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对选定的血源性病原体立场声明和联邦法规的审查。

A review of selected blood-borne pathogen position statements and federal regulations.

机构信息

Brent L. Arnold is Assistant Professor and Graduate Coordinator of Athletic Training at West Virginia University, Morgantown, WV 26506-6116.

出版信息

J Athl Train. 1995 Jun;30(2):171-6.

PMID:16558331
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1317853/
Abstract

One response to the AIDS epidemic has been the formation of blood-borne pathogen policy statements by medical associations, athletic governing bodies, and the federal government. The policy statements by medical associations and athletic governing bodies discuss a wide range of issues, including the eligibility of infected athletes and the right of infected health care workers to practice. In contrast, federal regulations are limited to employees in the work environment. Despite the apparent comprehensiveness of these documents, major deficiencies in the documents do exist. For example, employees exposed to body fluids are entitled to free, employer-provided HIV testing. Similarly, athletes exposed to body fluids also are entitled to voluntary HIV testing. However, it is unclear who should pay for this testing. Furthermore, AIDS testing of student athletic trainers is never discussed. Although there are deficiencies, these documents provide guidelines for resolving the deficiencies. For example, because student athletic trainers act as employees of their institution, it is reasonable to suggest that they receive the same protections that federal regulations provide to employees. Thus, the athletic trainer should find these documents useful for developing policies related to blood-borne pathogens.

摘要

应对艾滋病疫情的措施之一是医学协会、体育管理机构和联邦政府制定血源性病原体政策声明。医学协会和体育管理机构的政策声明讨论了广泛的问题,包括受感染运动员的参赛资格和受感染医护人员从业的权利。相比之下,联邦法规仅限于工作环境中的员工。尽管这些文件显然很全面,但仍存在重大缺陷。例如,接触体液的员工有权获得免费的、由雇主提供的 HIV 检测。同样,接触体液的运动员也有权进行自愿的 HIV 检测。然而,目前尚不清楚应由谁来支付这笔检测费用。此外,学生运动员教练的艾滋病检测从未被提及。尽管存在缺陷,但这些文件为解决这些缺陷提供了指导方针。例如,由于学生运动员教练是其所在机构的雇员,因此可以合理地认为他们应享有联邦法规为员工提供的相同保护。因此,运动员教练会发现这些文件对于制定与血源性病原体相关的政策很有用。

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本文引用的文献

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Transmission from one child to another of human immunodeficiency virus type 1 with a zidovudine-resistance mutation.
N Engl J Med. 1993 Dec 16;329(25):1835-41. doi: 10.1056/NEJM199312163292502.
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HIV transmission between two adolescent brothers with hemophilia.
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