Varghese G M, Abraham O C, Mathai D
Department of Medicine and Infectious Diseases, Christian Medical College, Vellore, India.
Postgrad Med J. 2003 Jun;79(932):324-8. doi: 10.1136/pmj.79.932.324.
Healthcare workers have a high risk of occupational exposure, more so in developing countries, with high incidence of blood borne diseases and prevalence of unsafe practices. Among the various blood borne diseases, the most common and important ones are HIV infection, hepatitis B, and hepatitis C. Most of the occupational transmission can be prevented and the "standard precaution" has been shown to reduce exposures and hence the transmission of infection. Healthcare workers have to be educated about post-exposure prophylaxis and each institution needs to adopt a clear protocol.
医护人员面临较高的职业暴露风险,在发展中国家更是如此,因为这些国家血源性疾病发病率高且存在不安全操作行为。在各种血源性疾病中,最常见且最重要的是艾滋病毒感染、乙型肝炎和丙型肝炎。大多数职业传播是可以预防的,“标准预防措施”已被证明可减少暴露,从而降低感染传播。必须对医护人员进行暴露后预防教育,每个机构都需要采用明确的方案。