职业暴露梅毒的管理与预防

Occupational Exposure to Syphilis Management and Prevention

医疗机构从业人员在医疗机构工作时,有经皮肤损伤、黏膜接触或不完整皮肤暴露于含梅毒螺旋体、乙型肝炎病毒、丙型肝炎病毒、人类免疫缺陷病毒等血载传播病原体的血液、体液或组织等时,可出现职业暴露感染。近年来梅毒的发病率在增高,目前梅毒血清学检测无法判定新近感染与既往感染,也不能区分治疗与非治疗状况,因此在暴露于此血清病人的血液、组织或体液时,均应按暴露后梅毒给予治疗处理、教育与随访,同时建立职业暴露档案,对暴露者及暴露源评估。

Health-care workers for a percutaneous injury or contact of mucous membrane or nonintact skin activities involve contact with patients or with blood or other body fluids that are potentially infectiousin a health-care,laboratory,or public-safety setting. Thepotentially infectious might have been the serious of the blood-borne pathogens that are T. pallidum（ TP）,Hepatitis B Virus（ HBV）,Hepatitis C Virus（ HCV）,and HIV / AIDS virus. The incidence of syphilis has greater prevalence in recently years.One disadvantage of non-treponemal screening test and treponemal confirmed test is that they cannot distinguish the infection between recent and remote syphilis,or between treated and untreat. An occupational exposure might take place that health-care workers activities involve contact with syphilis patients or with blood or other body fluids. Toprevent transmission of infection after exposure,recommendations for postexpo-sure management includes treatment,written protocols for prompt reporting,counseling,evaluation,and follow-up of occupational exposures.