Manual for Male Circumcision under Local Anaesthesia

Male circumcision under local anaesthesia
Version 3.1 (Dec09)
- using condoms during sexual intercourse, until the test at six
months confirms that the exposed person remains seronegative.
• Evaluate exposed persons taking PEP within 72 hours after exposure
and monitor for drug adherence and possible drug-related side-effects
and toxicity for at least two weeks.
• If the person develops HIV antibodies, he or she should be referred for
treatment, care and support.
The incident report and the evaluation of the risk of exposure (see Step 2)
should also lead to quality control and evaluation of working safety conditions.
Appropriate correctional measures (such as strengthening adherence to
standard precautions, if relevant) should be taken to prevent other exposures
to HIV and other bloodborne pathogens
Clinic staff should know their HIV status
It is advisable for all clinic staff who carry out surgical procedures to have an
HIV test at periodic intervals, in accordance with national HIV testing
guidelines. If a health care worker is known to have recently had a negative
HIV test, then post-exposure prophylaxis can be started immediately, if
relevant, following exposure to potentially infected blood. In addition, health
care workers would be showing leadership in the context of national
campaigns to increase awareness of HIV status.
REFERENCES
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2
3
World Health Organization. Sharp injuries. Geneva; 2005 (Environmental Burden of Diseases
Series, No. 11).
World Alliance for Patient Safety. A WHO alcohol-based formulation. In: WHO guidelines on
hand hygiene in health care (advanced draft). Geneva, WHO; 2006 (WHO/EIP/SPO/QPS/05.2;
http://www.who.int/patientsafety/en/).
World Health Organization/International Labour Organization. Post-exposure prophylaxis to
prevent HIV infection: Joint WHO/ILO guidelines on post-exposure prophylaxis (PEP) to
prevent HIV infection. World Health Organization, Geneva; 2007.
Prevention of Infection Chapter 8-21