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[目的]了解艾滋病病毒职业和意外伤害暴露及暴露后预防的现状,分析暴露后预防的影响因素,防止职业及意外伤害感染HIV。[方法]给予暴露人员咨询服务,进行暴露等级评估,根据评估结果选择预防性用药,随访中进行咨询与艾滋病病毒的检测。[结果]2005～2007年艾滋病职业暴露的人员构成主要是医务工作者,占64.86%;主要以针刺伤为主,共32例,占86.49%;暴露源中,HIV(+)7例,占20.59%,AIDS7例,占20.59%;34起暴露事件中,37例被暴露人员均排除感染HIV。[结论]研究表明,根据暴露评估进行预防性服药很好的阻断了HIV的感染;随着艾滋病疫情的蔓延,普遍性防护原则值得推广。
[Objective] To understand the current status of occupational and accidental exposure to HIV and post-exposure prophylaxis, and to analyze the influencing factors of post-exposure prophylaxis to prevent occupational and accidental injury to HIV. [Methods] The counselors were given exposure counseling services, the exposure level was assessed, preventive medication was selected according to the evaluation results, and the counseling and HIV testing were followed up. [Results] The occupational exposure of AIDS workers in 2005-2007 was mainly medical workers, accounting for 64.86%; mainly acupuncture wounds, a total of 32 cases, accounting for 86.49%; exposure sources, HIV (+) in 7 cases, Accounting for 20.59%, AIDS7 cases, accounting for 20.59%; of 34 cases of exposure, 37 cases were exposed to exclude HIV infection. CONCLUSIONS: Studies show that prophylaxis based on exposure assessment blocks HIV infection well. With the spread of AIDS epidemic, the universal protection principle deserves promotion.