Percutaneous injuries and accidental blood exposure in surgical residents: awareness and use of prophylaxis in relation to HIV.
Percutaneous injuries and accidental blood exposure in surgical residents: awareness and use of prophylaxis in relation to HIV.
复制标题
手术住院医师的经皮损伤和意外血液暴露：与艾滋病毒相关的预防措施的认识和使用。
DOI：
10.4103/1119-3077.79237
复制
发表时间：
2011
影响因子：
0.9
通讯作者：
UU Aniebue
中科院分区：
文献类型：
--
作者：
TO Nwankwo;UU Aniebue
目的
确定尼日利亚埃努古外科住院医师经皮损伤（PI）和意外暴露于患者血液（AEPB）的发生率，他们对通用预防措施（UP）的认识以及暴露后预防（PEP）的使用。
材料和方法
自我管理的半结构化的预测试问卷进行了管理，230同意实习外科医生。
结果
PI/ABE暴露率为67.5%。暴露次数范围为1 - 5次，平均值为1.9 ± 0.99。高级登记员的接触率最高（76.9%）。在89次暴露（63.6%）中报告了针刺损伤。对艾滋病病毒的UP和PEP有充分认识的仅占41%。在大多数情况下（72.1%），受访者随后忽略了暴露。
结论
本研究中发现的PI/ABE暴露率高、UP/PEP知识不足和实践差，强调需要提高对UP/PEP的认识，制定明确的机构指南，并提供足够的材料和监督，以确保遵守指南。UP和PEP在PI和AEPB中的实践是挽救生命的，应该在住院医师培训中强调。
OBJECTIVE
To determine the occurrence of percutaneous injuries (PI) and accidental exposure to patients' blood (AEPB) in surgical residents in Enugu, Nigeria, their awareness of universal precautions (UP), and use of post-exposure prophylaxis (PEP).
MATERIALS AND METHODS
Self-administered semi-structured pre-tested questionnaires were administered to 230 consenting trainee surgeons.
RESULTS
The rate of exposure to PI/ABE was 67.5%. The number of exposures ranged from 1 to 5 with a mean of 1.9 ± 0.99. Senior registrars had the highest rate of exposure (76.9%). In 89 exposures (63.6%) needle-prick injuries were reported. Adequate knowledge of the UP and PEP to HIV virus was only 41%. In most cases (72.1%) respondents subsequently disregarded the exposure.
CONCLUSION
The high rate of exposure to PI/ABE, inadequate knowledge and poor practice of UP/PEP seen in this study underscore the need for creating high level of awareness about UP/PEP, the development of clear institutional guideline and the provision of adequate materials and supervision to ensure adherence with the guideline. The practice of UP and PEP in PI and AEPB are life saving and should be emphasized in residency training.