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目的建立健全军队医院针对地方HIV(艾滋病)感染患者外科手术的防护制度,防止医院感染。方法以1例地方HIV感染确认患者的手术实际操作为例,实行分级分段措施,由手术室、院感科和供应室分别负责手术准备与实施、医院感染防控措施落实、术后器械消毒等工作,保护手术人员操作安全。结果在严格落实标准防护、消毒隔离、规范操作和终末消毒等操作规程后,整个手术过程中未发生导致职业暴露的各类情况,未发生医护人员职业暴露感染。结论落实完善有效的防护措施与执行科学合理的标准操作,是防止地方HIV(艾滋病)感染患者因手术造成军队医院感染的最佳途径。
Objective To establish and improve the military hospital for local HIV (AIDS) infection in patients with surgical protection system to prevent nosocomial infections. Methods One case of local HIV infection confirmed the actual operation of patients as an example, the implementation of phased segmentation measures by the operating room, hospital nurses and supply room were responsible for the preparation and implementation of surgery, prevention and control of hospital infection and implementation of postoperative equipment disinfection And other work, to protect the safety of operating personnel. Results In the strict implementation of standard protection, disinfection and isolation, standardized operation and terminal disinfection and other operating procedures, the entire operation process did not lead to occupational exposure to all kinds of situations, occupational health care workers did not occur infection. Conclusion The implementation of effective and effective protective measures and the implementation of scientific and rational standard operation are the best ways to prevent local hospital infection due to the operation of HIV infected people.