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[医院健康的当前问题,包括艾滋病问题。“保护患者和医护人员——法律地位”]

[Current problems of hospital health including the AIDS problem. "Protection of patients and staff--legal status"].

作者信息

Gallwas H U

机构信息

Universität München, Institut für Politik und Offentliches Recht.

出版信息

Z Orthop Ihre Grenzgeb. 1989 Jul-Aug;127(4):503-5. doi: 10.1055/s-2008-1044714.

Abstract

The prevention of HIV infection in hospital, if at all possible, is a general legal obligation. For that reason, special preventive measures against infection are required for blood transfusions, transplantations or semen donations. On the other hand, comprehensive information on the risks of infection and the permanent reminder of hygienic directions are considered to be sufficient for the protection of physicians and nursing staffs. However, the arguments for such a careless handling are not convincing. HIV testing of patients for the protection of the medical staff must not be relinquished. However, the current jurisdiction does not permit to carry out HIV tests without the patients' consent following comprehensive information; furthermore, the consequences resulting from a positive as well as a negative test have to be explained to the patients. In case of established infection further transmission must be prevented by all means.

摘要

在医院预防艾滋病毒感染,如果有可能的话,是一项普遍的法定义务。因此,输血、移植或精液捐献需要采取特殊的感染预防措施。另一方面,关于感染风险的全面信息以及对卫生指导的持续提醒被认为足以保护医生和护理人员。然而,这种粗心处理的理由并不令人信服。为保护医务人员而对患者进行艾滋病毒检测绝不能放弃。然而,目前的司法管辖权不允许在向患者提供全面信息后未经患者同意进行艾滋病毒检测;此外,必须向患者解释检测呈阳性和阴性的后果。如果确诊感染,必须千方百计防止进一步传播。

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