Advertisement

Sofortmaßnahmen bei akzidentellem HIV-Kontakt

  • H. Wank
  • U. Kalousek
  • H. Gadner
Conference paper

Zusammenfassung

Mit der Ausbreitung der HIV-Infektion kommt das medizinische Personal auch außerhalb von AIDS-Zentren immer öfter in Kontakt mit dieser Patientengruppe.

Damit steigt auch die Wahrscheinlichkeit eines akzidentellen HIV-Kontaktes. Das Risiko, in einem medizinischen Beruf eine HIV-Infektion zu erwerben, ist zwar sehr klein (in Zentren für die Versorgung verschiedener HIV-Erkrankungsstadien 0, 31–0, 42% [1, 2, 14], in Krankenhäusern mit niedriger Anzahl HIV-positiver Patienten ist das Infektionsrisiko wesentlich niedriger [15, 16]), jedochwie mit bisher 28 dokumentierten Fällen belegt — nicht wegzuleugnen.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. 1.
    Henderson DK, Gerberding JL (1989) Prophylactic zidovudine after occupational exposure to the human immunodeficiency virus: an interim analysis. J Infect Dis 160:321–327PubMedCrossRefGoogle Scholar
  2. 2.
    Wong ES, Stotka JL, Chinchilli VM, Williams DS, Stuart CG, Markowitz SM (1991) Are Universal Precautions Effective in Reducing the Number of Occupational Exposures Among Health Care Workers? A Prospective Study of Physicians on a Medical Service. JAMA 265:1123–1128PubMedCrossRefGoogle Scholar
  3. 3.
    Anderson DC, Blower AL, Packer JMV, Ganguli LA (1991) Preventing needlestick injuries. BMJ, Vol 302:769–770PubMedCrossRefGoogle Scholar
  4. 4.
    Centers for Disease Control (1988) Recommendations for prevention of HIV Transmission in health care settings. MMWR 36 (suppl. 2 S):3 S–18 SGoogle Scholar
  5. 5.
    Marcus R, and the CDC Cooperative Needlestick Surveillance Group (1988) Surveillance of Health Care Workers Exposed to Blood from Patients infected with the Human Immunodeficiency Virus. N Engl J Med 319:1118–1123PubMedCrossRefGoogle Scholar
  6. 6.
    Centers for Disease Control (1990) Public Health Service Statement on Management of Occupational Exposure to Human Immunodeficiency Virus, Including Considerations Regarding Zidovudine Postexposure Use. MMWR 39 (No.RRl):l –14Google Scholar
  7. 7.
    Weiss SH, Saxinger WC, Rechtman D et al (1985) HTLV-III Infection Among Health Care Workers. Association With Needle-Stick Injuries. JAMA 254:2089–2093PubMedCrossRefGoogle Scholar
  8. 8.
    Kennedy DA (1988) Needlestick Injuries: Mechanisms and Control. J Hosp Infect 12:315–322PubMedCrossRefGoogle Scholar
  9. 9.
    Jagger J, Hunt EH, Brand-Elnaggar J, Pearson RD (1988) Rates of Needlestick Injury caused by various Devices in a University Hospital. N Engl J Med 319:284–288PubMedCrossRefGoogle Scholar
  10. 10.
    Edmund M, Khakoo R, Mc Taggart B, Solomon R (1988) Effect of Bedside Disposal Units on Needle Recapping Frequency and Needlestick Injury. Infect Control Hosp Epidemiol 9:114–116CrossRefGoogle Scholar
  11. 11.
    Goldwater PN, Law R, Nixon AD, Officer JA, Cleland JF (1987) Impact of Recapping Device on Venepuncture-Related Needlestick Injury. Infect Control Hosp Epidemiol 10:21–25CrossRefGoogle Scholar
  12. 12.
    Gürtler L (1989) Vorschlag zum Verhalten und Handeln nach Kontamination mit HIV-hal- tiger Flüssigkeit. Dt Ärzteblatt 86, Heft 19, 11. 5.1989 (31)Google Scholar
  13. 13.
    Ruprecht RM, O ’ Brien LG, Rossoni LD, Nusinoff-Lehrmann S (1986) Suppression of Mouse Viraemia and Retroviral Disease By 3’-azido-3’-deoxy Thymidine. Nature 323:467–469PubMedCrossRefGoogle Scholar
  14. 14.
    Jeffries DJ (1991) Zidovudine After Occupational Exposure to HIV. BMJ Vol 302:1349–1351PubMedCrossRefGoogle Scholar
  15. 15.
    Cobelens F (1990) Needlestick Injuries, Surgeons and HIV risks. The Lancet 335:924CrossRefGoogle Scholar
  16. 16.
    Leentvaar-Kuijpers A, Dekker MM, Coutinho RA, Dekker EE, Keeman JN, Ansink-Schip- per MC (1990) Needlestick Injuries Surgeons, and HIV Risks. The Lancet 335:546–547CrossRefGoogle Scholar
  17. 17.
    Singh Vipul R (1991) Questionnaire about Zidovudin Prophylaxis after Occupational Exposure to HIV 1. N Engl J Med 324, No 1Google Scholar
  18. 18.
    Meylan PR, Francioli P, Decrey H, Chave JPh, Glauser MP (1988) Post-Exposure Prophylaxis Against HIV-Infection in Healthcare Workers. Lancet 1:481PubMedCrossRefGoogle Scholar
  19. 19.
    Durand E, Le Jeunne C, Hugues FC (1991) Failure of Prophylactic Zidovudine After Suicidal Self-Inoculation of HIV-infected Blood. N Engl J Med 324:1062PubMedGoogle Scholar
  20. 20.
    Tait DR (1991) Zidovudine After Occupation of Exposure to HIV. BMJ 303:581CrossRefGoogle Scholar
  21. 21.
    Elkharrat D, Wautier JL, Caulin C, Bonnet N (1991) Zidovudine After Occupational Exposure to HIV. BMJ 303:309PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1992

Authors and Affiliations

  • H. Wank
    • 1
  • U. Kalousek
    • 1
  • H. Gadner
    • 1
  1. 1.WienAustria

Personalised recommendations