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医护人员的职业性艾滋病毒风险:职业活动过程中的风险因素及感染风险

Occupational HIV risk for health care workers: risk factor and the risk of infection in the course of professional activities.

作者信息

Wyżgowski Przemysław, Rosiek Anna, Grzela Tomasz, Leksowski Krzysztof

机构信息

Department of General Surgery, Military Hospital, Nicolas Copernicus University in Toruń, Bydgoszcz, Poland.

Public Health Department, Faculty of Health Sciences, Nicolas Copernicus University in Toruń, Bydgoszcz, Poland.

出版信息

Ther Clin Risk Manag. 2016 Jun 14;12:989-94. doi: 10.2147/TCRM.S104942. eCollection 2016.

Abstract

Virtually created panic among health care workers about pandemic acquired immune deficiency syndrome prompted us to review the scientific literature to investigate the risk of human immunodeficiency virus (HIV) transmission in the daily works of health care workers, especially surgeons and anesthesiologists. In this review, we report worldwide valuations of the number of HIV infections that may occur from unsafe daily work in health care. We also present how to minimize the risk of infection by taking precautions and how to utilize postexposure prophylaxis in accordance with the latest reports of the Centers for Disease Control and Prevention. HIV-infected patients will be aging, and most of them will become the candidates for procedures such as major vascular reconstruction and artery bypass grafting, where the risks of blood contact and staff injury are high. For these reasons, all health care workers need to know how to prevent, and fight following the accidental exposure to HIV.

摘要

医疗工作者中几乎引发了关于大流行性获得性免疫缺陷综合征的恐慌,这促使我们查阅科学文献,以调查医疗工作者日常工作中,尤其是外科医生和麻醉师,感染人类免疫缺陷病毒(HIV)的风险。在本综述中,我们报告了全球范围内因医疗保健日常工作不安全而可能发生的HIV感染数量评估。我们还介绍了如何通过采取预防措施将感染风险降至最低,以及如何根据疾病控制与预防中心的最新报告进行暴露后预防。感染HIV的患者年龄将不断增加,他们中的大多数将成为诸如大血管重建和动脉搭桥移植等手术的候选对象,而这些手术中血液接触和工作人员受伤的风险很高。出于这些原因,所有医疗工作者都需要知道如何预防,并在意外接触HIV后进行应对。

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