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Handling positive cases of hiv and hepatis b





A POWER POINT PRESENTATION BY DR. SANGEETA CHOWDHRY & DR. SUNIL SHARMA, DEPARTMENT OF FORENSIC MEDICINE & TOXICOLOGY, GOVT. MEDICAL COLLEGE, JAMMU (JAMMU AND KASHMIR)

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Handling positive cases of hiv and hepatis b

  1. 1. HANDLING HIV INFECTED AND HEPATITIS-B POSITIVE CASE
  2. 2. A POWER POINT PRESENTATION BY DR.SANGEETA CHOWDHRY & DR.SUNIL SHARMA DEPARTMENT OF FORENSIC MEDICINE & TOXICOLOGY GOVT. MEDICAL COLLEGE JAMMU (JAMMU AND KASHMIR)
  3. 3. THOUGH IN DISTANT TIME, YOU MAY NOT LOVE ME SO; I SHALL ALWAYS KEEP YOU CLOSE AND NEVER LET YOU GO.
  4. 4. SUSPICION OF HIV HIV should be suspected if the body is of A male homosexual An intravenous drug abuser A haemophiliac who has received repeated blood transfusions A female prostitute A victim of sex abuse
  5. 5. A MALE HOMOSEXUALMALE HOMOSEXUAL
  6. 6. AN INTRAVENOUS DRUG ABUSER
  7. 7. A HAEMOPHILIAC WHO HAS RECEIVED REPEATED BLOOD TRANSFUSIONS
  8. 8. A FEMALE PROSTITUTE
  9. 9. A VICTIM OF SEX ABUSE
  10. 10. PRECAUTIONS FOR STAFF All staff working in close association of HIV patients should be:- Vaccinated against Hepatitis-B Re-vaccinated at intervals when the body titres falls below protective level Avoid direct contact with of skin and mucous membranes with body fluids and tissues Hands should be washed after each activity with soap and water even if gloves are worn
  11. 11. SPECIAL PRECAUTIONS ARE MANDATORY At the scene of crime In the autopsy room In the laboratory In the court General precautions
  12. 12. AT THE SCENE OF CRIME
  13. 13. Disposable shoe protection by person at the scene of crime Foods or smoking should not be allowed at the scene of crime Blood-contaminated clothing or any other material should be handled carefully. Dried- blood or wet blood material that is not to used as evidence should be decontaminated and properly disposed off by incineration. Non-disposable material used during the investigation and collection of the evidence should be decontaminated by usual hypochlorite solution AT THE SCENE OF CRIME
  14. 14. IN THE AUTOPSY ROOM
  15. 15. IN THE AUTOPSY ROOM Admission:-no unauthorised person should be allowed in the autopsy and body preparation room Clothing:-all protective gears, (to completely cover the body) like wearing double gloves, gowns, water-proof apron, caps, masks, goggles if eye glasses are not worn, and shoe cover Instruments:- minimum instruments should be kept. To start with; scalpel, scissors, knife and artery forceps should be used. The instruments should be slightly blunt unless required to avoid any injury to the working hand cont....................
  16. 16. Disposal requirement:-all material/protective gears used during the autopsy must be disinfected, sterilised or incinerated as applicable Handling specimens for laboratory purposes:-at all times during autopsy; gloves should be worn by all the persons working with these suspected cases. Clean –up procedure:- all splatters and spills of blood and other body fluid should be wiped with disposable tissues or towels which can be discarded in bio-hazard bags and properly disposed off and the area be cleaned with disinfectant. cont................. IN THE AUTOPSY ROOM
  17. 17. IN THE AUTOPSY ROOM Disinfection:- a solution of 1:10 dilution of household bleach or freshly prepared solution of sodium hypochlorite (equivalent to5000ppm) should be used Accidental injury or prophylaxis:- in case of any mishap resulting in injury; matter should be reported to the concerned authorities after proper disinfection of the wound. Blood sample should be taken from the site of exposure of wound and from the injured person for immediate testing of HIV and Hepatitis-B and keep these records for follow up/comparison at an interval of 6weeks, 3 months,6 months and 1 year. All suspected exposed cases of HIV should be given ZIDOVUDINE, 500mgms x twice a day x 6 weeks. Persons exposed to Hepatitis-B and who have not been prophylactically vaccinated for it; must be given Hepatitis-B immunoglobulin within 72 hours of the incident , followed by active vaccination.
  18. 18. IN THE LABORATORY
  19. 19. Disposable gloves should be worn and counter top cover used in areas where biological material is examined. They should be disposed off properly. Food or smoking should not be allowed in the working area All biological specimens should be considered as contaminated and disposed off properly Mouth-pipetting of biological material should not be practised All specimens should be destroyed by burning or chemically decontaminated Hands should be washed before leaving the work area IN THE LABORATORY
  20. 20. IN THE COURT
  21. 21. Whenever possible, all biologically contaminated material should be referred by photographic or other means rather than presenting in the court Whenever necessary bullets, clothing, etc should be handled using disposable gloves and paper, or the (dry-not wet/moist) evidence should be enclosed in a sealed, clear, plastic bag Hands should be washed after handling the evidence IN THE COURT
  22. 22. GENERAL PRECAUTIONS
  23. 23. Prevention is better than curement. The best way to control dissemination of HIV and Hepatitis-B is prevention which includes :-  Avoiding unnecessary contamination of the work area, keeping things need and clean, restricting the flow of water and other fluids within the limited bounds of the work area  Minimising and taking care of injuries  Create an atmosphere of free aerosol of biological material such as that produces saw during autopsy. Use of dustless saw is the need of the hour.  All efforts should be made to tackle all type of contamination which includes washing of hands, cleaning floor, doors, door knobs, telephone apparatus/mobiles etc. with a disinfectant of killing viruses and thereby protecting the health workers. GENERAL PRECAUTIONS
  24. 24. THANK YOU ABC OF AIDS A-AVOID UNSAFE SEX B-BE FAITHFUL TO YOUR SPOUSE (and if not possible; use) C-CONDOMS
  • PAVANKUMAR3097

    Jul. 28, 2018
  • radwazhammad

    Mar. 15, 2015

A POWER POINT PRESENTATION BY DR. SANGEETA CHOWDHRY & DR. SUNIL SHARMA, DEPARTMENT OF FORENSIC MEDICINE & TOXICOLOGY, GOVT. MEDICAL COLLEGE, JAMMU (JAMMU AND KASHMIR)

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