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目的调查确山县HIV职业暴露及其防护情况。方法职业暴露评估。结果确山县5年发生HIV/AIDS职业暴38例,其中医务人员29人次,民警2人次,社会人群3人,政府工作人员2人次,艾滋病病人家属2人次。职业暴露类型:针刺伤23人次;创口血液污染5人次(手指及手背部);黏膜暴露2人次(眼结膜);因医疗纠纷被艾滋病病人有意识带血污染抓伤上臂、头面部7人次。对所有职业暴露者进行随访3个月、半年以及1年内均进行HIV抗体检测,目前除4人没有超过半年外,其他人均未发生HIV感染。结论HIV/AIDS职业暴露发生以后,及时正确的现场处理和上报,尽快进行专业评估,根据职业暴露级别和污染源情况,进行有效的药物阻断对防止HIV的传播非常重要。
Objective To investigate HIV occupational exposure and its protection in Queshan County. Methods Occupational exposure assessment. The results of mountain counties in five years 38 cases of HIV / AIDS occupational violence occurred, of which 29 were medical staff, police 2 people, 3 people in the community, government officials 2 people, 2 families of AIDS patients. Occupational exposure types: 23 needle-stab wounds; 5 blood-stained wounds (finger and back of hands); 2 mucous membrane exposures (conjunctiva); 7 patients were injured by conscious blood contamination of AIDS patients due to medical disputes. All occupational exposures were followed up for 3 months, 6 months and 1 year for HIV antibody testing, at present, with the exception of four people did not exceed six months, no other HIV infection. Conclusions After occupational exposure to HIV / AIDS, timely and accurate on-site treatment and reporting should be carried out as soon as possible to conduct professional assessment as soon as possible. Effective drug blocking is very important to prevent the spread of HIV according to occupational exposure levels and sources of pollution.