Calc Function

    • Calcs that help predict probability of a diseaseDiagnosis
    • Subcategory of 'Diagnosis' designed to be very sensitiveRule Out
    • Disease is diagnosed: prognosticate to guide treatmentPrognosis
    • Numerical inputs and outputsFormula
    • Med treatment and moreTreatment
    • Suggested protocolsAlgorithm

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    Patent Pending

    HIV Needle Stick Risk Assessment Stratification Protocol (RASP)

    Quantifies HIV exposure risk by source and exposure type and need for prophylaxis.
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    When to Use
    Why Use
    • High vs low risk exposure; helps determine whether or not to start PEP.
    • Always try to test the source patient for HIV, and other infectious diseases such as Hepatitis C and Hepatitis B.

    The HIV Needle Stick Risk Assessment Protocol quantifies gives healthcare workers a more objective risk assessment of getting HIV after a needle stick.

    Known HIV+: acute AIDS illness
    +1
    Known HIV+: asymptomatic HIV
    +10
    Unknown HIV status: high-risk situation
    +100
    Unknown HIV status: low-risk situation
    +1000
    Fresh blood
    +1
    Other high-risk fluids (e.g., semen)
    +10
    Dried old blood
    +100
    Low-risk secretions (e.g., tears, urine, saliva)
    +1000
    Intravenous
    +1
    Deep intramuscular
    +10
    Deep transcutaneous with visible bleeding
    +100
    Superficial transcutaneous without bleeding
    +200
    Mucosal contact only
    +500
    Intact skin
    +1000
    Massive (e.g., transfusion)
    +100
    Measurable (>1 mL)
    +10
    Moderate (large-bore, hollow needle >22 g)
    +5
    Small (small-bore, hollow needle <22 g)
    +3
    Trace surface only (e.g., suture needle)
    +1

    Result:

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    Next Steps
    Evidence
    Creator Insights

    Advice

    If indicated, PEP should be started in conjunction with infectious disease consultation, as well as gathering information about the source patient and his or her medication regimen. 

    About the Creator
    Dr. Les Vertesi
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