FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 348:826-833 February 27, 2003 Number 9 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text PDF PDA Full Text Purchase this article Letters Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited E-mail When Letters Appear PubMed Citation

This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.

While obtaining a peripheral venous blood sample from a patient with the acquired immunodeficiency syndrome (AIDS), a 35-year-old phlebotomist is injured by a bloody 18-gauge needle attached to a syringe. The patient has been taking didanosine and stavudine for more than six months, but her quantitative plasma human immunodeficiency virus (HIV) RNA titer and CD4 T-lymphocyte count have not been measured for . . . [Full Text of this Article]

The Clinical Problem

Strategies and Evidence

Risk of HIV Transmission

Benefits of Chemoprophylactic Treatment

Risks Associated with Chemoprophylactic Treatment

Antiretroviral-Drug Resistance

Areas of Uncertainty

Guidelines

Conclusions and Recommendations

Source Information

From the Centers for Disease Control and Prevention, Atlanta.

Address reprint requests to Dr. Gerberding at the Centers for Disease Control and Prevention, Mailstop D14, 1600 Clifton Rd., Atlanta, GA 30333, or at jgerberding@cdc.gov.

Related Letters:

Occupational Exposure to HIV
Worthington M. G., Pino M., Bergeron E. K., Dedicoat M., Puro V., Gerberding J. L.
Extract | Full Text | PDF  
N Engl J Med 2003; 349:1091-1092, Sep 11, 2003. Correspondence

This article has been cited by other articles:

• Tattevin, P., Maillard, A., Tribut, O., Saikali, E., Arvieux, C., Michelet, C. (2008). Undetectable HIV-1 viral load in the fluid of bullous skin lesion in a patient receiving highly active antiretroviral therapy. Int J STD AIDS 19: 357-358 [Abstract] [Full Text]  
• Levison, J. (2008). The Ostrich Syndrome: Obstetrician Gynecologists and Human Immunodeficiency Virus Exposure. Obstet Gynecol 111: 183-186 [Abstract] [Full Text]  
• Ayas, N. T., Barger, L. K., Cade, B. E., Hashimoto, D. M., Rosner, B., Cronin, J. W., Speizer, F. E., Czeisler, C. A. (2006). Extended work duration and the risk of self-reported percutaneous injuries in interns.. JAMA 296: 1055-1062 [Abstract] [Full Text]  
• Tanvetyanon, T. (2004). Screening for Primary Human Immunodeficiency Virus Infection. Arch Intern Med 164: 680-680 [Full Text]  
• Worthington, M. G., Pino, M., Bergeron, E. K., Dedicoat, M., Puro, V., Gerberding, J. L. (2003). Occupational Exposure to HIV. NEJM 349: 1091-1092 [Full Text]