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在美国,约有100多万人感染了人类免疫缺陷病病毒(HIV),而且预计这种血液内的致命性病毒的传播方式将在今后十年继续增长。医务工作者,尤其是参加手术的医生、护士以及技术员们的乙型肝炎血浆流行率一直很高,经皮污染后的HIV-血浆交换的资料进一步引起对这种职业性感染危险性的严重关注。尽管已采用了许多预防措施,但手术室内的污染尚无专门论述。为确定在这种环境下的血液接触的次数和特点,作者前瞻性地收集了所有手术科室在30天内所做的684次手术资料。血液接触(b1ood contact)定为经皮肤、粘膜、破损皮肤或完整皮肤接触病人的血液。血液沾染(blo-
In the United States, about 1 million people are infected with the human immunodeficiency virus (HIV) and the spread of deadly viruses in the blood is expected to continue to grow over the next decade. Hepatitis B plasma levels have been high among medical workers, especially those participating in surgery, nurses and technicians. The percutaneous transmission of HIV-plasma exchange data further raises serious concerns about the risk of this occupational infection . Although many precautions have been taken, there is no specific discussion about the contamination in the operating room. To determine the number and characteristics of blood exposures in this setting, the authors prospectively collected 684 surgical data from all surgical departments within 30 days. Blood contact (b1ood contact) as the skin, mucous membranes, damaged skin or intact skin contact with the patient’s blood. Blo-