HUMAN-IMMUNODEFICIENCY-VIRUS TRANSMISSION IN HEALTH-CARE SETTINGS - RISK AND RISK REDUCTION

被引:44
作者
BELL, DM
机构
[1] AIDS Activity, Hospital Infections Program, Center for Infectious Diseases, Atlanta, GA
关键词
D O I
10.1016/0002-9343(91)90385-B
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Surveillance data and case reports document that health care workers (HCWs) risk occupationally acquired human immunodeficiency virus (HIV) infection. Transmission of HIV to patients of an infected HCW during invasive procedures has also been reported. The risk to a susceptible HCW depends on the prevalence of HIV infection among patients, the nature and frequency of occupational blood exposures, and the risk of transmission per exposure. Blood exposure rates vary by occupation, by procedure, and by compliance with preventive measures. Future efforts to protect both HCWs and patients must include improved surveillance, risk assessment, study of postexposure prophylaxis, and an emphasis on exposure prevention, including development of safer medical devices, work practices, and personal protective equipment that are acceptable to HCWs and do not adversely affect patient care.
引用
收藏
页码:S294 / S300
页数:7
相关论文
共 56 条
  • [11] LACK OF ANTIBODIES TO HTLV-III/LAV IN DANISH DENTISTS
    EBBESEN, P
    MELBYE, M
    SCHEUTZ, F
    BODNER, AJ
    BIGGAR, RJ
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1986, 256 (16): : 2199 - 2199
  • [12] FAHEY BJ, 1991, AM J MED, V90, P145, DOI 10.1016/0002-9343(91)80153-D
  • [13] FLYNN NM, 1987, WESTERN J MED, V146, P439
  • [14] RISK OF EXPOSURE OF SURGICAL PERSONNEL TO PATIENTS BLOOD DURING SURGERY AT SAN-FRANCISCO-GENERAL-HOSPITAL
    GERBERDING, JL
    LITTELL, C
    TARKINGTON, A
    BROWN, A
    SCHECTER, WP
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 1990, 322 (25) : 1788 - 1793
  • [15] GERBERDING JL, 1990, 30TH P INT C ANT AG
  • [16] GERBERDING JL, 1987, 27TH INT C ANT AG CH
  • [17] GERBERDING JL, 1991, AM J MED S3B, V91, P308
  • [18] MARKERS OF HTLV-III IN PATIENTS WITH END STAGE RENAL-FAILURE TREATED BY HEMODIALYSIS
    GOLDMAN, M
    LIESNARD, C
    VANHERWEGHEM, JL
    DOLLE, N
    TOUSSAINT, C
    SPRECHER, S
    COGNIAUX, J
    THIRY, L
    [J]. BRITISH MEDICAL JOURNAL, 1986, 293 (6540) : 161 - 162
  • [19] GRUNINGER SE, 1991, J DENT RES, P70
  • [20] RISK FOR OCCUPATIONAL TRANSMISSION OF HUMAN-IMMUNODEFICIENCY-VIRUS TYPE-1 (HIV-1) ASSOCIATED WITH CLINICAL-EXPOSURES - A PROSPECTIVE EVALUATION
    HENDERSON, DK
    FAHEY, BJ
    WILLY, M
    SCHMITT, JM
    CAREY, K
    KOZIOL, DE
    LANE, HC
    FEDIO, J
    SAAH, AJ
    [J]. ANNALS OF INTERNAL MEDICINE, 1990, 113 (10) : 740 - 746