华南预防医学 ›› 2016, Vol. 42 ›› Issue (1): 21-24.doi: 10.13217/j.scjpm.2016.0021

• 论著 • 上一篇    下一篇

珠海市101例艾滋病病毒职业暴露者暴露特征分析

朱克京,杜曼,姚刚,周毅   

  1. 珠海市疾病预防控制中心,广东 珠海 519000
  • 收稿日期:2015-07-07 出版日期:2016-02-20 发布日期:2016-05-16
  • 作者简介:朱克京(1976—),男,硕士研究生,主管医师,主要从事艾滋病预防与控制工作

Characteristics of 101 cases of occupational exposure to HIV in Zhuhai

ZHU Ke-jing, DU Man, YAO Gang, ZHOU Yi   

  1. Zhuhai Center for Disease Control and Prevention, Zhuhai 519000, China
  • Received:2015-07-07 Online:2016-02-20 Published:2016-05-16

摘要: 目的分析珠海市艾滋病病毒(HIV)职业暴露者的暴露特征,探讨预防方法。方法采用描述性流行病学方法对珠海市2003—2014年报告的所有HIV职业暴露个案资料进行统计分析。结果101例HIV职业暴露者中,男性49例,女性52例,男女性别比为0.94∶1;年龄中位数为29岁;暴露者职业以医务人员最多,共67例,占66.3%,其次为警务人员26例,占25.7%。暴露发生的时段主要是08∶00—11∶59和14∶00—15∶59,共57例,占56.4%;暴露方式以针刺或锐器割伤为主,共61例,占60.4%;暴露级别以一级暴露为主,共51例,占50.5%。暴露发生后,64.4%(65/101)的暴露者对暴露部位进行了正确的应急处理,70.3%(71/101)的暴露者实施了预防用药。随访至6个月时未发现职业暴露感染个案。医务人员接受过艾滋病安全操作培训的比例(68.7%)高于警务人员(26.9%)和其他职业者(25.0%),医务人员在暴露发生后正确对暴露部位进行紧急处理的比例(73.1%)也高于警务人员(38.5%),差异均有统计学意义(均P<0.01)。结论医务人员和警务人员是珠海市HIV职业暴露的最主要职业群体,今后应对该人群加强职业暴露防护和应急处置培训,提高相关职业人群的自我保护意识和应急处理技能。

Abstract: ObjectiveTo analyze the characteristics of occupational exposure to HIV in Zhuhai and explore the preventive measures. MethodsAll the cases of occupational exposure to HIV reported from 2003 to 2014 in Zhuhai City were analyzed using descriptive epidemiological methods. ResultsOne hundred and one cases were reported, including 49 males and 52 females. The male to female sex ratio was 0.94∶1. The median age was 29 years. Of all the cases, 67 cases (66.3%) were health care workers and 26 (25.7%), the police officers; the occupational exposure time occurred mainly from 8∶00 to 11∶59 am and from 14∶00 to 15∶59 (57 cases, 56.4%); the main exposure ways were needle sticking and sharp injuries (61cases, 60.4%); 50.5% of exposures were classified as Level 1; after exposure, 64.4% of cases had correct emergency treatments, 70.3% took medicine for prophylaxis, and no HIV positive cases were found after 6 months. The proportion of the health care workers (68.7%) who received the HIV/AIDS safety operation training was higher than that of the police officers (26.9%) or that of the others (25.0%); the proportion of correct emergency treatment in the exposure regions for the health care workers (73.1%) was also higher than that of the police officers (38.5%) (all P<0.01). ConclusionThe health care workers and police officers are the main occupational groups exposed to HIV in Zhuhai City. The training in occupational exposure protection and the post-exposure emergency treatment, as well as personal protective awareness, should be strengthened.

中图分类号: 

  • R512.91