Raufman J P, Straus E W
Gastrointest Endosc. 1987 Apr;33(2):76-9. doi: 10.1016/s0016-5107(87)71513-2.
To determine attitudes and practices associated with gastrointestinal endoscopy in patients with acquired immune deficiency syndrome (AIDS), we surveyed the chiefs of gastroenterology at 196 medical centers in the United States. The response rate was 61% overall and 100% from New York and San Francisco. Our results revealed a broad spectrum of perceived risk and precautions. Seventy-three percent of respondents believed that endoscopy places personnel at risk for contracting AIDS. At 35% of institutions endoscopic procedures are exclusively or frequently performed at the bedside of the patient with AIDS. At 46% of institutions procedures on patients with AIDS are performed with instruments used only in these patients. Endoscopic equipment used in patients with AIDS is gas sterilized at 85% of institutions. One third of respondents noted reluctance of personnel to participate in endoscopy for patients with AIDS. Reluctance was related to the respondent's perception of risk and did not differ among nurses, fellows, attendings, and gastrointestinal assistants. These data indicate that concern regarding transmission of the AIDS virus during endoscopy has resulted in costly and inefficient endoscopic practices.
为了确定获得性免疫缺陷综合征（艾滋病）患者与胃肠内镜检查相关的态度和做法，我们调查了美国196个医疗中心的胃肠病科主任。总体回复率为61%，纽约和旧金山的回复率为100%。我们的结果揭示了广泛的感知风险和预防措施。73%的受访者认为内镜检查会使工作人员有感染艾滋病的风险。在35%的机构中，内镜检查专门或经常在艾滋病患者床边进行。在46%的机构中，对艾滋病患者进行的检查使用仅用于这些患者的器械。85%的机构对用于艾滋病患者的内镜设备进行气体消毒。三分之一的受访者指出工作人员不愿参与对艾滋病患者的内镜检查。这种不愿与受访者对风险的认知有关，护士、研究员、主治医生和胃肠病助理之间没有差异。这些数据表明，对内镜检查期间艾滋病病毒传播的担忧导致了昂贵且低效的内镜检查做法。
