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- W2558821836 abstract "DR REYNOLDS: Dr J is an intern in internal medicine at a large academic residency program. At 2 AM on a call night in the cardiac intensive care unit (CCU), a 70-year-old patient was brought to the unit after having experienced an out-ofhospital cardiac arrest due to ventricular fibrillation. The patient’s medical history was not known; he lives with his sister, who reported that he had not seen a physician in approximately 40 years. Dr J was involved in resuscitation efforts in the CCU along with several other clinicians. While attempting to place a central line and sewing with a curved needle holder, Dr J had a needlestick. The needle was a solid-bore needle; the stick did not draw blood. After handing over the procedure to another team member, Dr J scrubbed and rinsed the site of injury. His supervising resident directed him to go to the emergency department (ED) to be seen under the hospital’s needlestick protocol. In the ED, a nurse trained in the protocol spoke to an infectious disease fellow by telephone and then saw Dr J. She assessed his vaccination history and drew baseline blood work for hepatitis B virus (HBV), hepatitis C virus (HCV), and human immunodeficiency virus (HIV) antibodies. The nurse told Dr J to take lamivudine/zidovudine combination tablets and gave him his first dose in the ED approximately 2 hours after the needlestick. Dr J’s blood was drawn for serologic testing." @default.
- W2558821836 created "2016-12-08" @default.
- W2558821836 creator A5002184999 @default.
- W2558821836 date "2012-01-01" @default.
- W2558821836 modified "2023-09-27" @default.
- W2558821836 title "Management of Needlestick Injuries" @default.
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