医院内HIV/AIDS管理与职业防护

目的加强人类免疫缺陷病毒（HIV）感染者和获得性免疫缺陷综合征（AIDS）医院感染管理，增强医务人员职业安全防护意识，防止HIV在医院范围内的传播。方法建立了HIV／AIDS监测报告管理制度，积极开展AIDS知识培训，认真做好医院内HIV初筛检测；严格医疗器械消毒灭菌与医疗废物管理，规范医疗护理操作程序和职业暴露后处理流程。结果医护人员对HIV／AIDS的防范意识明显增强，能及早发现患者，及时采取有效的防护和消毒隔离措施，HIV／AIDS患者平均确诊天数较以往明显缩短。结论加强医院内HIV／AIDS管理与监控，重视医务人员职业暴露安全教育，可有效地防止AIDS在医院内传播和减少医务人员职业暴露的发生。

Management and Occupational Protection Against HIV/AIDS in Hospital

OBJECTIVE To enhance the management against the HIV and AIDS, strengthen the awareness of occupational protection among medical staff, and prevent the HIV spreads in the hospital. METHODS To establish the HIV/AIDS monitoring report management system, launching AIDS knowledge training, screening HIV seriously in hospital, sterilizing strictly with the medical instrument and managing the medical discards, and standardizing procedures of the medical nursing and process after the occupational exposing. RESULTS Through establishing the HIV/AIDS monitoring report management system and launching occupation protection training, the awareness of medical staff for precaution against the HIV/AIDS was enhanced obviously. They could discover the patients early and take the effective measures for protection, sterilization and isolation in time. The average number of diagnosis days for HIV/AIDS patients shortened obviously than before. CONCLUSIONS Through enhancing management and supervision for HIV/AIDS in hospital, paying more attention to safety education for medical staff, we can prevent the AIDS spreading in the hospital and reduce the occurrence of occupational exposure among medical staff.