final program.qxd - Parallels Plesk Panel

PP 1.19
Knowledge and Practice in Post-exposure HIV Prevention for Medical Staff in
Moscow
A.I Mazus, G.Yu. Pankova, A.A. Goliusov, Yu.V. Martynov
Moscow Centre for HIV/AIDS Prevention and Treatment, Moscow, Russia; Moscow State
University of Medicine and Dentistry, Moscow, Russia
Today the HIV epidemiological situation in the Russian Federation and Moscow is
complicated. The HIV prevalence in Moscow was 236.8 per 100,000 population in 2005
(with the annual increase of 23.34 per 100 000 population). The HIV epidemiological
survey has shown that HIV testing (together with pretest and post-test counseling) is
made for patients entering the surgery and obstetrics hospitals. The patient's HIV status
is defined in the first 48 hours after his/her admittance. This makes it possible in case of
the medic's exposure to biological agents to provide them with post-exposure HIV
prophylaxis in 48 hours after the contact.
Questionnaires were used to assess the medical staff behavioral factor after HIV
exposure.
In Moscow 2,145,231 patients were tested for HIV in 2003 and the number increased by
7.1% in 2005. The number of HIV-infected patients in the Moscow hospitals increased by
38.1% in the same year. The relative HIV risk factor increased RR=1.4-fold in 2005
compared to 2003.
Of the medical staff exposed to the risk of HIV infection at work just 47.2% addressed for
urgent medical aid in the first 48 hours after exposure. The high level of the possible risk
of infection was detected in 11.1% of all cases, the average level - in 56.5% and minimal
- in 32.4%. Among dentists 36.6% reported accidents at work in the past 6 months, with
the median number of 1.24 accidents during the workday. The correct behavioral
algorithm in such situation was known just to 1/3 of the respondents.
The retrospective and effective epidemiological analysis resulting from the epidemiological
survey, has shown that the behavioral algorithm in case of occupational exposure to HIV
must be learned and trained.
POSTERS
“ Focusing FIRST on PEOPLE “ 103 w w w . i s h e i d . c o m