摘要
目的对我院医务人员艾滋病病毒(HIV/AIDS)职业暴露发生的经过、上报流程、危险程度评估和处理措施做初步分析,探讨暴露后如何实施最佳的预防和处理措施。方法根据卫生部制定的《医务人员艾滋病病毒职业暴露防护工作指导原则》,对我院某科发生的医务人员HIV/AIDS职业暴露的资料进行回顾性分析。结果医务人员在发生HIV/AIDS职业暴露后心理都比较恐慌,担心与害怕被感染。上报院感科后及时给予有效的指导及使用抗病毒转录暴露后预防措施(post-exposure prophylaxis,PEP)的实施,跟踪3个月至1年的临床医学观察后,未发现1例感染者。结论临床医务人员属高风险职业,在医疗护理操作中极易发生HIV/AIDS职业暴露,医院感染管理部门应制定一系列完善的上报程序及防护措施,提高医务人员的防控意识及加强相关知识的教育和培训。
Objective To analyze the process,reporting procedure and degree of risk for medical personnel with occupational exposure to HIV/AIDS,and to discuss the most effective preventive measures for their protection.Methods The data of medical personnel in this hospital with occupational exposure to HIV/AIDS were retrospectively reviewed and analyzed according to the protection guidance principle of medical personnel with occupational exposure to HIV/AIDS by Ministry of Health.Results Medical personnel were scared after exposure to HIV/AIDS and they were afraid for being infected.Under the guidance of department of hospital infection management,preventive measures of anti-viral transference post-exposure prophylaxis after reporting were adopted for them.After follow-up for 3 months to 1 year of medical observation,there was no case being infected with HIV after taking protective measures.Conclusion As medical profession is a high-risk occupation,occupational exposure is easily to be happened in nursing working.It is necessary for department of hospital infection management to formulate a reporting procedure and preventive measures for them,hence it is important to raise the sense of their self-protection and to strengthen their training and education of related knowledge.
出处
《临床和实验医学杂志》
2011年第9期687-689,共3页
Journal of Clinical and Experimental Medicine
