SHEA Updates Guidance for Healthcare Workers with HIV, Hepatitis

Advances in care and treatment of bloodborne pathogens reflected in white paper
October 14, 2020

In light of the low rate of transmission and advances in treatments for hepatitis B, hepatitis C, and HIV, the Society for Healthcare Epidemiology of America today released updated guidance for healthcare personnel living with these bloodborne pathogens based on the latest available science. The SHEA White Paper, “Management of Healthcare Personnel Living with Hepatitis B, Hepatitis C, or Human Immunodeficiency Virus in United States Healthcare Institutions,” was published online in the journal Infection Control & Hospital Epidemiology. SHEA has been at the forefront of this issue since its initial set of recommendations was issued in 1990.

“Experience and evidence accumulated over the last decade, which have made it necessary to revise the guidance. The guidance protects the privacy and health of both healthcare workers and patients,” said David K. Henderson, MD, current SHEA President, and co-chair of the multidisciplinary panel that developed the white paper. “Advances in care have reduced the risk for transmission of these bloodborne infections, making it safer for patients and healthcare personnel. Still, appropriate oversight and training remain foundational.”

The recommendations, which update SHEA’s 2010 guideline, reflect experience that underscores the low risk of transmission from healthcare personnel to patients. The updated guidance also considers interventions that reduce risk for occupational exposures and injuries, as well as advances in antiviral therapy and treatments that cure hepatitis C and reduce circulating HIV to undetectable levels in nearly all individuals living with the disease.

The document clarifies the methods of oversight for healthcare personnel living with HIV or hepatitis, especially those responsible for carrying out exposure-prone procedures. It reflects many facilities’ and schools’ existing policies, while aligning with the overall principles contained in recent guidelines from Canada and Australia.


David K. Henderson, Louise-Marie Dembry, Costi D. Sifri, Tara N. Palmore, E. Patchen Dellinger, Deborah S. Yoke, Christine Grady, Theo Heller, David Weber, Carlos del Rio, Neil O. Fishman, Tammy Lundstrom, Hilary M. Babcock. “SHEA White Paper: Management of Healthcare Personnel Living with Hepatitis B, Hepatitis C, or Human Immunodeficiency Virus in United States Healthcare Institutions.” Infection Control & Hospital Epidemiology. Web (October 14, 2020).

About ICHE
Published through a partnership between the Society for Healthcare Epidemiology of America and Cambridge University Press, Infection Control & Hospital Epidemiology provides original, peer reviewed scientific articles for anyone involved with an infection control or epidemiology program in a hospital or healthcare facility. ICHE is ranked 41st out of 89 Infectious Disease Journals in the latest Web of Knowledge Journal Citation Reports from Thomson Reuters.

The Society for Healthcare Epidemiology of America (SHEA) is a professional society representing more than 2,000 physicians and other healthcare professionals around the world who possess expertise and passion for healthcare epidemiology, infection prevention, and antimicrobial stewardship. The society’s work improves public health by establishing infection-prevention measures and supporting antibiotic stewardship among healthcare providers, hospitals, and health systems. This is accomplished by leading research studies, translating research into clinical practice, developing evidence-based policies, optimizing antibiotic stewardship, and advancing the field of healthcare epidemiology. SHEA and its members strive to improve patient outcomes and create a safer, healthier future for all. Visit SHEA online at and

About Cambridge University Press
Cambridge University Press is part of the University of Cambridge. It furthers the University’s mission by disseminating knowledge in the pursuit of education, learning and research at the highest international levels of excellence. Its extensive peer-reviewed publishing lists comprise 45,000 titles covering academic research, professional development, over 400 research journals, school-level education, English language teaching and bible publishing. Playing a leading role in today’s international marketplace, Cambridge University Press has over 50 offices around the globe, and it distributes its products to nearly every country in the world. For further information about Cambridge University Press, visit

Contact: Beth Casteel | | 202-868-4007
Author Contact: David K. Henderson, M.D. |

Recent Updates

June 06, 2024

ARLINGTON, Virginia – The patchwork systems of global and domestic monitoring for the next infectious disease threat should be expanded, linked and better funded; and…

January 23, 2024

The Society for Healthcare Epidemiology of America (SHEA) supports the Healthcare Infection Control Practices Advisory Committee (HICPAC) and its members as they work to enact…

November 28, 2023

This Giving Tuesday, the SHEA Foundation invites you to be a part of something truly transformative. The SHEA Foundation is dedicated to advancing the fields…

We use cookies to help improve your experience