Community Exposure to Discarded Needles and Other Objects Potentially Contaminated With Blood-Borne Pathogens in Children in Toronto, Canada
Notice bibliographique
Résumé
Background. Percutaneous or mucocutaneous exposure to discarded needles or other objects or fluids by children put them at risk for infection with blood-borne pathogens (BBP; HIV, hepatitis B [HBV], hepatitis C [HCV]). The purpose of this project was to retrospectively analyze the epidemiology, management and outcome of children seen at SickKids following such exposures in the community in the Greater Toronto area. Methods. Children < 19 years of age who had community-based exposure to discarded needles or other objects or fluids that could contain BBP between 1 January 2001 and 31 December 2014 were included. Sexual exposures and hospital inpatient exposures were excluded. All medical charts of children who had an HIV test submitted through the SickKids Microbiology Laboratory were reviewed. Results. Of 1492 HIV-tested children, 66 were community-based exposures to objects or fluids that could contain BBP. Needlestick injuries accounted for 68.2% of exposures followed by human bites (7.6%), razors (6.1%), used condoms (4.5%) and various other exposures (13.6%). Median age was 6.3 years (1.3-17.3); 44 were male. Most exposures occurred in schools (31.8%), parks (15.2%) and homes (15.2%). The median interval from exposure to medical attention was 2.4 hours (range: 0 hour-31 days). A source person was identified in 11 (16.7%) cases, all but one being family members. Of known source patients, 7 were known to be HIV infected. Antiretroviral medications were given to 21 (31.8%) children, including 5 exposed to body fluids from a known HIV positive source. 15 (71.4%) completed the recommended 4-week course of antiretroviral therapy. Ten (47.6%) developed adverse events, 4 of whom discontinued therapy early. Follow up serology was done in 42 (66.7%) at 6 weeks and 39 (59.1%) at 3-6 months; 16 (25%) had no follow up testing. None of the children with follow-up testing became infected with HIV, HBV or HCV. Of the 48 children who had not been previously vaccinated against HBV, 23 (47.9%) completed a full series of vaccination. Conclusion. Although no blood-borne infections occurred in this cohort, our findings indicate that public health interventions in schools and other community settings are needed to reduce the risk of exposures that could pose a risk for infection with BBP. Disclosures. All authors: No reported disclosures.
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Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».