Nourse C B, Charles C A, McKay M, Keenan P, Butler K M
Our Lady's Hospital for Sick Children, Crumlin, Dublin.
Ir Med J. 1997 Mar;90(2):66-9.
Childhood needlestick injuries and other risk exposures outside of hospital are becoming increasingly common. A retrospective review of casenotes to ascertain the incidence, epidemiology and adequacy of management and follow-up of exposures in the Dublin metropolitan area revealed 52 cases between July 1995 and October 1996. Median age of children was 7.4 years. Most occurred in inner city areas with a recognised high prevalence of i.v. drug use. Only 2 high-risk exposures were identified. On presentation all cases received Hepatitis B vaccination and 56% received Hepatitis B immunoglobulin. Following Hepatitis B virus, Hepatitis C virus and Human immunodeficiency virus testing, no seroconversions have been identified to date in 9 children with completed tests. General follow-up and Hepatitis B immunisation when initiated were not always complete. Standardised management protocols and wider availability of counselling are recommended.
儿童期针刺伤及医院外的其他风险暴露正变得越来越普遍。对都柏林大都会地区病例记录进行回顾性研究，以确定暴露的发生率、流行病学情况以及管理和随访的充分性，结果显示在1995年7月至1996年10月期间有52例。儿童的中位年龄为7.4岁。大多数发生在公认静脉注射吸毒率高的市中心地区。仅识别出2例高风险暴露。就诊时所有病例均接受了乙肝疫苗接种，56%的病例接受了乙肝免疫球蛋白注射。在进行乙肝病毒、丙肝病毒和人类免疫缺陷病毒检测后，9例完成检测的儿童至今未发现血清转化。开始时的一般随访和乙肝免疫接种并不总是完整的。建议制定标准化管理方案并更广泛地提供咨询服务。
