van Oosterhout Joep J G, Nyirenda Mulinda, Beadsworth Michael B J, Kanyangalika Joseph K, Kumwenda Johnstone J, Zijlstra Eduard E
Department of Medicine, College of Medicine, University of Malawi, Blantyre, Malawi.
Trop Doct. 2007 Jan;37(1):4-6. doi: 10.1258/004947507779951961.
We describe the evaluation of the HIV post-exposure prophylaxis (PEP) programme for occupational injuries in Queen Elizabeth Central Hospital, Blantyre, Malawi. An audit was performed 1 year after introduction, by reviewing files of all clients who sought advice regarding PEP. In addition, the incidence of occupational injuries and awareness of the programme were assessed through interviews with nurses. The logistics of the programme were adequate. Of 29 clients who reported occupational injuries,19 started PEP. Only double antiretroviral drug therapy was available; side-effects were common but generally mild. Attendance of scheduled follow-up visits was poor, and few HIV test results after completion of PEP were obtained. Interviews with nurses revealed a high incidence of occupational injuries, but many did not report for advice about PEP; mostly because of unawareness of the programme and a reluctance to be tested for HIV.
我们描述了马拉维布兰太尔伊丽莎白女王中央医院针对职业伤害的艾滋病毒暴露后预防（PEP）项目的评估情况。在该项目引入一年后进行了一次审计，通过查阅所有寻求PEP相关建议的客户档案来进行。此外，通过与护士访谈评估职业伤害的发生率以及对该项目的知晓情况。该项目的后勤保障充足。在报告职业伤害的29名客户中，19人开始接受PEP。当时仅有双重抗逆转录病毒药物疗法可用；副作用很常见，但一般较轻。预定随访就诊的出勤率很低，完成PEP后获得的艾滋病毒检测结果很少。对护士的访谈显示职业伤害发生率很高，但许多人没有报告寻求PEP相关建议；主要原因是不了解该项目以及不愿接受艾滋病毒检测。
