丙型肝炎病毒职业暴露处理与追踪随访
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李映兰

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R136R512.6+3

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Treatment and followup of health care workers after occupational exposure to hepatitis C virus
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    摘要:

    目的了解临床医务人员发生丙型肝炎病毒(HCV)职业暴露后处理过程及感染情况,为HCV职业暴露的防护提供经验。方法调查5例发生HCV职业暴露医务人员的暴露环节、暴露后处理方法及追踪随访结果。结果5例发生HCV职业暴露的医务人员均为临床护士,1例确诊为职业暴露后急性感染HCV。发生HCV暴露后,均给予常规心理支持和咨询,4例排除感染者很快恢复正常的工作和生活;确诊被感染者暂时调离临床一线岗位,加强心理支持,坚持完成1年聚乙二醇干扰素联合利巴韦林的抗病毒治疗后痊愈。结论医务人员发生HCV职业暴露后及时上报、进行HCV RNA感染监测;确诊感染HCV后尽早联合聚乙二醇干扰素及利巴韦林抗病毒治疗,是治愈HCV急性感染的关键措施。

    Abstract:

    ObjectiveTo investigate the treatment process and infection status of health care workers(HCWs) after occupational exposure to hepatitis C virus (HCV),and provide experience in the prevention and control of occupational exposure to HCV.MethodsExposed links, treatment methods and followup results after occupational exposure to HCV among 5 HCWs were investigated. ResultsAll 5 HCWs were nurses,1 of whom developed acute HCV infection after exposure. All HCVexposed HCWs were given psychological counselling,4 HCWs were excluded from diagnosis of infection and return to normal work; the HCVinfected nurse was excluded from clinical work, received psychological support, and recovered after 1year combined antiviral therapy with pegylated interferon and ribavirin.ConclusionThe key to the recovery from acute HCV infection after occupational exposure to HCV among HCWs are timely report, surveillance of HCV RNA infection, and combined antiviral therapy with pegylated interferon and ribavirin.

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引用本文

袁素娥,李映兰.丙型肝炎病毒职业暴露处理与追踪随访[J]. 中国感染控制杂志,2013,12(6):428-430. DOI:10.3969/j. issn.1671-9638.2013.06.009.
YUAN Sue, LI Yinglan. Treatment and followup of health care workers after occupational exposure to hepatitis C virus[J]. Chin J Infect Control, 2013,12(6):428-430. DOI:10.3969/j. issn.1671-9638.2013.06.009.

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  • 收稿日期:2012-12-01
  • 最后修改日期:2013-02-25
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  • 在线发布日期: 2013-11-30
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