Clinical Evaluation and Baseline Testing of Exposed HCW's
Exposed HCW's should be evaluated for susceptibility to blood borne pathogen infections. Baseline testing (i.e., testing to establish serostatus at the time of exposure) for HIV anti body should be performed. If the source person is seronegative for HIV, baseline testing or further follow-up of the HCW normally is not necessary. If the source person has recently engaged in behaviors that are associated with a risk for HIV transmission, baseline and follow-up HIV-antibody testing (e.g., 3 and/or 6 months postexposure) of the HCW should be considered. Serologic testing should be made available to all HCW's who are concerned that they may have been exposed to HIV. For purposes of considering HIV PEP, the evaluation also should include information about medications the HCW may be taking and any current or underlying medical conditions or circumstances (i.e., pregnancy, breast feeding, or renal or hepatic disease) that may influence drug selection. Pregnancy testing should be offered to all nonpregnant women of child bearing age whose pregnancy status is unknown.