28例艾滋病职业暴露与防护情况分析

Analysis on HIV Occupational Exposure and Protection of 28 Patients

目的:降低职业活动过程中工作人员职业暴露感染HIV的概率。方法:选择某地区2008-2012年28例HIV职业暴露者作为调查对象,对HIV职业暴露情况进行分析。结果:该地区2008-2012年HIV职业暴露以医务人员为高暴露人群,以针刺为最常见暴露途径。分析该地区HIV职业暴露人员中上岗前接受艾滋病安全操作的培训率,护士全部接受培训(8/8),医生培训率为53.85%(7/13),警察全部没有接受培训(0/4),其他人群培训率为33.33%(1/3)。比较近5年该地区HIV职业暴露人员岗前培训率,分别为2008年71.43%、2009年60.00%、2010年75.00%、2011年33.33%、2012年44.44%,差异具有统计学意义(P<0.05)。结论:加强岗前培训、执行全面防护措施可以有效预防职业暴露的发生。

Objective： To reduce the infective opportunity of HIV occupational exposure in the process of the occupational activity.Method： Twenty- eight HIV occupational exposure cases from 2008 to 2012 were selected as investigation objects.Researchers analyzed the situation of these HIV occupational exposure cases.Result： The medical personnel were at high risk of HIV occupational exposure from 2008 to 2012 in the area.Acupuncture was the most common route of exposure.Researchers analyzed the training rate of these HIV occupational exposure cases.They found out nurses all were trained（8/8）, the training rate of doctor was 53.85%（7/13）, no pdiee received the training（0/4）, the training rate of other group was 33.33% （1/3）.Researchers compared the training rate of these occupational exposure cases nearly 5 years, includes 2008 （71.43%）, 2009（40%）, 2010（75%）, 2011（66.67%） and 2012（88.89%）, the difference were statistically significant（P〈0.05）.Conclusion： Strengthening the prejob training and executing comprehensive protective measures can effectively prevent the occurrence of occupational exposure.