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1、封面作者：ZHANGJIAN 仅供个人学习，勿做商业用途医务人员职业暴露及安全防护制度为规范医务人员职业暴露管理，保护医务人员的职业安全与身体健康，有效预防和控制因职业暴露而引发的各种经血传染性疾病，做好各种职业暴露的预防与处理，降低职业暴露感染疾病的危险，根据中华人民共和国职业病防治法、医院感染管理办法、医务人员艾滋病病毒职业暴露防护指导原则等的规定，结合我院实际情况，制定本制度。一、预防1、医务人员预防艾滋病病毒、乙肝病毒感染的防护措施应当遵照标准预防原则，对所有病人的血液、体液及被血液、体液污染的物品均视为具有传染性的病源物质，医务人员接触这些物质时，必须采取防护措施。2、对于择期进行手
2、术、介入治疗、内镜检查、及其他侵入诊疗(包括胸穿、骨穿等)的病人，手术前要进行手术免疫全套(HIV抗体、HBsAg、HCV抗体、梅毒血清学实验)检测，麻醉科医师在术前查房时要检查患者是否检查手术免疫全套，如为HIV、HBV、HCV或梅毒阳性患者要及时告之参与手术的医师和护士；对于急诊手术，主管医师要检测手术免疫全套(快速检验HIV、HBV、HCV、Trust)。检验科对于要求快速检验手术免疫全套应在 2 小时及 2 天内主动向临床报告检验结果。3、医务人员接触病源物质时，应当采取以下防护措施：（1）医务人员进行有可能接触病人血液、体液的诊疗和护理操文档编码:CY7S8W1X9X4 HO3J9E
3、3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编
4、码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E
5、3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编
6、码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E
7、3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编
8、码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E
9、3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8作时必须带手套，操作完毕，脱去手套后立即洗手，必要时进行手消毒。（2）在诊疗、护理操作过程中，有可能发生血液、体液飞溅到医务人员的面部时，医务人员应当戴手套、具有防渗透性能的口罩、防护眼镜；有可能发生血液、体液大面积飞溅或者有可能污染医务人员的身体时，还应当穿戴具有防渗透性能的隔离衣或者围裙。（3）医务人员手部皮肤发生破损，在进行有可能接触病人血液、体液的诊疗的护理操作时必须戴双层手套。（4）医务人员在
10、进行侵袭性诊疗、护理操作过程中，要保证充足的光线，并特别注意防止被针头、缝合针、刀片等锐器刺伤或者划伤。（5）使用后的锐器应当直接放入专用利器盒，也可以使用具有安全性能的注射器、输液器等医用锐器，以防刺伤。禁止将使用后的一次性针头重新套上针头套。禁止用手直接接触使用后的针头，刀片等锐器。（6）医务人员应熟悉各种医用防护用品的佩戴、穿脱方法及注意事项，使用中应保持防护用品清洁，遇污染时及时更换。重复使用的防护用品每次用后应清洗消毒。使用后的一次性防护用品按医疗废物处理要求处置。二、发生职业暴露的处理措施（一）局部紧急处理文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5
11、N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 H
12、O3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5
13、N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 H
14、O3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5
15、N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 H
16、O3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5
17、N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N81、医务人员发生职业暴露后，应当立即实施以下局部处理措施：2、用肥皂液和流动水清洗污染的皮肤，用生理盐水冲洗粘膜。3、如有伤口，应当在伤口旁端（从近心端向远心端）轻轻挤压，尽可能挤出损伤处的血液，再用肥皂液和流动水进行冲洗（冲洗时间大概为5 分钟），禁止进行伤口的局部挤压。4、受伤部位的伤口冲洗后，应当用消毒液，如75%乙醇或者0.5%碘伏进行消毒，并包扎伤口；被暴露的粘膜，应当反复用生理盐水冲洗干净；眼睛受到血液或其它体液喷溅时，
18、用生理盐水冲洗，严禁揉搓眼睛和应用眼药水滴眼（以上操作会扩张血管，增加进入血液的病毒量）。（二）报告1、报告科室负责人（主任、护士长）。2、科室负责人报告电话院感科，认真详细填写“职业暴露登记表”，待院感科科长、护理部/医务科科长签名后，复印一式三份，原版留院感科，复印件科室和护理部/医务科各留一份。（三）评估与预防院感科接到报告后应尽快（4 小时内）评估职业暴露情况，并尽可能在24 小时内采取预防措施。1、立即给发生职业暴露的医务人员开具HbsAg、抗-HBs、抗-HCV、抗-HIV、Trust 检验单。2、在征得患者同意的情况下，给患者检验HbsAg、抗-HBs、抗文档编码:CY7S8W1
19、X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1
20、N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1
21、X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1
22、N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1
23、X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1
24、N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1
25、X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8-HIV、抗-HIV、Trust。3、患者 HbsAg（+）：如需注射乙肝免疫球蛋白，医务人员需在职业暴露登记表上签字“本人已了解输用血液制品的相关事宜，同意注射乙肝免疫球蛋白”，并签名作证。签名同意后，由主治以上（含主治）职称医生开具处方单及注射单（诊断处注明“职业暴露预防用药”），发生职业暴露的医务人员个人缴费后到药房取药，并注射。（1）医务人员抗-HBs10iu/ml或抗-H
26、Bs 水平不祥，应24 小时内注射乙肝免疫球蛋白200400u，并接种乙肝疫苗全套（由谁开单？）。（2）医务人员抗-HBs 在 10-20iu/ml者，应应24 小时内注射乙肝免疫球蛋白200u，并强化注射乙肝疫苗一次。（3）医务人员抗-HBs20iu/ml者，可不进行进一步处理。（4）暴露后半年内每个月应检查HbsAg、抗-HBs、4、患者抗-HCV（+）：发生职业暴露的医务人员抗-HCV（），暴露后1 个月、3 个月、6 个月应检查抗-HCV，并根据复查结果进行相应抗病毒治疗。5、患者抗-HIV（+）：应马上通知院感科和分管院长，院感科通知罗庄区疾病预防控制中心，由院感科工作人员带发生职业
27、暴露的医务人员至区疾病预防控制中心进行评估与预防指导，根据暴露级别和暴露源病毒载量水平决定是否实施预防性用药文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:C
28、Y7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9
29、W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:C
30、Y7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9
31、W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:C
32、Y7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9
33、W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8方案。暴露后1 个月、2 个月、3 个月、6 个月、12 个月（传染源阳性时随访时间应增加至一年）检查抗-HIV。6、患者 Trust（+）：（1）推荐方案：苄星青霉素，120-240 万 U/次，每周 1 次，连续 2-3 周。（2）青霉素过敏：多西
34、环素（强力霉素）100mg，2 次/d，连用 14 天；或四环素500mg，4 次/d，口服，连用14 天；头孢曲松最佳剂量和疗程尚未确定，推荐1g/d，肌注，连用810天；或阿奇霉素2g，单次口服，但已有耐药报道。四、职业暴露后抽血工程仅限于：肝功能、乙肝表面抗原和抗体、丙肝抗体、梅毒抗体、HIV 抗体。首次验单临床任何一个有处方权的医生都可以开，正常上班时间由当事科室报告院感科，非正常上班时间发生的职业暴露，由当事科室直接通知检验科检测，第二天或待正常上班时间再报告院感科。随诊统一由院感科负责，验单必须院感科签字确认，才能免费复检。五、职业暴露的费用：医务人员在工作期间严格遵守职业暴露基本
35、预防控制措施后发生的职业暴露，其中需要注射的预防疫苗或治疗所需的药物、检查费用，均由医院支付。支付方法是治疗疗程完成后，由当事人出具相关的（疫苗、治疗药物）发票，经科主任或护长签名后，再由院感科科长确认签名并登记后交分管院长签名，最后报院长审批，到财务科报销。检验费用由检验科设“职业暴露”专项记账，医务人员不需要文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E
36、3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编
37、码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E
38、3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编
39、码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E
40、3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编
41、码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8交费，检验科按照相关规定计算工作量和检测费用，
42、年终报院感科科长确认签名后交分管院长签名，由医院支付。六、随访和咨询：1、医院感染科负责督促职业暴露当事人按时进行化验和预防用药，并负责追踪确认化验结果，定期监测随访。2、在处理过程中，医院感染科应为职业暴露当事人提供咨询，必要时帮助减轻其紧张恐惧心理，稳定情绪。3、医院和有关知情人应为职业暴露当事人严格保密，不得向无关人员泄露职业暴露当事人情况。版权申明本文部分内容，包括文字、图片、以及设计等在网上搜集整理。版权为张俭个人所有This article includes some parts,including text,pictures,and design.Copyright is Zha
43、ng Jians personal ownership.用户可将本文的内容或服务用于个人学习、研究或欣赏，以及其他非商业性或非盈利性用途，但同时应遵守著作权法及其他相关法律的规定，不得侵犯本网站及相关权利人的合法权利。除此以外，将本文任何内容或服务用于其他用途时，须征得本人及相关权利人的书面许可，并支付报酬。Users may use the contents or services of this article for personal study,research or appreciation,and 文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档
44、编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9
45、E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档
46、编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9
47、E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档
48、编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9
49、E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档
50、编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8文档编码:CY7S8W1X9X4 HO3J9E3W9W2 ZX1N1Q2H5N8other non-commercial or non-profit purposes,but at the same time,they shall abide by the provisions of copyright law and other relevant laws,and shall not infringe upon the legitimate rights of this website and its relevan