Division of Dermatologic Surgery, Mayo Clinic, Rochester, Minnesota.
Department of Dermatology, Medical University of South Carolina, Charleston, South Carolina.
J Am Acad Dermatol. 2017 Nov;77(5):946-951.e6. doi: 10.1016/j.jaad.2017.06.040. Epub 2017 Aug 31.
Dermatologists and their staff are at risk for needlestick injuries and exposures to body fluids. Despite the availability of treatment to reduce the risk of blood-borne infection, many exposures go unreported. This paper identifies current recommendations and the specific details for response to occupational exposures to HIV, hepatitis B virus, and hepatitis C virus in the dermatology office. Issues surrounding each virus are discussed individually, and a summary step-by-step algorithm of how to proceed in the event of an occupational exposure is presented. In addition, a focused Practice Improvement Activity that is based on this paper and provides Maintenance of Certification credit has been developed. To view and participate, visit https://secure.dataharborsolutions.com/abdermorg/.
皮肤科医生及其工作人员有发生针刺伤和接触体液的风险。尽管有治疗方法可以降低血源性感染的风险,但许多接触并未报告。本文确定了皮肤科诊室中针对职业接触 HIV、乙型肝炎病毒和丙型肝炎病毒的现有推荐意见和具体应对细节。分别讨论了每种病毒的相关问题,并提出了在发生职业接触时应如何处理的分步总结算法。此外,还根据本文开发了一个重点实践改进活动,该活动可提供认证维护学分。要查看和参与,请访问 https://secure.dataharborsolutions.com/abdermorg/。