13- Accidental HIV Exposure of Workers
In a dying HIV patients' ward that has poor organization,
no social security for workers, tired and scarce workers, and numerous other
problems, the main responsibility in drug ordering must be to MINIMIZE injectable drugs!
Sources of danger:
Skin punctured by needles or other infected instruments, exposure of broken
skin, cuts or wounds contaminated by body fluids from patient, splashes onto
- Try to clean any blood from the wound. You can suck
blood out if really necessary if no mouth wounds.
- Take immediately (AZT (-zidovudine-) 300 mg) + (3tc (-lamivudine-) 150 mg) + (indinavir 800mg if
available), and try not to think too much about what has happened!
- In writing describe in detail the accident (time + description
of injury + description of patient's health condition + description of worker:
menstruation? tired? Good general condition?)
- Telephone a medical center with good HIV experience and use
your description to help them understand the full situation before following
their suggestions. If impossible to contact (night, no telephone available…)
take drugs till you can contact them. Normally we use: (AZT 300mg 2x/day) + (3TC
150 mg 2x/day) + (indinavir on empty stomach
800mg 3x/day if available) for 28 days.
- Rest a lot to help body's ability to fight off infection.
This policy means:
- You must always have a few bottles of AZT
and 3TC and indinavir available
in the hospice!
- You must know the telephone number of a good medical center.
- In a dying HIV patients' ward that has poor organization,
no social security for workers, tired and scarce workers, and a plethora of
other problems, the main responsibility in drug ordering must be to minimize