Skip to main content
×
×
Home

Posttraumatic Stress Disorder After Occupational HIV Exposure: Two Cases and a Literature Review

  • Michael G. Worthington (a1), John J. Ross (a1) and Ellen K. Bergeron (a2)
Abstract

Two healthcare workers developed disabling chronic posttraumatic stress disorder after needlestick exposures to blood from a patient infected with human immunodeficiency virus (HIV), even though both continue to test negative for HIV antibody more than 22 months after their exposures. We describe these 2 cases and review the relevant literature. Prospective studies of psychological morbidity after occupational needlestick injuries are required to determine the role of long-term psychological follow-up, counseling, and support.

Copyright
Corresponding author
Division of Infectious Diseases, Caritas St. Elizabeth's Medical Center, 736 Cambridge St., Boston, MA 02135 (mworth@cchcs.org)
References
Hide All
1.Gerberding, JL. Occupational exposure to HIV in health care settings. N Engl J Med 2003; 348:826833.
2.Henderson, DK. HIV postexposure prophylaxis in the 21 st century. Emerg Infect Dis 2001; 7:254258.
3.Worthington, MG, Pino, M, Bergeron, EK. Occupational exposure to HIV [letter]. N Engl J Med 2003; 349:10911092.
4.Howsepian, AA. Post-traumatic stress disorder following needle-stick contaminated with suspected HIV-positive blood. Gen Hosp Psychiatry 1998; 20:123127.
5.Geller, JL. A bite of AIDS?—institutional line staff and the fear of HIV contagion. Psych Quarterly 1989; 60:243251.
6.Treloar, CJ, Higginbotham, N, Malcom, JA, Sutherland, DC. The personal experience of Australian health-care workers accidentally exposed to risk of HIV infection. AIDS 1995; 9:13851386.
7.Henry, K, Campbell, S, Jackson, B, et al. Long-term follow-up of health care workers with work-site exposure to human immunodeficiency virus. JAMA 1990; 263:17651766.
8.Gershon, R, Flanagan, P, Karkashian, C, et al. Health care workers' experience with postexposure management of bloodborne pathogen exposures: a pilot study. Am J Infect Control 2000; 28:421428.
9.Cardo, DM, Culver, DH, Ciesielski, CA, et al. A case-control study of HIV seroconversion in health care workers after percutaneous exposure. N Engl J Med 1997; 337:14851543.
10.Pratt, RD, Shapiro, JF, McKinney, N, Kwok, S, Spector, SA. Virologic characterization of primary human immunodeficiency virus type 1 infection in a health care worker following needlestick injury. J Infect Dis 1995; 172:851854.
11.Updated US public health service guidelines for the management of occupational exposures to HBV, HCV, and HIV and recommendations for postexposure prophylaxis. MMWR Morb Mortal Wkly Rep 2001; 50(RR-11):142.
12.Roland, ME, Havlir, DV. Responding to organ failure in HIV-infected patients. N Engl J Med 2003; 348:22792281.
13.Calabrese, LH, Albrecht, M, Young, J, et al. Successful cardiac transplantation in an HIV-1-infected patient with advanced disease. N Engl J Med 2003; 348:23232328.
14.Reissman, DB, Whitney, EA, Taylor, TH, et al. One-year health assessment of adult survivors of Bacillus anthracis infection. JAMA 2004; 291:19941998.
15.Seibert, C. Stuck. Ann Intern Med 2003; 138:765766.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Infection Control & Hospital Epidemiology
  • ISSN: 0899-823X
  • EISSN: 1559-6834
  • URL: /core/journals/infection-control-and-hospital-epidemiology
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed