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刚果(金)维和医疗分队职业暴露发生情况调查 被引量:3

Professional exposure among staff of Medical Unit, Chinese Peacekeeping Forces in Congo (Kinshasa)
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摘要 目的了解非洲刚果(金)维和任务区医务人员职业暴露发生情况。方法对2003~2008年在维和二级医院接受传染病职业暴露检查的1176例进行回顾性分析。结果14例发生职业暴露9例针头刺伤或锐气损伤(64.29%),4例接触患者体液(28.57%),涉及病种包括乙肝、艾滋病等。暴露后清洗局部并涂碘伏。回国后血清学检查未发现一例感染。结论加强职业暴露防范意识,规范操作,加强防护,可减少职业暴露后感染的发生。 Objective To investigate the situation of professional exposure among the staff of Medical Unit, Chinese Peacekeeping Forces in Congo (Kinshasa). Methods The clinical data of the 1176 staff members of the Medical Unit, Chinese Peacekeeping Forces under goning txamination for professional who worked in Congo (Kinshasa) 2003-2008 were analyzed. Results Professional exposure occurred in 14 cases, including 9 cases of needle stick or sharp device injuries (64.29%), 4 cases of exposure of broken skin or eyes by the blood or other body fluid of patients (28.57%), and 1 case of other exposure (7.14%). The disease category included hepatitis B (8 cases, 57.14%), AIDS (4 cases, 28.57%), and others (2 case, 14.29%). After exposure, blood was squeezed out from the wound, and the wound was washed with plain water, soapsuds, or normal saline, and then painted with povidone-iodine. And in case of AIDS, post-exposure prophylaxis was adopted. After they returned to China, serological examination showed no case of infection. Conclusion Strengthened awareness of prevention and proper post-exposure treatment help reduce post-exposure infection .
作者 郭芳 梁静纬
出处 《中国急救复苏与灾害医学杂志》 2011年第4期295-296,共2页 China Journal of Emergency Resuscitation and Disaster Medicine
关键词 刚果(金)维和任务区传染病 职业暴露 职业防护 Professional exposure Professional protection Peacekeeping Forces Medical Unit
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  • 1CDC.Update US.Public Health Service guidelines for the management of occupational exposures to HBV,HCV and HIV and reeommendations for postexposure prophylaxis.MMWR,2005,50(RR-9):1.
  • 2张兴友,范江,艾滋病病毒感染与艾滋病.北京:人民卫生出版社,1999:135.

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