Resource Type
ISSN
13653156
13602276
13602276
Other identifier(s)
2-s2.0-84876074132
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Mahidol University
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SCOPUS
Bibliographic Citation
Tropical Medicine and International Health. Vol.18, No.5 (2013), 588-595
Suggested Citation
Nidhi Vaid, Katherine M. Langan, Richard J. Maude Post-exposure prophylaxis in resource-poor settings: Review and recommendations for pre-departure risk assessment and planning for expatriate healthcare workers. Tropical Medicine and International Health. Vol.18, No.5 (2013), 588-595. doi:10.1111/tmi.12080 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/31928
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Title
Post-exposure prophylaxis in resource-poor settings: Review and recommendations for pre-departure risk assessment and planning for expatriate healthcare workers
Author(s)
Abstract
It is estimated that more than 3 million healthcare workers worldwide suffer needlestick and splash injuries whilst at work resulting in the potential transmission of blood-borne pathogens via exposure to bodily fluids. Under-reporting and the subsequent management of occupational injuries is a problem both in the United Kingdom and abroad. Many expatriate health care workers will work in low resource settings where the risk of transmission is greatest but in contrast to wealthier countries such as the United Kingdom, there is often a lack of effective systems for its safe management. This article provides important information about this risk and how to minimise it. The reasons for an increased risk in transmission, its subsequent management and pre-departure planning are discussed, together with the evidence for initiation of post-exposure prophylaxis; current National and International guidelines as well as the urgent need for International standardisation of these is also discussed. © 2013 Blackwell Publishing Ltd.