Bloodborne pathogen exposures in a developmental center: 1993-2000

In a developmental center, 257 potential bloodborne pathogen exposures (119 bites, 91 scratches, 30 sharps injuries, 17 mucosal breaks) occurred durin g 8 years (13,187 employee-years and 6,980 resident-years). Of the resident s, 9% were hepatitis B virus (HBV) surface antigen carriers. Serological fo llow-up of exposed, susceptible employees and residents identified no trans mission of HBV, hepatitis C virus (HCV), or human immunodeficiency (HIV) vi rus. This outcome has been due primarily to hepatitis B immunization and lo w prevalences of HCV or HIV infections among the subjects. Proper follow-up of all potential exposures is crucial to identify transmission promptly, a llay anxiety, and prevent unwarranted workmen's compensation claims. Measur es are suggested to reduce exposure further.