护理人员HIV职业暴露及感染HIV原因分析

发布时间：2018-05-26 17:02

本文选题：护理人员 + 艾滋病　；参考：《中国感染控制杂志》2017年08期

【摘要】：目的分析护理人员HIV职业暴露后感染情况及部分感染HIV护理人员情况,为预防护理人员发生HIV感染提供依据。方法对某院2004年1月—2015年6月发生的HIV职业暴露的护理人员,及2001年1月—2015年12月在该院住院、门诊咨询或院外会诊的抗HIV阳性的护理人员及其配偶的HIV感染情况进行分析。结果 76例护理人员HIV职业暴露进行规范化处理及随访后均未发生HIV感染。13例感染HIV的护理人员中既往可能职业暴露感染3例,二十世纪九十年代输血感染5例,性传播感染4例(其中男护士同性性行为感染2例),感染途径不明1例;发生二次传播2例;目前存活9例。感染者多得到有效治疗并改为从事后勤工作。结论护理人员常发生HIV职业暴露,可能职业暴露感染均发生在未实施规范化管理的情况下,实施规范化管理可避免HIV职业暴露感染的发生。性传播(包括男男同性性行为)已成为护理人员感染HIV的重要途径。
[Abstract]:Objective to analyze the infection of HIV after occupational exposure and the condition of partial infection of HIV among nurses so as to provide evidence for the prevention of HIV infection among nurses. Methods Nursing staff exposed to HIV from January 2004 to June 2015 in a hospital and hospitalized in the hospital from January 2001 to December 2015 were analyzed. The HIV infection of HIV positive nurses and their spouses in outpatient consultation or outside consultation were analyzed. Results there were 3 cases of possible occupational exposure to HIV and 5 cases of transfusion infection in 1990's among 76 nurses who had been standardized treatment of HIV occupational exposure and none of them had HIV infection. 13 cases were infected with HIV. There were 4 cases of sexually transmitted infection (including 2 cases of male nurses' same-sex infection, 1 case of unknown route of infection, 2 cases of secondary transmission, 9 cases of survival). Many infected people received effective treatment and instead engaged in logistics work. Conclusion Occupational exposure to HIV often occurs among nurses, and the infection of occupational exposure may occur in the absence of standardized management, and the implementation of standardized management can avoid the occurrence of occupational exposure to HIV. Sexual transmission (including male-male sex) has become an important way for nurses to be infected with HIV.
【作者单位】：武汉大学中南医院艾滋病临床指导培训中心;
【分类号】：R47

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