Description

Exposure to blood is not uncommon in athletics, especially in the contact sports. Blood can be a source of exposure for certain pathogens that can cause life-threatening infections. Fortunately transmission of disease by blood exposure during sports is rare if proper precautions are taken.


 

Blood borne pathogens include:

(1) hepatitis B

(2) hepatitis C

(3) HIV

 

Athlete care:

(1) Clean and cover all wounds prior to an event or practice.

(2) Immediate control of any bleeding with complete covering of wound, with removal from play if adequate control is not achieved.

(3) Washing off of blood and body fluids from skin and uniforms as appropriate. It is not necessary to stop play for a small amount of dried blood.

(4) Enforcing prohibition on biting, scratching or fighting.

(5) Protective equipment should be worn to protect against injury.

 

Vaccination:

(1) HBV vaccination should be encouraged

 

Injury and emergency care:

(1) Personal protective equipment (PPE) such as plastic gloves and skin covering should be available.

(2) Trainers and coaches should be instructed in first aid.

(3) Emergency care equipment should be available and should include an Ambu or similar bag.

 

Cleaning supplies:

(1) Soap and water for other means of cleaning skin

(2) Surface disinfectants

(3) Paper towels with means of sanitary disposal.

 

Testing after a significant exposure:

(1) Both source and exposed initially.

(2) Exposed during the possible incubation period (for example, at 1, 3 and 6 months)

(3) Source later if window period suspected.

 

An athlete who is positive for a blood borne pathogen:

(1) Should be allowed to participate in sports.

(2) Should be educated on ways to minimize risk of transmission.

(3) Should have health status kept confidential.

(4) May choose to participate in a sport with a low risk of infecting others.

 


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