艾滋病病毒8例职业暴露原因及结果分析

Analysis of the Reasons and Results of the Occupational Exposure to HIV of 8 Cases.

目的分析职业暴露发生原因及结果,为今后采取预防职业暴露措施,预防职业暴露发生,降低职业暴露感染艾滋病病毒危险。方法收集2005年前唐河县各级医疗卫生单位职业暴露发生原因,按照卫生部[卫医发(2004)108号]《指导原则》进行职业暴露分级判断和危险度评估、预防性服药,利用ELISA法对其进行HIV抗体检测。结果8例职业暴露人员中,3例为临床医生,2例为护士,1例为助产士,1例为检验人员,1例为司乘人员。职业暴露Ⅰ级6例,Ⅱ级2例;预防服药6例,未进行服药2例;经过连续5次检测,8例职业暴露人员均为HIV抗体阴性。结论早期、规范处理职业暴露者伤口,配合预防性服药能有效降低职业暴露HIV感染的风险。

[ Objective] To analyze the reasons and results of occupational HIV exposure, prevent the occupational exposure cases and reduce the risk of HIV infection during the exposure. [ Methods] The reasons of occupational exposure in various medical institutions in Tanghe city were collected before 2005 ; classified judgment, risk degree evaluation and preventive doses were carried out according to the Instruction Principle ; ELISA was applied to conduct HIV antibody detection. [ Results] Among the 8 cases of occupational exposure, 3 cases were clinician, 2 cases were nurses, 1 case was midwife, 1 case was laboratory staff, 1 case was car driver ; 6 cases belonged to degree Ⅰ of occupational exposure and 2 cases belonged to degree Ⅱ ; 6 cases were given preventive doses and 2 cases weren＇t; all the 8 cases of were proved to be HIV negative in the 5 detections. [ Conclusion] Early and canonical handling of the wounds of the occupationally HIV-exposed people combined with preventive doses may effectively cut down the risk of HIV infection by in the occupational exposure.