快速筛查在感染状态不明的血源性职业暴露中的实践与效果
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冯玉青

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R136.4

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Fast detection for occupational blood exposure with unidentified bloodborne infection status
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    摘要:

    目的探讨快速筛查在感染状态不明的血源性职业暴露中的实施效果。方法 对某院2011年1—12月在感染管理科登记的45例感染状态不明的血源性职业暴露案例资料进行回顾性分析。结果45例次感染状态不明的血源性职业暴露中,快速筛查前暴露源明确10例,明确率为22.22%,暴露者乙型肝炎表面抗体明确3例,明确率为6.67%;快速筛查后,暴露源明确35例,明确率为77.78%,提高了55.56%,暴露者乙型肝炎表面抗体明确23例,无需检测22例,明确率为51.11%,提高了44.44%。根据快速筛查结果实施暴露后预防措施方案,未发生医务人员因职业暴露而感染血源传播性疾病。结论 结合快速筛查结果选择暴露后预防措施方案,可有效降低血源性职业暴露后感染的发生。

    Abstract:

    ObjectiveTo evaluate the effect of fast detection on occupational blood exposure with unidentified bloodborne infection status. MethodsData of 45 cases of occupational blood exposure with unidentified bloodborne infection status between January and December 2011 were analyzed retrospectively.ResultsBefore fast detection,10(22.22%) source patients were with identified infection status,3(6.67%) exposed healthcare workers (HCWs)were with positive HBsAb; after fast detection,35 (77.78%) source patients were identified the infection status, the identified rate increased by 55.56%,23 HCWs were detected positive HBsAb, 22 HCWs needn’t to be detected, the identified rate was 51.11%, the identified rate increased by 44.44%. Postexposure preventive measures were taken, and no HCWs was found to be infected due to the occupational exposure.ConclusionPostexposure preventive measures according to the result of fast detection can effectively reduce the occurrence of infection due to occupational blood exposure.

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梁燕宓,黄霄,冯玉青.快速筛查在感染状态不明的血源性职业暴露中的实践与效果[J]. 中国感染控制杂志,2014,13(1):27-29. DOI:10.3969/j. issn.1671-9638.2014.01.006.
LIANG Yanmi, HUANG Xiao, FENG Yuqing. Fast detection for occupational blood exposure with unidentified bloodborne infection status[J]. Chin J Infect Control, 2014,13(1):27-29. DOI:10.3969/j. issn.1671-9638.2014.01.006.

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  • 收稿日期:2013-04-28
  • 最后修改日期:2013-06-22
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  • 在线发布日期: 2014-01-30
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