Best practice for needlestick injuries

被引：8

作者：

Wicker, S. ^{[1
]}

Walcher, F. ^{[2
]}

Wutzler, S. ^{[2
]}

Stephan, C. ^{[3
]}

Marzi, I. ^{[2
]}

机构：

[1] Univ Hosp Frankfurt, Occupat Hlth Serv, D-60590 Frankfurt, Germany

[2] Univ Hosp Frankfurt, Dept Trauma Hand & Reconstruct Surg, D-60590 Frankfurt, Germany

[3] Univ Hosp Frankfurt, Dept Med 2, D-60590 Frankfurt, Germany

来源：

EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY | 2014年 / 40卷 / 02期

关键词：

Needlestick injury; Occupational infection; HIV; Hepatitis; Postexposure prophylaxis; HEPATITIS-C VIRUS; HEALTH-CARE WORKER; POSTEXPOSURE PROPHYLAXIS; OCCUPATIONAL-EXPOSURE; HIV SEROCONVERSION; MANAGEMENT; TRANSMISSION; GUIDELINES; DIAGNOSIS; PATIENT;

D O I：

10.1007/s00068-014-0376-9

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Purpose Needlestick injuries (NSIs) are a significant health hazard. Occupational transmission of bloodborne pathogens among healthcare workers (HCWs) is rare but has been repeatedly reported in the literature. Methods In October 2010, new regulations were introduced for medical aftercare of HCWs following NSIs at the University Hospital Frankfurt. In June 2013, a university hospital-wide early intervention program was introduced that gives HCWs immediate 24/7/365 access to an HIV postexposure prophylaxis kit after confirmed or probable occupational HIV exposure. Results Interdisciplinary collaboration between the attending surgeon and occupational health as well as infectious disease specialists facilitates optimal postexposure medical treatment of HCWs who suffer NSIs. Complete reporting of NSIs is a prerequisite for achieving optimal treatment of the affected HCWs. Conclusion An NSI is an emergency and needs to be evaluated immediately and, if necessary, treated as soon as possible. A standardized algorithm for initial diagnostic and treatment has proven to be helpful.

引用

页码：151 / 158

页数：8

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