This guideline provides the updated recommendations of SHEA regarding the management of healthcare providers who are infected with HBV, HCV, and/or HIV. SHEA continues to recommend that, although some aspects of the approach to and administrative management of each of these infectious syndromes in healthcare providers are similar, separate management strategies for healthcare workers who are infected with these unrelated viruses remain appropriate. SHEA emphasizes the use of appropriate infection control procedures to minimize exposure of patients or providers to blood, emphasizes that transfers of blood from patients to providers and from providers to patients should be avoided, and recommends that infected healthcare providers should not be totally prohibited from participating in patient‐care activities solely on the basis of a bloodborne pathogen infection.

Review Statement: 

This guideline was reviewed in July 2017 by the SHEA Guidelines Committee. The committee acknowledges portions of the guideline need to be revised based on new evidence, improved antiviral treatment regimens, and changes to reporting practices; however, the committee voted to keep it available on the SHEA website as numerous recommendations and most of the background information remains current and may inform regulations and individual institution's decisions. Questions and clarifications regarding the posted guideline should be sent to the SHEA Guidelines Committee.

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SHEA Response to Institutions’ Implementation of 2010 Guideline for Healthcare Workers Infected with Bloodborne Pathogens
October 2014