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目的探讨临床路径在预防艾滋病术中职业暴露中的作用。方法收集2009年6月~2010年5月在县人民医院3 194例手术病人术前HIV抗体筛查资料,对漏检率及典型病例进行对比性分析。结果术前筛查组艾滋病病毒发现率为94.2/10万(2/2 123),术前未筛查组漏检率高达0.19%(2/1 071)。结论临床路径是预防手术科室艾滋病病毒职业暴露的重要途径。平诊手术必须采取ELISA法筛查,做到“人人过关”;急诊病人必须借助快速试纸检测,做到“特事特办”;个人防护必须推行普遍或标准预防策略,做到“防患于未然”。
Objective To explore the role of clinical pathways in preventing occupational exposure during AIDS surgery. Methods Preoperative HIV antibody screening data of 3 194 surgical patients in County People’s Hospital from June 2009 to May 2010 were collected, and the missed detection rate and typical cases were compared. Results The detection rate of HIV in preoperative screening group was 94.2 per 100,000 (2/2 123). The undetected rate of preoperative HIV screening was 0.19% (2/1 071). Conclusion Clinical pathway is an important way to prevent occupational exposure to HIV in surgical departments. Clinic must be taken by ELISA ELISA screening, so that “all people pass”; emergency patients must rely on rapid test strip testing, so that “special event”; personal protection must implement universal or standard preventive strategies do To “take preventive measures”.