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Needlestick injury — DOccMed MCQ

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HardInfection Control and Biological HazardsNeedlestick injuryDOccMed

A phlebotomist sustains a needlestick from a hollow-bore needle used on a patient later found to be HIV positive with unknown viral load. She presents within one hour, is hepatitis B vaccinated and is very anxious. What is the most appropriate management?

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Correct answer: D — Urgent exposure risk assessment, baseline bloods and consider HIV post-exposure prophylaxis

High-risk sharps injuries require urgent clinical assessment because HIV PEP is time-sensitive. Baseline bloods, source testing where possible and hepatitis B status review are needed. Hepatitis B vaccination does not protect against HIV or hepatitis C. Reporting and investigation are important but should not delay immediate care.

Reference: UKHSA blood-borne virus exposure guidance; NHS occupational exposure protocols