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目的对传染病医院医务人员HIV职业暴露情况及其危险因素进行分析,为预防和降低HIV职业暴露提供依据。方法统计分析杭州市西溪医院2008—2012年收治的艾滋病病例数和HIV职业暴露发生率的变化,对16例HIV职业暴露进行暴露人群职业、科室分布、暴露方式和暴露途径等调查分析,对职业暴露管理措施进行评估。结果 5年共收治HIV/AIDS 1 982例,呈每年递增趋势。其间发生HIV职业暴露16起,2008、2009和2010年均为3起,2011年5起,2012年2起。结论预防和降低HIV职业暴露,除防护培训、制度健全和督促执行等管理措施外,推广和使用安全型医疗器械是至关重要的干预措施之一。
Objective To analyze HIV occupational exposure and its risk factors among medical staffs in infectious disease hospitals and provide basis for preventing and reducing HIV occupational exposure. Methods Statistical analysis of changes in the number of HIV cases and the incidence of HIV occupational exposure in Xixi Hospital from 2008 to 2012 in Hangzhou City was carried out. Occupational exposure, occupational distribution, exposure patterns and exposures were investigated in 16 HIV occupational exposures. Exposure management measures to assess. Results A total of 1 982 HIV / AIDS cases were admitted in 5 years, showing an increasing trend every year. During this period, there were 16 HIV occupational exposures, with 3 in 2008, 2009 and 2010, 5 in 2011 and 2 in 2012. Conclusion To prevent and reduce HIV occupational exposure, the promotion and use of safety-type medical devices is one of the most important interventions besides management measures such as protective training, sound system and supervision and enforcement.