MONITORING OF POSTCONTACT PREVENTION OF OCCUPATIONAL HIV INFECTION IN HEALTH CARE FACILITIES

The authors have analyzed 692 registration forms with data on occupational injuries among health care workers, who give aid to HIV-infected patients, from 11 subjects of the Russian Federation. In 2010—2011 versus the earlier period (2006—2010), the incidence of surgical injuries increased 1.5-fold (from 22.2 to 32.7%), the number of emergencies rose during intravenous injections. At the same time, there was a considerable decline in the proportion of traumas when clearing the jobsite, making subcutaneous injections, and obtaining a venous blood sample. The cases reported in 2010—2011 showed that all injured medical workers needed chemoprophylaxis. However, the latter was done on an average of as high as 76% of cases; three antiretroviral agents were administered rarely (in 46 and 34% of all the chemoprophylactic procedures in 2010 and 2011, respectively). To train the personnel to follow safety precautions, to use safe tools, protective barriers, and to expand access to current chemoprophylaxis regimens for medical workers are currently central.

postcontact prevention of occupational HIV infection, chemoprophylaxis, occupational injuries among medical workers