NOTES

Inoculation injury includes contamination of non-intact skin, or (intact) mucosa with blood or body fluids and injuries caused by machines, tools or weapons that may be contaminated with blood, e.g:

• Health-care worker, accident while attending to a patient
• Police officers dealing with drug offenders
• Police officers, or bouncers involved in incidents with blood spillage
• Members of the public injured by discarded needles
• Human bite

An inoculation injury from an animal (excluding primates) does not require a deferral period, if the inoculation site is fully healed

ACCEPT:

• History of an inoculation injury from an animal (excluding primates) – accept once the inoculation site is fully healed

 DEFER

• History of inoculation injury, or contamination of mucosa or non-intact skin with blood or body fluids - defer for 4 months from the date of the incident if follow up is complete and the donor did not receive Hepatitis B Immunoglobulin (HBIG) 
• If the donor is still under follow-up even after 4 months has elapsed, defer until follow up has been completed
• For 12 months if the donor received HBIG (following an exposure to hepatitis B)
• If the donor received post exposure prophylaxis (PEP) following an inoculation injury with HIV positive blood, defer for 4 months

 PERMANENTLY EXCLUDE:

• History of inoculation injury with material containing abnormal prions
• History of inoculation injury with the blood or body fluid of a non-human primate

SEE IF RELEVANT

• HEALTH CARE WORKERS