Interpretation of the occupational exposure to HIV infection handler sets"

The 2015-07-23 national health and population and family planning commission of the People's Republic of China

Recently, the national health and family planning commission issued by the occupational exposure to HIV infection handler sets "(hereinafter referred to as" handler sets ". Now the interpretation "handler sets" about the main points are as follows:

First, the drafting background

From 2004 to 2014, the national has reported 8339 cases of HIV occupational exposure. Mainly presents the following three characteristics: one is the overall trend of HIV/AIDS occupational exposure is smooth, every year since 2008, reports the number of cases are about 900 cases. The second is FaShengChang so medical institutions and public security judicial institutions. 3 it is through the timely treatment and preventive medicine (about 77.4% of the exposure after assessment taking antiviral drugs), there is no report exposure in follow-up cases infected with the AIDS virus.

In 2013, according to the state council leading comrades instructions spirit, by commission, human resources, social security, safety supervision bureau, the national federation of trade unions issued the occupational disease classification and catalogue, the "AIDS (limited to medical and health personnel and the people's police)" into the occupational categories of infectious diseases. To regulate the processing program of occupational exposure to HIV infection, and provide the basis for HIV/AIDS occupational exposure diagnosis, safeguard the rights and interests of medical and health personnel, and the people's police groups, national health family planning organization experts, on the basis of solicit opinions from all aspects, established the occupational exposure to HIV infection handler sets "(hereinafter referred to as the" handler sets "), as the measures for the administration of the occupational disease diagnosis and identification of form a complete set of documents.

Second, the main content

The handler provisions include general provisions, division of duties, disposal, investigation, bylaws and other five chapters and 3 of article 20 in the attachment.

The first chapter is the general. Has been clear about the "handler sets" the purpose, scope, main contents and working principle.

The second chapter division of duties. Has been clear about the HIV/AIDS occupational exposure disposal, investigation, organization and responsibility. The Chinese center for disease control and prevention and the provincial center for disease control and prevention in the treatment of technical guidance in investigation, and responsibility.

The third chapter. Made clear after occupational exposure unit of choose and employ persons and disposal institutions to carry out the disposal procedure, contents and requirements.

The fourth chapter surveys. Clear the exposure in the follow-up period after HIV antibody positive turn survey procedure, contents and requirements of the investigation.

The fifth chapter bylaws. Effect of "handler sets" time, occupational exposure, follow-up period, and exposed the source range made specific provision.

Three, key problems

(a) "handler sets" rules for HIV occupational exposure treatment working procedure including disposal and survey two parts. Emphasis on disposal, the investigation must be conducted in strict accordance with the procedures, ensure that information collection, laboratory testing results, the real and credible.

(2) stressed after exposure to the disposal of the timeliness and scientific. Rules for occupational exposure after occupational exposure occurred report unit of choose and employ persons, unit of choose and employ persons disposal mechanism of time limits. In order to make clear the relation between HIV infection and occupational exposure, rules disposal institutions shall be exposed acquisition exposure in 24 hours and HIV antibody testing of blood samples collected shall be at least two witnesses at the scene.

(3) the emphasis on the investigation of impartiality and authority. Provisions in principle the same medical institutions shall not be specified for the disposal of institutions and research at the same time. Regulation research as the basis of infection of HIV occupational exposure, there may be clues about exposure to infected virus comes not from the occupational exposure, shall be conducted according to the need of molecular epidemiology detection, investigation conclusion as an important basis for the occupational disease diagnosis.

相关链接：国家卫生计生委办公厅关于印发职业暴露感染艾滋病病毒处理程序规定的通知