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目的通过观察医护人员创口接触梅毒患者体液后的应急处理及其相应后果,总结可疑梅毒感染后的紧急处置措施。方法观察并总结60例医护人员工作中不慎创伤并接触梅毒患者体液后的紧急处置措施及其后果。结果感染后无处理组8例,2例感染;安尔碘消毒处理组10例有1例感染;24h内,肌内注射长效青霉素1次组28例无感染;肌内注射长效青霉素3次组27例无感染。结论医务人员创口接触梅毒患者体液后,可感染梅毒,但及时创口消毒、肌内注射长效青霉素可预防感染,从观察结果看,24h内肌内注射1次长效青霉素即可达到预防效果。
Objective To observe the emergent treatment of syphilis patients after contact with body wounds of medical staff and their corresponding consequences, and summarize the emergency measures after suspected syphilis infection. Methods Observe and summarize the emergency measures and consequences of accidental trauma and contact with body fluid of syphilis patients in the work of 60 medical staffs. Results There were 8 cases in the untreated group and 2 cases in the infected group. One case was infected in the Aner-iodine disinfection group. In the 24 hours, there were no infection in 28 cases in the first intramuscular injection of long-acting penicillin. The intramuscular injection of long-acting penicillin 3 Subgroup of 27 cases without infection. Conclusion Medical staff can get syphilis after they have been exposed to body fluid of patients with syphilis. However, timely disinfection and intramuscular injection of penicillin can prevent infection. From the result of observation, intramuscular injection of long-acting penicillin for 24 hours can achieve the preventive effect.