From a practical point of view, several unsolved issues have emerged regarding the management of the children with needlestick injury, which appear particularly relevant in the anti-vaccination movement era” Sollai et al (2016).
INTRODUCTION: Accidental needle injury is a common but still discussed problem.
OBJECTIVE: We discuss possible options to optimize the management of injured children in light of the available literature findings.
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RESULTS: The risk of viral infection is low. However, blood investigations are mandatory, as well as appropriate counselling. Anti-HBV immunoglobulins are recommended in all unvaccinated subjects exposed to a HBsAg-positive source; however, there is no agreement regarding their administration in unvaccinated children. Use of anti-tetanus immunoglobulins in unvaccinated child with minor and clean wound is well defined; however, wound type classification in the event of needlestick injury may be difficult and subjective. There is no agreement on the routine use of antiretroviral prophylaxis.
CONCLUSION: From a practical point of view, several unsolved issues have emerged regarding the management of the children with needlestick injury, which appear particularly relevant in the anti-vaccination movement era. International guidelines should be encouraged at this regard.
Sollai, S., Iacopelli, J., Giovannini, M., Prato, M., Galli, L., de Martino, M. and Chiappini, E. (2016) Use of specific immunoglobulins and vaccines for the management of accidental needlestick injury in the child: a practical review in the anti-vaccination movement era. Journal of Chemotherapy. June 27th. [Epub ahead of print].
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