Which one of these groups is at greatest risk for contracting and transmitting tuberculosis?

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Bloodborne Pathogens and Needlestick Prevention

Overview

What are bloodborne pathogens?

Bloodborne pathogens are infectious microorganisms in human blood that can cause disease in humans. These pathogens include, but are not limited to, hepatitis B (HBV), hepatitis C (HCV) and human immunodeficiency virus (HIV). Needlesticks and other sharps-related injuries may expose workers to bloodborne pathogens. Workers in many occupations, including first responders, housekeeping personnel in some industries, nurses and other healthcare personnel, all may be at risk for exposure to bloodborne pathogens.

What can be done to control exposure to bloodborne pathogens?

In order to reduce or eliminate the hazards of occupational exposure to bloodborne pathogens, an employer must implement an exposure control plan for the worksite with details on employee protection measures. The plan must also describe how an employer will use engineering and work practice controls, personal protective clothing and equipment, employee training, medical surveillance, hepatitis B vaccinations, and other provisions as required by OSHA's Bloodborne Pathogens Standard (29 CFR 1910.1030). Engineering controls are the primary means of eliminating or minimizing employee exposure and include the use of safer medical devices, such as needleless devices, shielded needle devices, and plastic capillary tubes.

Which one of these groups is at greatest risk for contracting and transmitting tuberculosis?

General Guidance

Provides information on the revised standard.

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Enforcement

Highlights directives and letters of interpretation related to bloodborne pathogens and needlestick prevention.

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Hazard Recognition

Provides references that aid in recognizing workplace hazards associated with bloodborne pathogens.

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Evaluating and Controlling Exposure

Provides information for evaluating and controlling bloodborne pathogens and needlestick hazards.

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Standards

Bloodborne pathogens and needlesticks are addressed in specific OSHA standards for general industry.

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Additional Resources

Provides links and references to additional resources related to bloodborne pathogens and needlestick prevention.

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What to do if you are stuck by a needle:

If you are stuck by a needle or other sharp or get blood or other potentially infectious materials in your eyes, nose, mouth, or on broken skin, immediately flood the exposed area with water and clean any wound with soap and water or a skin disinfectant if available. Report this immediately to your employer and seek immediate medical attention.

CDC: Emergency Needlestick Information also provides immediate access to treatment protocols following blood exposures involving HIV, HBV and HCV, including the Clinicians' Post Exposure Prophylaxis Hotline (PEPline) at 1-888-448-4911.


Tuberculosis (TB) is caused by a type of bacterium called Mycobacterium tuberculosis.

It's spread when a person with active TB disease in their lungs coughs or sneezes and someone else inhales the expelled droplets, which contain TB bacteria.

Although TB is spread in a similar way to a cold or flu, it is not as contagious.

You would have to spend prolonged periods (several hours) in close contact with an infected person to catch the infection yourself.

For example, TB infections usually spread between family members who live in the same house. It would be highly unlikely for you to become infected by sitting next to an infected person on, for instance, a bus or train.

Not everyone with TB is infectious. Children with TB or people with a TB infection that occurs outside the lungs (extrapulmonary TB) do not spread the infection.

Latent or active TB

In most healthy people, the immune system is able to destroy the bacteria that cause TB.

But in some cases, the bacteria infect the body but do not cause any symptoms (latent TB), or the infection begins to cause symptoms within weeks, months or even years (active TB).

Up to 10% of people with latent TB eventually develop active TB years after the initial infection.

This usually happens either within the first year or two of infection, or when the immune system is weakened – for example, if someone is having chemotherapy treatment for cancer.

Who's most at risk?

Anyone can get TB, but those at greatest risk include people:

  • who live in, come from, or have spent time in a country or area with high levels of TB] – around 3 in every 4 TB cases in the UK affect people born outside the UK
  • in prolonged close contact with someone who's infected
  • living in crowded conditions
  • with a condition that weakens their immune system, such as diabetes
  • having treatments that weaken the immune system, such as chemotherapy or biological agents
  • who are very young or very old – the immune systems of people who are young or elderly tend to be weaker than those of healthy adults
  • in poor health or with a poor diet because of lifestyle and other problems, such as drug misuse, alcohol misuse, or homelessness

Page last reviewed: 12 November 2019
Next review due: 12 November 2022

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