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埃塞俄比亚南部患者至医护人员因锐器伤感染 HIV 的风险。

Patients-to-healthcare workers HIV transmission risk from sharp injuries, Southern Ethiopia.

机构信息

Kyoto University, Kyoto, Japan.

出版信息

SAHARA J. 2012;9(1):1-5. doi: 10.1080/17290376.2012.665252.

Abstract

BACKGROUND

Accidental needlestick injury rate among healthcare workers in Hawassa is extremely high. Epidemiological findings proved the infectious potential of this injury contaminated with a Human Immunodeficiency Virus (HIV)-infected patient's blood.

OBJECTIVE

This study aimed at estimating the risk of HIV transmission from patients to healthcare workers in Hawassa City, Ethiopia.

METHOD

A probabilistic risk model was employed. Scenario-based assumptions were made for the values of parameters following a review of published reports between 2007 and 2010.

PARAMETERS

HIV prevalence, needlestick injury rate, exposure rate, sero-conversion rate, risk of HIV transmission and cumulative risk of HIV transmission.

FINDING

Generally, healthcare workers in Hawassa are considered to be at a relatively low (0.0035%) occupational risk of contracting HIV - less than 4 in 100,000 of healthcare workers in the town (1 in 28,751 workers a year). The 30 years' maximum cumulative risk estimate is approximately five healthcare workers per 1000 workers in the study area. Still, this small number should be considered a serious matter requiring post-exposure prophylaxis following exposure to unsafe medical practice leading to HIV infection.

摘要

背景

在 Hawassa,医护人员发生意外针刺伤的比率极高。流行病学研究结果表明,这种由 HIV 感染患者血液污染的针刺伤具有感染性。

目的

本研究旨在评估在埃塞俄比亚 Hawassa 市,患者将 HIV 传染给医护人员的风险。

方法

采用概率风险模型。根据 2007 年至 2010 年期间发表的报告,对参数值进行基于情景的假设。

参数

HIV 流行率、针刺伤发生率、暴露率、血清转化率、HIV 传播风险和 HIV 传播累积风险。

发现

总体而言,Hawassa 的医护人员被认为职业感染 HIV 的风险相对较低(0.0035%)-每 100000 名医护人员中不到 4 人(每年每 28751 名医护人员中有 1 人)。30 年的最大累积风险估计约为每 1000 名医护人员中有 5 名医护人员。尽管如此,这一少数人数仍应被视为一个严重的问题,需要在发生不安全的医疗操作导致 HIV 感染后进行暴露后预防。

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