In this section
This guideline has been adapted for statewide use with the support of the Victorian Paediatric Clinical Network
Community acquired needlestick injuries (CA-NSI) in children are a cause of significant parental anxiety. It may reassure healthcare workers, parents, and patients, that there are no published reports of an incidental CA-NSI in a child, such as might occur on the beach or in a park, leading to transmission of a blood borne virus such as hepatitis B, hepatitis C, or HIV.
Investigate and manage injured patients as clinically indicated and then proceed to consider specific management in relation to the risk from needlestick injury.
First Aid – Initial thorough washing of site with soap and water.
Post-exposure prophylaxis - immunised patient
Post-exposure prophylaxis - unimmunised patients
Ideally, post-exposure prophylaxis should be provided as the first part of a comprehensive plan for catch-up vaccinations. Consider referral to the RCH or MMC Immunisation service for all unimmunised children.