title: Management of blood and body fluid exposures in police service staff.
abstract: BACKGROUND
  Police service staff are at risk of occupational exposure to blood and body fluids with the consequent risk of blood-borne virus (BBV) infection.
  
  
  OBJECTIVE
  To examine the types of occupational exposure incidents experienced by Scottish police service staff and to evaluate the post-incident management provided by their occupational health (OH) services.
  
  
  METHODS
  Data were collected on the circumstances and the post-incident management of each incident reported to OH over 12 months. An expert panel reviewed the post-incident management provided by OH.
  
  
  RESULTS
  The panel considered that the majority of cases of occupational exposure incurred little or no risk of BBV transmission. In general, the expert panel assessed the post-incident management provided by OH units serving the police as adequate and appropriate. However, some concerns were raised in relation to a small number of incorrect risk assessments and an inconsistent approach to hepatitis C virus (HCV) follow-up blood testing.
  
  
  CONCLUSIONS
  The study findings suggest that most Scottish police OH departments were providing adequate post-incident management. There is, however, a need for more clarity around BBV risk assessment terminology and development of a standardized HCV testing protocol.
authors.affiliation: Institute for Applied Social and Health Research, University of the West of Scotland, Paisley PA1 2BE, UK. karen.dunleavy@uws.ac.uk
authors.forename: K
authors.initials: K
authors.lastname: Dunleavy
authors.forename: A
authors.initials: A
authors.lastname: Taylor
authors.forename: J
authors.initials: J
authors.lastname: Gow
authors.forename: B
authors.initials: B
authors.lastname: Cullen
authors.forename: K
authors.initials: K
authors.lastname: Roy
mesh_terms: D000328:Adult; D001734:Bites, Human / Q000628:therapy; D017848:Blood-Borne Pathogens; D001826:Body Fluids; D005260:Female; D015658:HIV Infections / Q000635:transmission; D006525:Hepatitis, Viral, Human / Q000175:diagnosis / Q000517:prevention & control / Q000635:transmission; D006801:Humans; D008297:Male; D008875:Middle Aged; D016602:Needlestick Injuries / Q000628:therapy; D015588:Observer Variation; D009784:Occupational Diseases / Q000517:prevention & control*; D016273:Occupational Exposure / Q000009:adverse effects / Q000145:classification / Q000706:statistics & numerical data*; D009786:Occupational Health Services / Q000458:organization & administration* / Q000592:standards / Q000706:statistics & numerical data; D016495:Police; D056990:Post-Exposure Prophylaxis; D017410:Practice Guidelines as Topic; D018570:Risk Assessment; D012606:Scotland / Q000453:epidemiology; D009626:Terminology as Topic; D014611:Vaccination / Q000706:statistics & numerical data; D055815:Young Adult