Davenport Andine, Myers Frank
Scripps Mercy Hospital, San Diego, CA, USA.
Nursing. 2009 May;39(5):22-8; quiz 28-9. doi: 10.1097/01.NURSE.0000350750.56905.78.
An accidental exposure to blood or other potentially infectious material (OPIM) such as cerebrospinal or pleural fluid can be a life changing experience. Among the bloodborne and OPIM pathogens are HIV, hepatitis B virus (HBV) and hepatitis C virus (HCV). Postexposure prophylaxis (PEP) exists for HBV and HIV, but not for HCV, which is the most common chronic bloodborne infection in the United States; approximately 3.2 million persons are chronically infected. Fortunately, however, exposure to blood or OPIM usually doesn't translate into disease transmission. In this article, we'll discuss how you can minimize the risk of disease transmission if you or a coworker is accidentally exposed to blood or another potentially infectious body fluid. But first, let's review some key definitions.
意外接触血液或其他潜在感染性物质(OPIM),如脑脊液或胸水,可能会改变一生。血源性病原体和OPIM包括人类免疫缺陷病毒(HIV)、乙型肝炎病毒(HBV)和丙型肝炎病毒(HCV)。针对HBV和HIV有暴露后预防措施(PEP),但针对HCV没有,HCV是美国最常见的慢性血源感染;约320万人受到慢性感染。然而,幸运的是,接触血液或OPIM通常不会导致疾病传播。在本文中,我们将讨论如果你或同事意外接触血液或其他潜在感染性体液,如何将疾病传播风险降至最低。但首先,让我们回顾一些关键定义。