Preventing bloodborne pathogen transmission in community nursing practice

Br J Community Nurs. 2025 Feb 2;30(2):90-94. doi: 10.12968/bjcn.2025.0002.

Abstract

Community nurses face challenges while caring for patients with complex conditions, post-hospital recovery needs, or palliative care requirements, which increases their exposure to bloodborne pathogens. Inoculation injuries can transmit viruses such as hepatitis B (HBV), hepatitis C (HCV), and HIV. The risk of transmission depends on several factors, including the healthcare worker's immune status and vaccination history. Despite the high incidence of these injuries, the majority of those exposed do not develop serious illnesses. However, the financial impact of these injuries on the healthcare system is substantial, including both direct costs (such as treatment and testing) and indirect costs like staff absenteeism. Preventive measures, such as proper use of personal protective equipment, prompt reporting and post-exposure prophylaxis are essential to minimise the risk of transmission.

Keywords: bloodborne pathogens; community nurses; inoculation injuries; needle-stick injuries; post-exposure prophylaxis.

MeSH terms

  • Blood-Borne Infections / prevention & control
  • Blood-Borne Pathogens
  • Community Health Nursing*
  • Hepatitis B / prevention & control
  • Hepatitis B / transmission
  • Humans
  • Infectious Disease Transmission, Patient-to-Professional / prevention & control
  • Needlestick Injuries / prevention & control
  • Personal Protective Equipment
  • Post-Exposure Prophylaxis