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首页> 外文期刊>Occupational and environmental medicine >Out of hours management of occupational exposures to blood and body fluids in healthcare staff.
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Out of hours management of occupational exposures to blood and body fluids in healthcare staff.

机译：医护人员的非工作时间对血液和体液的职业暴露管理。

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AIMS: To assess and compare the out of hours and in hours management of occupational blood and body fluid exposures in a London teaching hospital. METHODS: The occupational health and accident and emergency records of individuals presenting with occupational body fluid exposures over a six month period at a London teaching hospital were analysed retrospectively. Main outcome measures were the completeness of records, and the appropriate management of body fluid exposures using the Department of Health guidelines as the gold standard. RESULTS: A total of 177 body fluid exposures were reported; 109 (61.58%) were initially assessed in the occupational health department, and 68 (38.42%) in the accident and emergency department. Of those originally assessed in the accident and emergency department, only 21 (30.88%) attended the occupational health department for follow up. Occupational health staff were more consistent in assessing and managing exposures, and in a higher proportion of cases gave more appropriate advice on post-exposure prophylaxis (PEP) against hepatitis B and HIV. Of the 11 individuals prescribed HIV PEP (all by accident and emergency staff), only three subsequently attended occupational health for follow up. In all three cases therapy was discontinued, as the source was HIV negative or the exposure low risk. CONCLUSIONS: Out of hours management of occupational body fluid exposures, particularly the prescribing of HIV PEP, was inconsistent with in hours practice. This may also be the case in other large inner city hospitals offering a similar service.
机译：目的：评估和比较伦敦教学医院的职业血液和体液暴露量的非工作时间和非工作时间管理。方法：回顾性分析伦敦教学医院六个月内出现职业性体液暴露的个人的职业健康，事故和紧急情况记录。主要结果指标是记录的完整性，以及使用卫生部指南作为金标准的体液暴露的适当管理。结果：总共报告了177次体液暴露。最初在职业卫生部门评估了109（61.58％），在事故和急诊部门评估了68（38.42％）。在最初由事故和急诊科评估的人员中，只有21（30.88％）人参加了职业卫生部门的随访。职业卫生人员在评估和管理暴露方面更加一致，并且在更大比例的病例中，针对乙型肝炎和艾滋病毒的暴露后预防（PEP）提供了更适当的建议。在接受HIV PEP处方的11名患者中（全部由事故和急诊人员负责），随后只有3名接受了职业健康检查。在所有三种情况下，都停止了治疗，因为其来源是HIV阴性或接触风险低。结论：非工作时间对职业体液暴露的管理，尤其是HIV PEP的处方，与非工作时间实践不一致。在其他提供类似服务的大型内城医院中，情况也可能如此。

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