Bloodborne disease

Bloodborne disease
Classification and external resources
ICD-10	Z77.21
ICD-9-CM	V01.79
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A bloodborne disease is a disease that can be spread through contamination by blood and other body fluids. Bloodborne pathogens are microorganisms such as viruses or bacteria. The most common examples are HIV, hepatitis B and viral hemorrhagic fevers.

Diseases that are not usually transmitted directly by blood contact, but rather by insect or other vector, are more usefully classified as vector-borne disease, even though the causative agent can be found in blood. Vector-borne diseases include West Nile virus and malaria.

Many bloodborne diseases can also be contracted by other means, including high-risk sexual behavior or intravenous drug use. These diseases have also been identified in sports medicine.

Since it is difficult to determine what pathogens any given sample of blood contains, and some bloodborne diseases are lethal, standard medical practice regards all blood (and any body fluid) as potentially infectious. Blood and Body Fluid precautions are a type of infection control practice that seeks to minimize this sort of disease transmission.

Blood poses the greatest threat to health in a laboratory or clinical setting due to needlestick injuries (e.g., lack of proper needle disposal techniques and/or safety syringes). These risks are greatest among healthcare workers, including: nurses, surgeons, laboratory assistants, doctors, phlebotomists, and laboratory technicians. These roles often require the use of syringes for blood draws or to administer medications.

The Occupational Safety and Health Administration (OSHA) prescribes 5 rules that are required for a healthcare facility to follow in order to reduce the risk of employee exposure to bloodborne pathogens. They are:

These controls, while general, serve to greatly reduce the incidence of bloodborne disease transmission in occupational settings of healthcare workers.

There are 26 different viruses that have been shown to present in healthcare workers as a result of occupational exposure. The most common bloodborne diseases are hepatitis B (HBV), hepatitis C (HCV), and human immunodeficiency virus (HIV). Exposure is possible through blood of an infected patient splashing onto mucous membranes; however, the greatest exposure risk was shown to occur during percutaneous injections performed for vascular access. These include blood draws, as well as catheter placement, as both typically use hollow bore needles.S Preventative measures for occupational exposure include standard precautions (hand washing, sharp disposal containers), as well as additional education and preventative measures. Advancements in the design of safety engineered devices have played a significant role in decreasing rates of occupational exposure to bloodborne disease. According to the Massachusetts Sharps Injury Surveillance System, needle devices without safety features accounted for 53% of the 2010 reported sharps injuries. Safer sharps devices now have engineering controls, such as a protective shield over the needle, and sharps containers that have helped to decrease this statistic. These safer alternatives are highly effective in substantially reducing injuries. For instance, almost 83% of injuries from hollow bore needles can be prevented with the use of safer sharps devices.

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