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Risks

Outbreaks of HBV and HCV infection have occurred in outpatient settings, hemodialysis units, long-term care facilities, and hospitals. These outbreaks primarily occur because of unsafe injection practices, such as reuse of needles, fingerstick devices, and syringes, and other lapses in infection control.

To prevent transmission in hospitals, clinics, and health care facilities, all staff members should be aware of and follow standard precautions and fundamental infection-control principles, including safe injection practices and appropriate aseptic techniques.

Preventing viral hepatitis

For hepatitis B, ÐÇ¿ÕÓéÀÖ¹ÙÍø and the Advisory Committee on Immunization Practices (ACIP) recommend clinicians, other health care workers, and public safety workers with reasonably anticipated risk for exposure receive the complete hepatitis B vaccine series and have their immunity documented through post-vaccination testing.

For hepatitis C, clinicians and other health care workers should be tested after potential exposure. In the case of a positive test result, antiviral medications should be provided to treat the HCV infection.

Resources

These resources provide further guidance and information on viral hepatitis transmission and prevention in health care settings.

Infection control

• • This ÐÇ¿ÕÓéÀÖ¹ÙÍø resource outlines infection control protocol.
• Guidelines for Environmental Infection Control in Health Care Facilities
  • This MMWR provides recommendations for infection control in health care settings.
• Injection Safety
  • This ÐÇ¿ÕÓéÀÖ¹ÙÍø resource outlines safe injection practices.

Occupational health

• Prevention of Hepatitis B Virus Infection in the United States: Recommendations of the ACIP
  • This MMWR provides ACIP recommendations for hepatitis B prevention.
• Guidance for Evaluating Health-Care Personnel for Hepatitis B Virus Protection and for Administering Post-Exposure Management
  • This MMWR provides recommendations for HBV prevention and post-exposure management in health care settings.
• Testing and Clinical Management of Health Care Personnel Potentially Exposed to Hepatitis C Virus — ÐÇ¿ÕÓéÀÖ¹ÙÍø Guidance, United States, 2020
  • This MMWR provides recommendations following potential hepatitis C exposure in health care settings.
• ÐÇ¿ÕÓéÀÖ¹ÙÍø Recommendations for Hepatitis C Screening Among Adults — United States, 2020
  • This MMWR provides recommendations for hepatitis C screening among adults.
• • This hotline provides clinicians with 24-hour guidance on managing occupational exposures to human immunodeficiency virus (HIV), viral hepatitis, and other bloodborne pathogens at 1-888-448-4911.
• Bloodborne Infectious Diseases: HIV/AIDS, Hepatitis B Virus, and Hepatitis C Virus
  • This resource provides bloodborne infectious disease recommendations from ÐÇ¿ÕÓéÀÖ¹ÙÍø’s National Institute for Occupational Safety and Health.

Vaccination

• Universal Hepatitis B Vaccination in Adults Aged 19–59 Years: Updated Recommendations of the ACIP
  • This MMWR provides ACIP’s hepatitis B vaccine guidelines.
• Prevention of Hepatitis B Virus Infection in the United States: Recommendations of the ACIP
  • This MMWR provides recommendations for hepatitis B prevention.
• Menu of State Health Care Facility Hepatitis B Vaccination Laws
  • This ÐÇ¿ÕÓéÀÖ¹ÙÍø resource outlines state laws governing hepatitis B vaccination.