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人类免疫缺陷病毒暴露后预防:初级医生的知识与经验

Post-exposure prophylaxis for human immunodeficiency virus: knowledge and experience of junior doctors.

作者信息

Chen M Y, Fox E F, Rogers C A

机构信息

Department of Genito-Urinary Medicine, Guy's and St Thomas's NHS Trust, London, UK.

出版信息

Sex Transm Infect. 2001 Dec;77(6):444-5. doi: 10.1136/sti.77.6.444.

Abstract

OBJECTIVE

To assess the level of knowledge and experience of post-exposure prophylaxis (PEP) against human immunodeficiency virus (HIV) among junior doctors.

METHODS

A questionnaire was sent to all junior doctors working in two major teaching hospitals in London.

RESULTS

Most junior doctors had heard of PEP (93%) but fewer were aware that it reduced the rate of HIV transmission (76%). Only a minority of doctors (8%) could name the drugs recommended in recent national guidelines and a significant proportion (43%) could not name any. Almost one third (29%) did not know within what period PEP should be administered. This was despite the fact that the majority of respondents (76%) had experienced high risk exposure to potentially infective material at some stage in their careers and that a significant proportion (18%) had sought advice about PEP following potential exposures.

CONCLUSIONS

This study demonstrates that the junior hospital doctors in our survey had inadequate knowledge of PEP against HIV despite being at risk of occupational exposure.

摘要

目的

评估初级医生对人类免疫缺陷病毒(HIV)暴露后预防(PEP)的知识水平和经验。

方法

向伦敦两家主要教学医院工作的所有初级医生发放问卷。

结果

大多数初级医生听说过PEP(93%),但较少有人意识到它能降低HIV传播率(76%)。只有少数医生(8%)能说出近期国家指南中推荐的药物,相当一部分医生(43%)一个也说不出来。近三分之一(29%)的医生不知道PEP应在什么时间段内使用。尽管大多数受访者(76%)在职业生涯的某个阶段曾接触过有潜在感染性的高风险物质,且相当一部分人(18%)在潜在暴露后寻求过PEP相关建议,但情况依然如此。

结论

本研究表明,参与我们调查的初级医院医生尽管面临职业暴露风险,但对HIV的PEP知识掌握不足。

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本文引用的文献

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Management of occupational exposures to blood-borne viruses.
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