江苏省72例艾滋病病毒职业暴露个案的调查分析  

A survey on 72 cases of occupational exposure to HIV in Jiangsu province

作　　者：徐晓琴[1] 羊海涛[1] 丁萍[1] 胡海洋[1] 还锡萍[1] 陈国红[1] 傅更锋[1] 郭宏雄[1] 

机构地区：[1]江苏省疾病预防控制中心,江苏南京210009

出　　处：《南京医科大学学报（自然科学版）》2011年第7期1011-1014,共4页Journal of Nanjing Medical University(Natural Sciences)

基　　金：江苏省自然科学基金(BK2009435;BK2009432);江苏省社会发展项目(BE2009685)

摘　　要：目的:了解艾滋病病毒职业暴露的现状,探讨职业暴露的预防及暴露后应急处置的影响因素。方法:对江苏省2003～2009年报告的艾滋病病毒职业暴露个案进行调查并统计分析。结果:72例职业暴露个案中针刺或切割伤41例,抓咬伤或划伤10例,皮肤伤口暴露15例,黏膜暴露6例;其中56例发生在医疗保健机构,2例发生在疾病预防控制中心,9例发生在公安司法系统,1例发生在采供血机构,4起属其他;暴露后61例立即进行紧急局部处理,42例采用了基本用药程序,14例采用了强化用药程序,16例因评估或本人意愿未采用预防用药。72例随访检测结果均为阴性。结论:HIV职业暴露后感染的危险度较低,但要加强防范,以防各类血液传播疾病的发生。Objective：To evaluate the current situation of professional exposure to human immunodeficiency virus（HIV） in order to discuss the measure of postexposure prophylaxis Methods：The cases of occupational exposure to HIV in 2003～2009 were investigated and the data were statistically analyzed.Results：Among the totally 72 cases,there were 41 cases with acupuncture or incised wound,10 cases with grab or bite wound,15 cases were exposed by skin while 6 cases were exposed by mucosa.Fifty six cases were taken place in medical health institutions,2 cases were happened in centers of disease prevention and control,9 cases were occurred in public security agencies,one case was happened in blood transfusion services and the other 4 cases were belong to other occasions.Sixty one cases were local processed immediately after exposure,42 cases took medicines with basic procedure,and 14 cases were treated with reinforcement procedure while the other 16 cases hadn＇t taken any measures because of individual negative judgment.All cases were HIV antibody negative in the follow test.Conclusion：The risk of HIV infection after exposure to HIV in occupational occasions was relatively low.However,the consciousness of prevention should be strengthened to avoid the occurrence of blood transfusion diseases.

关 键 词：艾滋病病毒 职业暴露 暴露后预防 

分 类 号：R136.4[医药卫生—劳动卫生]