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Case While placing a central line, you sustain a needlestick. What is the risk of contracting such a pathogen, and what can be done to reduce this risk? Needlestick injuries are a common occupational hazard in the hospital setting. In , Mangione et al surveyed internal-medicine house staff and found an annual incidence of needlestick injuries per 1, participants. A quick and appropriate response to a needlestick injury can greatly decrease the risk of disease transmission following an occupational exposure to potentially infectious materials. After any needlestick injury, an affected healthcare worker should wash the area with soap and water immediately. There is no contraindication to using antiseptic solutions, but there is also no evidence to suggest that this reduces the rates of disease transmission. As decisions for post-exposure prophylaxis often need to be made within hours, a healthcare worker should seek care in the facility areas responsible for managing occupational exposures. Healthcare providers should always be encouraged and supported to report all sharps-related injuries to such departments. If indicated, the source patient should then undergo appropriate serological testing, and any indicated antiviral prophylaxis should be initiated see Table 2, p.
The two-character story spans 50 years, from to , as it focuses on the ups and downs experienced by Agnes and Michael throughout their marriage. The set consists solely of their bedroom, dominated by the large fourposter bed in the center of the room. After four previews, the Broadway production, directed and choreographed by Gower Champion , opened on December 5, at the 46th Street Theatre and closed on June 15, after performances.