口腔医疗机构艾滋病职业暴露及职业防护的研究进展

doi:10.7518/hxkq.2019.04.018

华西口腔医学杂志 ›› 2019, Vol. 37 ›› Issue (4): 433-437.doi: 10.7518/hxkq.2019.04.018

口腔医疗机构艾滋病职业暴露及职业防护的研究进展

石永乐¹,刘帆²()

1.口腔疾病研究国家重点实验室国家口腔疾病临床医学研究中心四川大学华西口腔医院牙体牙髓病科
2.口腔疾病研究国家重点实验室国家口腔疾病临床医学研究中心四川大学华西口腔医院护理部,成都 610041

收稿日期:2018-12-21 修回日期:2019-02-19 出版日期:2019-08-01 发布日期:2019-08-23
通讯作者: 刘帆 E-mail:samotj@163.com
作者简介:石永乐,护师,硕士,E-mail：452366977@qq.com
基金资助:
四川省卫生计生委科研课题重大项目(2018)

Research progress on occupational exposure and protection from acquired immunodeficiency syndrome in stomatological departments

Yongle Shi¹,Fan Liu²()

1.State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Conservative Dentistry and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
2.State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Nursing, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China

Received:2018-12-21 Revised:2019-02-19 Online:2019-08-01 Published:2019-08-23
Contact: Fan Liu E-mail:samotj@163.com
Supported by:
Major Scientific Research Project of Sichuan Provincial Health and Family Planning Commission(2018)

摘要/Abstract

摘要：

艾滋病（AIDS）是由人类免疫缺陷病毒（HIV）引起的一类传染性极强、蔓延速度快、病死率高的传染性疾病,是我国公众健康及传染病防治中的一个难题。口腔诊疗工作的特征,使口腔医疗机构/口腔科成为HIV/AIDS职业暴露的重点部门,医务人员面临较高的HIV/AIDS职业暴露风险。本研究对HIV/AIDS的流行状况及传播途径、HIV/AIDS患者口腔病变、口腔医疗机构HIV/AIDS职业暴露及职业防护的现状进行综述。

关键词: 艾滋病, 口腔医疗机构, 人类免疫缺陷病毒, 职业暴露, 职业防护

Abstract:

Acquired immunodeficiency syndrome (AIDS) is an infectious disease caused by human immunodeficiency virus (HIV). The disease is highly infectious, quickly spreads, and has a high fatality rate. Hence, it is a major concern in public health, and an important subject in the prevention and treatment of infectious diseases. The medical staff of stomatological departments, which handle the diagnosis and treatment of oral diseases, are at particularly high risk of occupational exposure to HIV/AIDS. This study summarizes the HIV/AIDS epidemic status, disease transmission routes, oral lesions in HIV/AIDS patients, occupational exposure, and occupational protection in stomatological departments.

Key words: acquired immunodeficiency syndrome, stomatological department, human immunodeficiency virus, occupational exposure, occupational protection

中图分类号:

R781.6

石永乐,刘帆. 口腔医疗机构艾滋病职业暴露及职业防护的研究进展[J]. 华西口腔医学杂志, 2019, 37(4): 433-437.

Yongle Shi,Fan Liu. Research progress on occupational exposure and protection from acquired immunodeficiency syndrome in stomatological departments[J]. West China Journal of Stomatology, 2019, 37(4): 433-437.

参考文献 33

[1]	邵一鸣, 康来仪, 汪宁 , 等. 艾滋病和艾滋病病毒感染诊断标准[J]. 中国艾滋病性病, 2012,18(4):272-274.
	Shao YM, Kang LY, Wang N , et al. Diagnostic criteria for HIV/AIDS infection[J]. Chin J AIDS STD, 2012,18(4):272-274.
[2]	Simon V, Ho DD, Abdool Karim Q . HIV/AIDS epidemiology, pathogenesis, prevention, and treatment[J]. Lancet, 2006,368(9534):489-504.
[3]	Adamu PI, Oguntunde PE, Okagbue HI , et al. On the epidemiology and statistical analysis of HIV/AIDS patients in the insurgency affected states of nigeria[J]. Open Access Maced J Med Sci, 2018,6(7):1315-1321.
[4]	Chattopadhyay A, Caplan DJ, Slade GD , et al. Risk indicators for oral candidiasis and oral hairy leukoplakia in HIV-infected adults[J]. Commun Dent Oral Epidemiol, 2005,33(1):35-44.
[5]	Spalanzani RN, Mattos K, Marques LI , et al. Clinical and laboratorial features of oral candidiasis in HIV-positive patients[J]. Rev Soc Bras Med Trop, 2018,51(3):352-356.
[6]	中华医学会感染病学分会艾滋病丙型肝炎学组. 中国艾滋病诊疗指南(2018年版)[J]. 中华内科杂志, 2018,57(12):867-884.
	HIV/AIDS Hepatitis C Group, Chinese Society of Infectious Diseases. China AIDS diagnosis and treatment guidelines (2018 edition)[J]. Chin J Intern Med, 2018,57(12):867-884.
[7]	Matovu JK, Denison J, Wanyenze RK , et al. Trends in HIV counseling and testing uptake among married individuals in Rakai, Uganda[J]. BMC Public Health, 2013,13:618.
[8]	Ma ZQ, Fisher MA, Kuller LH . School-based HIV/AIDS education is associated with reduced risky sexual behaviors and better grades with gender and race/ethnicity differences[J]. Health Edu Res, 2014,29(2):330-339.
[9]	Souza AJ, Gomes-Filho IS, Silva CA , et al. Factors associated with dental caries, periodontitis and intra-oral lesions in individuals with HIV/AIDS[J]. AIDS Care, 2018,30(5):578-585.
[10]	Shittu RO, Adeyemi MF, Odeigah LO , et al. Prevalence and pattern of cutaneous lesions in relationship to CD4 cell counts among newly diagnosed HIV patients in University of Ilorin Teaching Hospital (UITH), Ilorin, Nigeria[J]. Oral Health Dent Manag, 2013,12(4):248-254.
[11]	武鸿毅, 杨瑛, 张方明 . 与艾滋病相关的口腔感染性疾病的研究进展[J]. 临床和实验医学杂志, 2016,15(1):95-97.
	Wu HY, Yang Y, Zhang FM . Advances in oral infectious diseases related to AIDS[J]. J Clin Exp Med, 2016,15(1):95-97.
[12]	Noguera-Julian M, Guillén Y, Peterson J , et al. Oral microbiome in HIV-associated periodontitis[J]. Medicine (Baltimore), 2017,96(12):e5821.
[13]	Kato H, Imamura A . Unexpected acute necrotizing ulcerative gingivitis in a well-controlled HIV-infected case[J]. Int Med, 2017,56(16):2223-2227.
[14]	Syrjanen S, Laine P, Niemela M , et al. Oral hairy leukoplakia is not a specific sign of HIV-infection but related to immunosuppression in general[J]. J Oral Pathol Med, 1989,18(1):28-31.
[15]	Chattopadhyay A, Caplan DJ, Slade GD , et al. Incidence of oral candidiasis and oral hairy leukoplakia in HIV-infected adults in North Carolina[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2005,99(1):39-47.
[16]	何艳英, 郑培秋 . 艾滋病口腔病损的研究现状[J]. 护士进修杂志, 2010,14(23):2128-2130.
	He YY, Zheng PQ . Research progress of AIDS oral lesions[J]. J Nurs Train, 2010,14(23):2128-2130.
[17]	Tozzi V, Britton S, Ehrnst A , et al. Persistent productive HIV infection in EBV-transformed B lymphocytes[J]. J Med Virol, 1989,27(1):19-24.
[18]	Chou LL, Epstein J, Cassol SA , et al. Oral mucosal Langerhans’ cells as target, effector and vector in HIV infection[J]. J Oral Pathol Med, 2000,29(8):394-402.
[19]	中华人民共和国卫生部. GBZ/T213-2008 血源性病原体职业接触防护导则[S]. 北京: 中华人民共和国卫生部, 2009.
	Ministry of Health of the People’s Republic of China. GBZ/T213-2008 Guidelines for occupational exposure to blood-borne pathogens[S]. Beijing: Ministry of Health of the People’s Republic of China, 2009.
[20]	Mponela MJ, Oleribe OO, Abade A , et al. Post exposure prophylaxis following occupational exposure to HIV: a survey of health care workers in Mbeya, Tanzania, 2009- 2010[J]. Pan Afr Med J, 2015,21:32.
[21]	Gerberding JL . Prophylaxis for occupational exposure to HIV[J]. Ann Int Med, 1996,125(6):497.
[22]	Gooch BF, Siew C, Cleveland JL , et al. Occupational blood exposure and HIV infection among oral and maxillofacial surgeons[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 1998,85(2):128-134.
[23]	王瑞萍, 曹鸿涛, 张亚庆 , 等. 口腔牙病诊疗中医护人员职业暴露易感因素及预防措施[C]//中国医院协会医院感染管理专业委员会. 中国医院协会全国医院感染管理学术年会论文集. 北京: 中国医院协会医院感染管理专业委员会, 2007.
	Wang RP, Cao HT, Zhang YQ , et al. Risk factors and preventive measures of occupational exposure of medical workers in the diagnosis and treatment of oral and dental diseases[C]//Hospital Infection Management Committee of Chinese Hospital Association. Proceedings of the annual conference of Chinese hospital association on hospital infection management. Beijing: Hospital Infection Management Committee of Chinese Hospital Association, 2007.
[24]	Cleveland JL, Barker L, Gooch BF , et al. Use of HIV postexposure prophylaxis by dental health care personnel: an overview and updated recommendations[J]. J Am Dent Assoc, 2002,133(12):1619-1626.
[25]	Ramos-Gomez F . Dental considerations for the paediatric AIDS/HIV patient[J]. Oral Dis, 2002,8(Suppl 2):49-54.
[26]	Maartens G . Opportunistic infections associated with HIV infection in Africa[J]. Oral Dis, 2002,8(Suppl 2):76-79.
[27]	Hamid Albujeer A, Shamshiri A, Taher A . HIV/AIDS awareness among Iraqi medical and dental students[J]. J Int Soc Prevent Commun Dent, 2015,5(5):372.
[28]	杜文治, 刘洁, 赵华翔 , 等. 3所大学口腔医学本科实习生的艾滋病相关认知情况调查[J]. 中华医学教育探索杂志, 2017,16(9):952-957.
	Du WZ, Liu J, Zhao HX , et al. A survey on the AIDS-related knowledge of dental undergraduate students in three universities[J]. Chin J Med Edu Res, 2017,16(9):952-957.
[29]	李新蕊, 李建卓, 王常灏 . 2013年山东省某三甲医院医务人员艾滋病职业暴露及防护情况调查[J]. 预防医学论坛, 2014,20(2):105-107.
	Li XR, Li JZ, Wang CH . Survey on occupational exposure to HIV/AIDS and protection among healthcare workers in a grade A, level three hospital, Shandong province, 2013[J]. Prevent Med Trib, 2014,20(2):105-107.
[30]	何进椅, 姜小鹰, 金爽 , 等. 护理专业实习学生对艾滋病职业防护知识认知及行为的调查分析[J]. 中华护理教育, 2012,9(8):373-375.
	He JY, Jiang XY, Jin S , et al. Analysis on the current status of HIV/AIDS occupational protection among nursing interns[J]. Chin J Nurs Edu, 2012,9(8):373-375.
[31]	贾爱芳, 赵殿雯, 罗永萍 , 等. 医护人员艾滋病病毒职业暴露的原因分析及防护措施[J]. 中国初级卫生保健, 2013,27(10):94-96, 98.
	Jia AF, Zhao DW, Luo YP , et al. Analysis on the causes of HIV/AIDS occupational exposure and protection measures for medical staff[J]. Chin Prim Health Care, 2013,27(10):94-96, 98.
[32]	邱敏芬, 彭根英 . 产科医护人员艾滋病病毒职业暴露目标性监测[J]. 中华医院感染学杂志, 2011,21(9):1811-1812.
	Qiu MF, Peng GY . Targeted surveillance on occupational exposure to HIV/AIDS in obstetric nursing workers[J]. Chin J Nosocomiol, 2011,21(9):1811-1812.
[33]	He LP, Lu ZY, Huang J , et al. An integrated intervention for increasing clinical nurses’ knowledge of HIV/AIDS-related occupational safety[J]. Int J Environ Res Public Health, 2016, 13(11). pii: E1094.

口腔医疗机构艾滋病职业暴露及职业防护的研究进展

Research progress on occupational exposure and protection from acquired immunodeficiency syndrome in stomatological departments

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