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丙型肝炎病毒(HCV)医院感染

[Nosocomial infection with hepatitis C virus(HCV)].

作者信息

Iino S

机构信息

St. Marianna University, Department of Internal Medicine, Division of Gastroenterology and Hepatology.

出版信息

Nihon Rinsho. 2001 Jul;59(7):1299-302.

PMID:11494541
Abstract

Nosocomial infection with HCV occurs in three ways. 1) Infection from medical personnel to patients is extremely rare, and only one report exists. Medical personnel should be aware of HCV infection status, but HCV-infected medical personnel need not be banned from medical activity. 2) The possibility of infection from patient to medical personnel is always present. The creation of a medical environment in which the possibility of injury from instruments contaminated by blood is eliminated is the most important measure. The probability of infection is estimated to be around 1%, and there are no methods of prevention. Interferon therapy is administered when acute hepatitis C infection develops. 3) Patient to patient infection is thought to have occurred frequently in the past as a result of re-use of syringes for intravenous injections. The most important measure against this occurrence is the strict disposal of disposable syringes.

摘要

医院获得性丙型肝炎病毒感染有三种途径。1)从医务人员传染给患者极为罕见,仅有一份报告。医务人员应了解丙型肝炎病毒感染状况,但感染丙型肝炎病毒的医务人员无需被禁止从事医疗活动。2)患者传染给医务人员的可能性始终存在。营造一个消除因被血液污染的器械造成伤害可能性的医疗环境是最重要的措施。感染概率估计约为1%,且尚无预防方法。急性丙型肝炎感染发生时给予干扰素治疗。3)过去认为患者之间的感染因静脉注射重复使用注射器而频繁发生。防止这种情况发生的最重要措施是严格处理一次性注射器。

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