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Human bite exposure — DOccMed MCQ

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HardInfection Control and Biological HazardsHuman bite exposureDOccMed

A prison nurse is bitten by a prisoner, causing broken skin. The source has unknown BBV status and refuses testing. The nurse completed hepatitis B vaccination but has no documented antibody response. What is the most appropriate management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Assess BBV risk, check hepatitis B immunity and consider prophylaxis according to risk

Human bites with broken skin can transmit infection, including BBVs in certain circumstances. The worker needs prompt risk assessment, baseline testing and review of hepatitis B immunity with prophylaxis if indicated. Refusal of source testing should not delay appropriate management.

Reference: UKHSA BBV Exposure Guidance