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皮肤科诊所中 HIV、HBV 和 HCV 的锐器伤和其他职业暴露的管理。

Managing sharps injuries and other occupational exposures to HIV, HBV, and HCV in the dermatology office.

机构信息

Division of Dermatologic Surgery, Mayo Clinic, Rochester, Minnesota.

Department of Dermatology, Medical University of South Carolina, Charleston, South Carolina.

出版信息

J Am Acad Dermatol. 2017 Nov;77(5):946-951.e6. doi: 10.1016/j.jaad.2017.06.040. Epub 2017 Aug 31.

Abstract

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/.

摘要

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/。

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