DiMaggio S L
Am J Law Med. 1993;19(4):497-522.
An announcement in July 1990 concerning the possible transmission of the Human Immunodeficiency Virus from an HIV-positive health care professional to a patient launched a public outcry for patient protection from acquiring HIV from health care professionals. As a result of numerous debates, Congress issued a mandate requiring the states to adopt the Centers for Disease Control and Prevention's guidelines concerning HIV-positive health care professionals or an equivalent policy. This Note explores the regulations and guidelines established by various states in response to this mandate. The author concludes that policies requiring adherence to universal precautions within the health care setting, and not mandatory testing of health care professionals or mandatory disclosure of their HIV status, are best for protecting public health.
1990年7月发布的一则公告称,一名感染了人类免疫缺陷病毒的医护人员可能将病毒传染给了一名患者,这引发了公众对保护患者免受医护人员感染艾滋病毒的强烈抗议。经过多次辩论,国会发布了一项指令,要求各州采用疾病控制与预防中心关于艾滋病毒呈阳性医护人员的指导方针或同等政策。本注释探讨了各州为响应这一指令而制定的法规和指导方针。作者得出结论,要求在医疗环境中坚持普遍预防措施,而非对医护人员进行强制检测或强制披露其艾滋病毒感染状况的政策,最有利于保护公众健康。