Risk of Infection

  Transmission risk Comments

HIV

percutaneous exposure (e.g. needlestick) 0.3%

mucous membrane exposure 0.1%

non-intact skin <0.1%

intact skin ~ 0%

High risk percutaneous injuries:
- deep injury
- visible blood in device
- source with high viral load, e.g.,

  • acute HIV infection
  • end stage AIDS

- large volume (needle removed from artery or vein of source; hollow-bore higher risk than solid needle)

Hepatitis B

percutaneous exposure (e.g. needlestick):

Source HBsAg + and:
- HBeAg +: 37-62%
- HBeAg -: 23-37%

All health care workers should be vaccinated against Hepatitis B and response to vaccine confirmed with serology (antibodies to hepatitis B surface antigen, i.e. HBsAb or Anti-HBs)

Hepatitis C

1.8% (0-7%)

Most common blood-borne virus