北京市2003-2008年HIV职业暴露的预防分析

目的分析职业暴露的原因和存在的问题,探讨职业暴露的防护方法。方法对在北京佑安医院就诊的艾滋病病毒（HIV）职业暴露病例进行回顾性分析。结果 2003-2008年27例HIV职业暴露中,警察8例,医生4例,护士12例,检验人员3例;皮肤黏膜暴露4例（医护人员3例）,针刺器械刺伤17例（医护人员16例）,抓伤、咬伤6例（均为警察）。均采取了暴露后预防措施,医学观察12个月后,未发现感染病例。结论需要对医务人员、司法人员进行定期的HIV职业暴露培训。

An analysis of prevention of occupational exposure to HIV in 2003-2008 in Beijing

Objective To explore the causes of occupational exposure and methods of personal protection from occupational exposure.Methods Twenty seven cases with occupational exposure to HIV hospitalized in our hospital from 2003 to 2008 were analyzed retrospectively.Results Of the 27 cases with occupational exposure to HIV,8 were policemen,4-physicians,12-nurses and 3-laboratory technicians.Of them 4（3 medical workers）were of skin exposure,17（16 medical workers）were injured by sharp devices,and 6（all policemen）were injured by scratch or bite.Post exposure prophylactic interventions were provided for all of them,and no infection was identified after 12 month medical observation.Conclusion Regular training of occupational exposure to HIV for medical workers and judicial staff will be needed.