Journal of Capital Medical University ›› 2015, Vol. 36 ›› Issue (4): 654-658.doi: 10.3969/j.issn.1006-7795.2015.04.028

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The perioperative protection in HIV/AIDS patients with fracture in China: a systematic review

Cai Juan1, Zhang Qiang1, Xiao Jiang2, Yang Fangyu3, Li Chunmei4, Zhang Hongyu4   

  1. 1. Department of Orthopedics, Beijing Ditan Hospital, Capital Medical University, Beijing 100015, China;
    2. Center for Infectious Diseases, Beijing Ditan Hospital, Capital Medical University, Beijing 100015, China;
    3. Department of Nursing, Capital Medical University, Beijing 100015, China;
    4. Department of Nursing, Beijing Ditan Hospital, Capital Medical University, Beijing 100015, China
  • Received:2013-12-30 Online:2015-08-21 Published:2015-07-17
  • Supported by:

    This study was supported by The Capital Health Research and Development Projects(2011-2017-01); Research on the Application of Capital, Clinical Characteristics(Z131107002213063).

Abstract:

The objective for this review was to elucidate the perioperative protective measure in HIV/AIDS patients with fracture in China. In pre-operative period, high active antiretroviral therapy(HAART) must be initiated as an important measure to reduce the incidence of occupational exposure, and healthcare workers should wear face masks and gloves when performing medical practice. In operative period, based on the characteristics of occupational exposure in operations, we took some measures to reduce the risk of occupational exposure, including bilayer gloves, eye mask, disposable waterproof gown, and slippers with foot-strap, advised to minimize the use of sharp or electrical instruments and argon knifes, and advised contactless operation as far as possible to reduce opportunity of occupational exposure. Once occupational exposure occurred in surgical operation, post exposure prophylaxis must be taken immediately. We established perioperative protective measures with Chinese characteristics based on research on orthopedic surgery process in human immunodeficiency virus/acquired immune deficiency syndrome(HIV/AIDS) patients, which helped reduce the risk of occupational exposure in orthopedic surgery.

Key words: acquired immune deficiency syndrome, fracture, perioperative protection, high active antiretroviral therapy

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