HIV作为危急值管理的意义探讨

The importance of HIV detection as critical value reporting

目的探讨将HIV检测作为危急值项目管理对减少医务人员HIV职业暴露的意义。方法HIV抗体检测阳性遵循中华医学会感染病学分会艾滋病学组推荐的第三版艾滋病诊疗指南。比较HIV检测作为危急值项目管理前的阳性报告的平均发送时间和作为危急值项目管理后的危急值平均通报时间。结果作为危急值项目管理前,17例HIV检测阳性的平均报告发送时间为341.5±360.7min;将HIV检测作为危急值项目管理后,17例HIV阳性报告的危急值平均通报时间为4.9±7.8min,作为危急值项目管理后,HIV阳性报告的平均发送时间显著缩短(P=0.0009)。结论将HIV检测作为危急值项目管理可显著缩短HIV阳性报告的发送时间,有利于防止医务人员HIV职业暴露。

Objective To explore the importance of HIV detection as critical value reporting for reducing occupational exposure to medical personnel to infect HIV risk.Methods Positive HIV test results were conformed according to the Guidelines for AIDS Diagnosis and Treatment (3rd vision) issued by the AIDS branch of Society of Infectious Diseases of Chinese Medical Association.Mean HIV reporting time as non-critical value and critical value was compared.Results Mean HIV reporting time was 341.5±360.7 min for 17 patients with HIV infection when HIV detection was administrated as non-critical value,mean HIV reporting time was 4.9±7.8 min for another 17 patients with HIV infection after HIV detection was administrated as critical value.There was a significant difference for positive HIV reporting time between HIV detection as non-critical value administration and as critical value administration ( P =0.0009).Conclusion The positive HIV reporting time can be greatly reduced when HIV detection was administrated as critical value.It may be helpful to prevent occupational exposure to medical personnel to infect HIV risk.