Berger C M, Leentvaar-Kuijpers A, Van Doornum G J, Coutinho R A
GG&GD, divisie Volksgezondheid en Milieu, Nieuwe Achtergracht, Amsterdam.
Ned Tijdschr Geneeskd. 1998 Oct 17;142(42):2312-4.
Since 1986 the number of parenteral exposures to potentially infectious blood reported to the Amsterdam Public Health Service increases every year. The number of needlestick accidents increased significantly from 64 in 1986 to 166 in 1996 whereas the number of other exposures decreased from 59 to 44 in these years. The increase was mainly seen in nonhospital based (para)medics. A possible explanation of this increase is greater awareness of the potential infection risk with HIV, hepatitis B or C virus leading to a tendency to report more readily. This assumption is in contradiction with results of studies in hospital-based personnel where a decrease is observed as a result of educational programmes. Other explanations are a higher frequency of use of sharp instruments and (or) an increase in the workload. Out of a total of 1886 needlestick accidents in 1986-1996 one woman became HIV positive; she was deliberately infected by her ex-partner who injected her with blood of an AIDS patient, and one person contracted an hepatitis C virus infection: a policeman wounded by a needle used by a drug addict.
自1986年以来，向阿姆斯特丹公共卫生服务部门报告的因接触可能具有传染性的血液而导致的非肠道暴露事件数量逐年增加。针刺事故的数量从1986年的64起显著增加到1996年的166起，而在这些年里，其他暴露事件的数量从59起减少到44起。这种增加主要出现在非医院的（准）医务人员中。对此增加的一种可能解释是，人们对感染艾滋病毒、乙型或丙型肝炎病毒的潜在风险有了更高的认识，导致更愿意报告此类事件。这一假设与针对医院工作人员的研究结果相矛盾，在这些研究中，由于开展了教育项目，此类事件的数量有所减少。其他解释是锐器使用频率更高和（或）工作量增加。在1986年至1996年期间总共1886起针刺事故中，有一名女性感染了艾滋病毒呈阳性；她被其前男友故意感染，前男友用一名艾滋病患者的血液给她注射，还有一人感染了丙型肝炎病毒：一名警察被一名吸毒者用过的针头刺伤。
