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頁籤選單縮合
題名 | 醫療尖銳物品扎傷追蹤調查=A One-Year Follow Up Study of Needle Stick and Other Sharp Injuries at a Medical Center |
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作者 | 李欣純; 吳怡慧; 陳姿伶; 柯文謙; 莊銀清; 劉清泉; | 書刊名 | 院內感染控制雜誌 |
卷期 | 8:4 1998.08[民87.08] |
頁次 | 頁565-574 |
分類號 | 419.38 |
關鍵詞 | 醫療尖銳物扎傷; B型肝炎病毒; C型肝炎病毒; HIV感染; 梅毒; Needle stick; HBV; HCV; HIV; Syphilis; |
語文 | 中文(Chinese) |
中文摘要 | 醫療工作人員因醫療尖銳物扎傷事件而導致的各項傳染性疾病,長久以來一直為國內外相關學者所探討的課題。本研究是調查某一醫院院內工作人員自1996年9月1日起,至1997年8月31日止,共12個月,發生尖銳物扎傷事件的次數,暴露於B、C型肝炎病毒及愛滋病毒的案例,其追蹤處理及暴觸後的血清陽轉情形。在這一年間,扎傷事件共計131例,其中需要追蹤者有37例,不需追蹤者94例。為B型肝炎感染者所扎傷者計有19例,其中 17 例本身已具有B型肝炎病毒表面抗原抗體(anti-HBs),僅其餘2例之B型肝炎病毒表面抗原(HBsAg)及B型肝炎病毒表面抗原抗體均呈陰性而需注射B型肝炎免疫球蛋白(HBIG)並接受B型肝疫苗注射,在調查過程中並未出現醫療人員因職業上的暴露而水平感染B型肝炎的個案,而B型肝炎防治措施的施行和B型肝炎疫苗及HBIG的併用居中扮演重要角色。被C型肝炎感染者所扎傷者計有24例,另有4例扎傷者本身的抗C型肝炎病毒抗體(Anti-HCV)為陰性,而扎傷來源未測,視同疑有C型肝炎感染而接受定期追蹤檢驗。被扎傷者視為疑有HIV感染而接受定期追蹤檢驗的有8例。另有4例係被RPR/VDRL非螺旋體血清檢驗呈陽性反應的病患扎傷,亦併入追蹤。截至1998年3月31日(共19個月),尚無C型肝炎病毒、HIV或VDRL血清陽轉個案。 |
英文摘要 | We investigated the incidence of needle stick and other sharp injuries with risks of exposure to hepatitis C virus (HVC), hepatits B virus (HBV), syphilis, and human immunodeficiency virus (HIV), and their consequences at a medical center in Taiwan from September 1, 1996 till August 31, 1997. There were a total of 131 accidents, of which 94 cases did not require follow up studies because of pre-existing anti-HBs, pre-existing HBV or HCV infection among the injured, or the lack of infectivity of the source of contaminating blood. Of the 37 cases who needed follow up, 2 were stuck by instruments tainted by HBsAg (+) blood, 24 by anti-HCV(+) blood, 4 by VDRL(+) blood, and 4 by those who had not been tested for HCV, 6 not tested for HIV (including 3 positive for HCV), and 2 not tested for both HCV and HIV. Twenty-two of those were nurses, two nursing students, 5 interns, 7 doctors, and I technologist. Intensive care units, medical wards, operating rooms, and emcrgency toom had more than 6 occurrcnces each. After the one-year follow up, there were none with positive serocon-versions. Those patients who had not been tested for HIV or HCV at the time of accident were followed for 19 months (till March 31, 1998). No one showed evidence of either infection. There are no vaccination nor methods to cure HCV or HIV infection available at present. Prevention of the accident is the only way to avoid those infections at work place. As to the HBV infection, all susceptible hospital workers should be urged to receive HBV vaccine. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。