|Herpes Varicella-Zoster (Shingles) Infection
|Chickenpox Varicella Infection
|Varicella Cerebral Vasculopathy
|Herpes Zoster Ophthalmicus (HZO) Shingles
|Rubella (German Measles)
|Epstein-Barr Virus infection
| Cytomegalovirus (CMV) infections
| CMV retinitis infections
Needlestick with a needle used in a HIV+ve patients. The wound should be allowed to bleed freely. The risk of HIV infection is 1/300 if untreated. PEP reduces infection by 5 fold. Post-exposure prophylaxis (PEP) is given which involves 3 antiretrovirals for one month. Discuss with occupational health and speak to local experts and consultant local guidance. A traumatic experience and person will need more than just medical support
- If you pierce or puncture your skin with a used needle, follow this first aid advice immediately: encourage the wound to bleed, ideally by holding it under running water
- Wash the wound using running water and plenty of soap. Don't scrub the wound while you're washing it and don't suck the wound
- Dry the wound and cover it with a waterproof plaster or dressing
You should also seek urgent medical advice: go to the nearest accident and emergency (ED) department or contact your employer Occupational Health service, if you injure yourself at work
- Do not try and manage it with your colleagues or informally. Seek expert help early.
- Injuries from needles used in medical procedures are sometimes called needle-stick or sharps injuries. Sharps can include other medical supplies, such as syringes, scalpels and lancets, and glass from broken equipment.
- Once someone has used a needle, viruses in their blood such as hepatitis B, hepatitis C or HIV may contaminate it. This includes needles used to inject illegal drugs. Blood can also contaminate sharps.
- Samples of your blood may need to be tested for hepatitis B and C or HIV.
Although rare, there is also a small risk of other infections being transmitted via contaminated blood, such as cytomegalovirus (CMV) and Epstein-Barr virus
- Your healthcare professional may also arrange to test samples of the other person's blood if they give their consent.
Will I need any treatment?
- If your healthcare professional thinks you are at low risk of infection, you may not need any treatment. If there is a higher risk of infection, you may need:
- antibiotic treatment for example, if you have cellulitis
- vaccination against hepatitis B
- treatment to prevent HIV - If there is a high risk of infection with HIV, your healthcare professional may consider a treatment called post-exposure prophylaxis (PEP).
- Your healthcare professional may recommend that you get:
support from your employer's occupational health service they can also advise about sick leave psychological support such as counselling, to help with any stress the injury has caused.
- If you injure yourself with a used needle at work, report the incident immediately to your supervisor or manager.