Blood and Body Fluid Precautions

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Blood and Body Fluid Precautions

Topic Overview

What are blood and body fluid precautions?

Blood and body fluid precautions are recommendations designed to prevent the transmission of HIV, hepatitis B virus (HBV), hepatitis C virus (HCV), and other diseases while administering first aid or other health care that includes contact with body fluids or blood. These precautions treat all blood and body fluids as potentially infectious for diseases that are transmitted in the blood. The organisms spreading these diseases are called blood-borne pathogens.

Blood and body fluid precautions apply to blood and other body fluids that contain visible traces of blood, semen, and vaginal fluids. They also apply to tissues and other body fluids, such as from around the brain or spinal cord (cerebrospinal fluid), around a joint space (synovial fluid), in the lungs (pleural fluid), in the lining of the abdomen and pelvis (peritoneal fluid), around the heart (pericardial fluid), and amniotic fluid that surrounds a fetus.

Why are blood and body fluid precautions important?

Although skin provides some protection from exposure to potentially infectious substances, it is strongly recommended that health professionals use blood and body fluid precautions for further protection when they are providing health care. These precautions also help protect you from exposure to a potential infection from your health professional in the unlikely event that you come in contact with the health professional's blood.

The American Red Cross recommends that everyone use blood and body fluid precautions when giving first aid.

Are blood and body fluid precautions always needed?

Although it is recommended that you use blood and body fluid precautions whenever you know you may come into contact with nasal secretions, breast milk, stool, sputum, sweat, tears, urine, or vomit, the precautions are not absolutely necessary unless these fluids contain visible traces of blood. Blood and body fluid precautions apply to saliva only when it contains blood or in a dental or oral surgery setting where contamination with blood is likely.

The best practice is to always use blood and body fluid precautions, even when there are no visible traces of blood and no chance of contamination with blood.

How can you reduce your risk of exposure to blood and body fluids?

Blood and body fluid precautions involve the use of protective barriers such as gloves, gowns, masks, and eye protection. These reduce the risk of exposing the skin or mucous membranes to potentially infectious fluids. Health care workers should always use protective barriers to protect themselves from exposure to another person's blood or body fluids.

By: Healthwise Staff
Medical Review: William H. Blahd, Jr., MD, FACEP - Emergency Medicine
David Messenger, MD
Last Revised: June 10, 2010

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