【摘要】 目的了解喀什地区艾滋病病毒(HIV)职业暴露现状和职业暴露后应急预防处理的情况,完善预防HIV职业暴露感染的防控措施。方法收集喀什地区2010-2013年报告的HIV职业暴露案例,分析其发生的原因、应急处理情况、预防用药及时性及预防效果。结果喀什地区2010-2013年共计报告68例HIV职业暴露者,医务人员52例(占76.47%),公安人员16例(占23.53%)。暴露方式针刺占70.59%。暴露级别Ⅰ级为61例,Ⅱ级7例。75.00%(51/68)的人进行了预防性服药,服药者中68.63%(35/51)的人采取了合理的服药方案。所有病例医学观察6个月后,均未发现HIV抗体阳转。结论医务人员和公安人员是HIV职业暴露的高发人群,应加强HIV职业暴露的宣传和防护;目前执行的职业暴露应急措施安全、有效。更多还原

【Abstract】 Objective To understand human immunodeficiency virus(HIV)occupational exposure of the Kashi area and emergency prevention and control of occupational exposure,improve prevention and control measures for HIV occupational exposure infection.Methods To collect the HIV occupational exposure cases of Kashi area during 2010-2013,and analyze their causes,emergency handling,timely prevention and treatment,and preventive effect.Results In the total of 68 cases of HIV occupational exposure in Kashi area were reported during 2010-2013,including 52 cases from medical staff(76.47%);16cases from police(23.53%).There are 70.59%exposed cases caused by needle puncture,61 cases were grade I of exposure level,7cases were grade II.In the total of exposure cases,of 75.00%(51/68)had preventive medication,of 68.63%(35/51)took the reasonable medication plan.Positive HIV antibody were not found in all cases after 6 months of medical observation.Conclusion The medical staff and police men are in high risk of HIV occupation exposure,education of HIV occupational exposure protection should be strengthen.The current measures for emergency prevention and control of the occupational exposure are safety and effective.更多还原