A Study Of Intervention In Protection And Control Of Work-related HIV Exposures Of Medical Staff In Hospital

Objective: This study is carried out to learn the status of the medical professional's knowledge of work-related HIV exposures and their capabilities of protective measures, to learn the problems related to their non-standard medical procedures and inappropriate personal habits, to study the issues of discriminations towards the HIV patients among the medical staff and to explore an effective intervention mode to protect them from HIV infections due to work-related exposures.Methods: The research towards intervention is carried out in a synthetic hospital first through a general survey among a group of medical staff and an analysis of the status of work-related HIV exposures, personal protective measures and HIV-related discriminations among the staff. A second grade training to all medical staff in the hospital is then conducted as intervention, which focuses on establishing and improving safety regulations in the hospital and providing trainings to medical staff on general precautionary measures.Two surveys are conducted before and after the intervention as evaluation.Results: It is found through this study that the medical staff in this hospital have little knowledge of HIV contagion path, medical precaution and aftermath handling of work-related HIV exposures. Only 13.73% of them have had some special training on HIV precautionary measures, 51.12% take some protective measures during medical practice and 76.39% are not willing to provi de medical care for HIV patients. After the intervention the staff show significant improvement of their awareness of medical precaution and aftermath handling of work-related HIV exposures. Their knowledge of and capabilities in protective measures against work-related HIV exposures show significant improvement during medical practice, and their attitude towards the HIV patients also show significant improvement. The changes before and after intervention are statistically significant.Conclusion: It is shown that to provide trainings to medical staff on protective measures against HIV exposures, to establish safety and precautionary rules, and to improve the safety management in the hospital is an effective intervention mode to improve medical staff's precaution against work-related HIV exposures and to reduce the chance of infection.