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公众对感染血源病毒的医生和牙医的态度及看法:一项全国性调查结果

Public attitudes and opinions toward physicians and dentists infected with bloodborne viruses: results of a national survey.

作者信息

Tuboku-Metzger Jennifer, Chiarello Linda, Sinkowitz-Cochran Ronda L, Casano-Dickerson Annelise, Cardo Denise

机构信息

Division of Healthcare Quality Promotion, National Center for Infectious Diseases, Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA 30333, USA.

出版信息

Am J Infect Control. 2005 Jun;33(5):299-303. doi: 10.1016/j.ajic.2005.02.002.

Abstract

BACKGROUND

There has been no recent assessment of public attitudes and opinions concerning risk of bloodborne virus transmission during health care.

METHODS

Seven items in the 2000 annual Healthstyles survey were used to assess current attitudes and opinions about health care providers infected with human immunodeficiency virus (HIV) and the risk of bloodborne virus transmission during health care in a sample of approximately 3000 US households.

RESULTS

Of the 2353 respondents, 89% agreed that they want to know whether their doctor or dentist is infected with HIV; 82% agreed that disclosure of HBV or HCV infection in a provider should be mandatory. However, 47% did not believe that HIV-infected doctors were more likely to infect patients than doctors infected with HBV or HCV. Opinions were divided on whether HIV-infected providers should be able to care for patients as long as they use good infection control: only 38% thought that infected providers should be allowed to provide patient care.

CONCLUSIONS

These findings suggest that improved public education and risk communication on health care-associated bloodborne infections is needed.

摘要

背景

近期尚未对公众关于医疗保健期间血源病毒传播风险的态度和意见进行评估。

方法

2000年年度健康生活方式调查中的七个项目被用于评估约3000户美国家庭样本中对感染人类免疫缺陷病毒(HIV)的医疗保健提供者以及医疗保健期间血源病毒传播风险的当前态度和意见。

结果

在2353名受访者中,89%的人同意他们想知道自己的医生或牙医是否感染了HIV;82%的人同意应强制披露提供者感染乙肝病毒或丙肝病毒的情况。然而,47%的人不认为感染HIV的医生比感染乙肝病毒或丙肝病毒的医生更有可能感染患者。对于感染HIV的提供者只要采取良好的感染控制措施是否应能够照顾患者,意见存在分歧:只有38%的人认为应允许感染的提供者提供患者护理。

结论

这些发现表明需要加强关于医疗保健相关血源感染的公众教育和风险沟通。

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