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乌干达北部医护人员中职业性接触艾滋病毒的流行情况。

Prevalence of occupational exposure to HIV among health workers in Northern Uganda.

作者信息

Odongkara B M, Mulongo G, Mwetwale C, Akasiima A, Muchunguzi H V, Mukasa S, Turinawe K V, Adong J O, Katende J

机构信息

Faculty of Medicine, Gulu University, Loroo Division, Gulu Municipality, Gulu, Uganda.

出版信息

Int J Risk Saf Med. 2012;24(2):103-13. doi: 10.3233/JRS-2012-0563.

DOI:10.3233/JRS-2012-0563
PMID:22751192
Abstract

BACKGROUND

The prevalence of HIV in Gulu district is 10.3%. This poses a high risk of occupational exposure and transmission to health workers in hospitals attending to these patients. The risk of HIV transmission from a patient to a health worker has been shown to be between 0.3% and 0.09% following percutaneous and mucocutaneous exposure respectively.

OBJECTIVES

This research aimed at determining the prevalence of occupational exposure to HIV.

METHOD

A cross sectional study of health workers in Gulu Regional Referral Hospital and St. Mary's Hospital Lacor, in northern Uganda was conducted to establish the frequency of occupational exposures to human immunodeficiency virus (HIV)-infected body fluids.

RESULTS

108 (46%) respondents were found to have been exposed to potentially infectious body fluids. Needle stick injuries was the commonest route of exposure, with a prevalence of 27.7%, followed by mucosal exposure 19.1%, contact with broken skin (5.5%) and lastly by a cut with sharp objects (5.1%). There is therefore need for more sensitization of health workers on infection control and post exposure prophylaxis for health workers.

摘要

背景

古卢地区的艾滋病毒感染率为10.3%。这给诊治这些患者的医院医护人员带来了较高的职业暴露和感染风险。经皮暴露和黏膜暴露后,患者将艾滋病毒传播给医护人员的风险分别为0.3%至0.09%。

目的

本研究旨在确定职业性艾滋病毒暴露的感染率。

方法

对乌干达北部古卢地区转诊医院和圣玛丽医院拉科尔分院的医护人员进行了一项横断面研究,以确定职业性接触人类免疫缺陷病毒(艾滋病毒)感染体液的频率。

结果

发现108名(46%)受访者曾接触过潜在感染性体液。针刺伤是最常见的暴露途径,感染率为27.7%,其次是黏膜暴露19.1%,接触破损皮肤(5.5%),最后是被尖锐物体割伤(5.1%)。因此,需要加强对医护人员的感染控制和暴露后预防措施的宣传。

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