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Hepatitis B and exposure-prone procedures — DOccMed MCQ

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HardInfection Control and Biological HazardsHepatitis B and exposure-prone proceduresDOccMed

A surgical trainee is found to be hepatitis B surface antigen positive during health clearance. Viral load is pending; he is scheduled for orthopaedic trauma lists involving exposure-prone procedures next week. What is the most appropriate advice regarding fitness for work?

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Correct answer: B — Restrict exposure-prone procedures pending specialist occupational health assessment

Healthcare workers with blood-borne viruses require specialist assessment before undertaking exposure-prone procedures. Double-gloving reduces sharps injury risk but does not replace clearance criteria. Permanent exclusion is unnecessary because treatment and monitoring may allow safe practice. Patient disclosure is not the appropriate control.

Reference: UKAP BBV in healthcare workers guidance