2009-2013年红河州艾滋病病毒职业暴露情况分析

发布时间：2018-03-28 16:01

本文选题：艾滋病病毒　切入点：职业暴露　出处：《现代预防医学》2015年09期

【摘要】：目的了解云南省红河州艾滋病病毒(HIV)职业暴露发生、暴露后预防(PEP)及预后,促进HIV职业暴露防护工作。方法对2009-2013年红河州报告的所有HIV职业暴露者进行流行病学个案调查和统计分析。结果2009-2013年红河州报告436人发生HIV职业暴露,其中医护人员占78.90%,公安司法人员占18.58%。暴露方式以针刺或锐器刺伤为主,占74.77%;暴露级别以Ⅰ级、Ⅱ级为主,分别占91.06%、8.26%。94.04%(410/436)的暴露者按规范采取紧急处理,72.25%(315/436)的暴露者进行了预防性服药,91.16%(284/315)的暴露者采用了合理的服药方案。27.75%(121/436)未进行预防性服药,其中有83.47%(101/121)的暴露者是真正无需进行预防性服药。随访未发现HIV抗体阳转者。结论应进一步加强部份人员艾滋病安全操作和职业防护培训,对职业暴露人员开展心理疏导以减少不必要的恐慌。
[Abstract]:Objective to investigate the Honghe Prefecture of Yunnan Province AIDS virus (HIV) occupation exposure, post exposure prophylaxis (PEP) and prognosis, promote the protection work of HIV occupation exposure. All HIV exposure for 2009-2013 year occupation of Honghe Prefecture report method for epidemiological investigation and statistical analysis. The result of 2009-2013 years of Honghe Prefecture, 436 people reported HIV occupation exposure among them, medical personnel accounted for 78.90%, the public security and judicial personnel accounted for 18.58%. exposure, with needle or sharp injuries accounted for 74.77%; level of exposure to grade I, II, respectively, 91.06%, 8.26%.94.04% (410/ 436) exposure according to the standard emergency treatment, 72.25% (315/436) exposure of preventive medication 91.16%, (284/315) exposure using.27.75% medication reasonable scheme (121/436) without prophylactic medication, of which 83.47% (101/121) exposure is really no need for preventive medication. No HIV antibody positive conversion was found in follow-up. Conclusion we should further strengthen the training of AIDS safety operation and occupational protection for some staff, and conduct psychological counseling for occupational exposure personnel, so as to reduce unnecessary panic.

【作者单位】：云南省红河州疾病预防控制中心;
【分类号】：R512.91

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