HIV ~ Occupational Exposure

Occupational Exposure to HIV
Health care workers whose activities involve contact with HIV infected patients or contact with blood or fluid from such patients, are at risk of getting infected with HIV virus.
Post Exposure Prophylaxsis ( PEP ) : The rationale for treating occupational HIV exposures is that antiretroviral treatment immediately after exposure to HIV may abort infection by inhibiting local HIV replication. This would allow the host’s immune defences to eradicate the virus inoculum.

The transmission of HIV infection through occupational exposure is very rare. The risk of infection percutaneous i.e through skin is 0.3%. The risk of infection after mucous membrane exposure or exposure through broken skin is much less – 0.09%

Most of the cases of occupational exposures are those with needle stick injuries. A few have been with other sharp objects such as scalpels and broken glass. A significant number of percutaneous and other blood exposures occur during surgical procedures.

Body fluids which have the potential of transmiting infection are semen, vaginal secretions, and fluids with visible blood. Exposure to saliva, tears, sweat and non bloody urine or faeces does not entail a risk of infection.

Some protective measures :

  • Use of two pairs of gloves by the surgeons.
  • Use of barriers such as face shields, impervious gowns, amd impervious shoe covers.

Treatment of Occupational Exposure to HIV

Immediate measures

To use soap and water to wash any wound or skin that came into contact with suspected blood or fluid. Flush exposed mucous membrane with water. Do not apply caustic agents like bleach. Not to inject any antiseptic agents into the wound.

Post Exposure Prophylaxsis (PEP)

Only one agent Zidovudine is known to prevent the transmission of HIV in humans.However combination drugs are recommended. PEP is most effective if startd immediately. It should be initiated within 1-2 hours.

PEP regimens : for 28 days
Zidovudine 300 mg bd. +
Lamivudine 150 mg bd
If Exposure involved a high risk of transmission Indinavir 800 mg qid or Nelfinavir 750 mg tid should also be added.

Those with possible exposure should undergo followup HIV antibody testing at 6 weeks, 12 weeks and at 6 months.

HIV ~ Human Immunodeficiency Virus

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About Manbir & Gurpreet

Gurpreet Kaur’s journey in this world .... Gurpreet Kaur was a Musician. She was a singer and a composer of music. Her interest was composing and singing Gurbani Shabads in Indian Classical style. She sang Shabads in All the Raags mentioned in Sri Guru Granth Sahib Ji. She also taught Gurmat Sangeet at Gurmat Gian Missionary College, Jawadi, Ludhiana. Elder child to Pushpinder Kaur and Dr. Brig. Harminder Singh, was born in Amritsar on 13th Jan 1962. She attended various convent schools as a child because her father would get frequent Army postings as a dental surgeon. She graduated with Music Honors from Govt. College for Women, Chandigarh. Music was her hobby and she composed and sang Raag based Gurbani Shabads. Doing Kirtan was part of growing up nurtured by her parents. She learned music from her father Dr. Brigadier Harminder Singh who was a dental surgeon in Indian Army and a very good singer himself. Gurpreet’s Bhua (father’s sister), Ajit Kaur retied as a Head of Department of Music from Govt. College for Women Ludhiana, and was a renounced Punjabi singer of her time. Gurpreet Kaur also learned nuances of Indian Classical Music from Pandita Sharma. She was a mother of three children, and a grandmother. Her daughter Keerat Kaur is a Computer Engineer. Her two sons Gurkeerat Singh and Jaskeerat Singh are doctors in USA. Her daughter Keerat Kaur too was part of her group ~ Gurmat Gian Group. Gurpreet Kaur left this world at the age of 54yrs on 12th Sept 2016 in Baltimore USA. She had recorded around 25 cds of Gurbani Keertan. 'Raag Ratan' Album (6 CDs) is a Compilation of Shabads in All the 31 Sudh Raags of Sri Guru Granth Sahib Ji. 'Gauri Sagar' Album (3 CDs) is a Compilation of All forms of Raag Gauri in Sri Guru Granth Sahib Ji. 'Nanak Ki Malhaar' ~ ((3 CDs) is an album of Raag Malhar Shabads in various forms of Malhar. 'Gur Parsaad Basant Bana' ~ (3 CDs) is an album of Shabads in Raag Basant sung in various forms of Raag Basant. Har Ki Vadeyai Sarni Aayea Sewa Priya Kee Preet Piyaree Mohan Ghar Aavho Karo Jodariya Mo Kao Taar Le Raama Taar Le Tere Kavan Kavan Gun Keh Keh Gawan Mera Baid Guru Govinda Saajanrraa Mera Saajanrraa

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