Gerberding J L
N Engl J Med. 1986 Dec 11;315(24):1562-4. doi: 10.1056/NEJM198612113152434.
HIV is not readily transmitted to health care workers, even after accidental parenteral exposure to infected blood. Existing guidelines for reducing exposure to blood and other body fluids will protect workers who care for patients infected with this pathogen. New infection-control guidelines for patients with AIDS are therefore not required. Awareness of the potential for nosocomial transmission of HIV has resulted in a renewed respect for the principles and practice of infection control. The procedures that the task force recommended to prevent contact with body fluids will reduce exposure not only to HIV but also to other potentially contagious pathogens in the health care environment. Implementation and enforcement of these guidelines for all patients could greatly reduce the incidence of nosocomial and occupationally acquired infections.
即使在意外经肠外途径接触到受感染血液之后,HIV也不容易传播给医护人员。现有的减少接触血液和其他体液的指南将保护护理感染该病原体患者的工作人员。因此,不需要针对艾滋病患者制定新的感染控制指南。对HIV医院内传播可能性的认识已使人们重新重视感染控制的原则和做法。特别工作组推荐的防止接触体液的程序不仅会减少医护环境中接触HIV的机会,还会减少接触其他潜在传染性病原体的机会。对所有患者实施和执行这些指南可大大降低医院感染和职业获得性感染的发生率。