In this section
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.
For the following scenarios featuring risk factors for blood borne virus transmission from a needle-stick, discuss with a senior clinician and consider referral to the Infectious Diseases fellow (during hours) or on-call consultant (after hours):
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.