阳江市36例HIV职业暴露者情况分析

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目的了解艾滋病病毒(HIV)职业暴露现状,探讨职业暴露后应急预防处理的影响因素。方法对阳江市2006?2008年报告的由于职业因素引起的HIV暴露案例进行调查分析。结果阳江市2006?2008年共报告36例HIV职业暴露者,其中医务人员20例,占55.6%,公安人员16例,占44.4%;36例HIV职业暴露者均确定为二级暴露;暴露源级别为轻度者33例,占91.7%,暴露源级别为重度者3例,占8.3%;36例均进行暴露后药物预防,其中1例不能完成全程用药,主要原因是药物胃肠道副反应大;36例HIV职业暴露者暴露1年后检测均为HIV抗体阴性。结论加强对医务人员和公安人员安全操作规程及HIV职业暴露后预防相关知识培训,提高其防范意识和防护技能;HIV职业暴露后预防性服药能有效预防HIV感染。 Objective To understand the status of occupational exposure to HIV and to explore the influencing factors of emergency prevention after occupational exposure. Methods To investigate and analyze the case of HIV exposure caused by occupational factors in Yangjiang City from 2006 to 2008. Results A total of 36 cases of HIV occupational exposure were reported in Yangjiang from 2006 to 2008, including 20 cases of medical staff (55.6%) and 16 cases of public security officers (44.4%). All 36 cases of HIV occupational exposure were identified as secondary exposure. The grade was mild in 33 cases (91.7%), and the exposure level was severe in 3 cases (8.3%). Thirty-six cases were treated with drug prophylaxis after exposure, of which 1 case failed to complete the course of medication. The main reason was drug gastrointestinal side Response; 36 cases of HIV occupational exposure were detected after 1 year HIV antibody negative. Conclusion It is suggested to strengthen the safety practices of medical staff and public security staff and the training of knowledge on prevention after occupational exposure to HIV so as to enhance their prevention awareness and prevention skills. Preventive medication after HIV occupational exposure can effectively prevent HIV infection.
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