Dear Friends:
I have gone through this paper, which is about recommendation for
healthcare workers at risk of HIV infection via occupational transmission.
There is no mention of human milk as a vector.
I hope that day cares and other institutions are aware of this document.
_http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5409a1.htm_
(http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5409a1.htm)
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An exposure that might place HCP at risk for HIV infection is defined as a
percutaneous injury (e.g., a needlestick or cut with a sharp object) or contact
of mucous membrane or nonintact skin (e.g., exposed skin that is chapped,
abraded, or afflicted with dermatitis) with blood, tissue, or other body fluids
that are potentially infectious. In addition to blood and visibly bloody
body fluids, semen and vaginal secretions also are considered potentially
infectious. Although semen and vaginal secretions have been implicated in the
sexual transmission of HIV, they have not been implicated in occupational
transmission from patients to HCP. The following fluids also are considered
potentially infectious: cerebrospinal fluid, synovial fluid, pleural fluid, peritoneal
fluid, pericardial fluid, and amniotic fluid. The risk for transmission of
HIV infection from these fluids is unknown; the potential risk to HCP from
occupational exposures has not been assessed by epidemiologic studies in
health-care settings. Feces, nasal secretions, saliva, sputum, sweat, tears, urine,
and vomitus are not considered potentially infectious unless they are
visibly bloody; the risk for transmission of HIV infection from these fluids and
materials is low (7).
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warmly,
Nikki Lee RN, MS, Mother of 2, IBCLC, CCE
Maternal-Child Adjunct Faculty Union Institute and University
Film Reviews Editor, Journal of Human Lactation
www.breastfeedingalwaysbest.com
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