Tình hình điều trị dự phòng sau phơi nhiễm HIV do tại nạn nghề nghiệp tại Bệnh viện Bệnh nhiệt đới TP Hồ Chí Minh giai đoạn 2011-2014

This is a retrospectively cross - sectional descriptive study all cases of HIV post - exposure prophylaxis due to occupational accidents at the Hospital for Tropical Diseases from January 2011 to December 2014. Among the total of 760 official workers with occupational accidents received HIV post exposure prophylaxis, health care workers accounted 56.3 percent and 43.7 percent for all other sectors (police, labor force in schools and rehabilitation centers, polices and military forces). In particular, 32.4 percent nurses in health care worker group and 27 percent polices in other sectors had HIV post exposure prophylaxis. Fortunately, there is not so far any report of HIV sero conversion in this cohort. Among 4 groups of causes of HIV occupational exposures, 53.9 percent cases were in percutaneous exposure group (Group I) and in those, 39,8 percent nurses sustained needle prick/cut by sharps. 24.3 percent persons were in Group IV (injury due to patient attacks) and in those, 54.6 percent were soldiers and policemen. Other causes of occupational exposures were also described. There still were 9 percent of persons who received post - exposure prophylaxis after 72 hours of exposure. The rate of late post - exposure prophylaxis in 2013-2014 decreased by 50 percent (6 percent) in compared with the one in 2011 - 2012 (12 percent). However, the rate of non - adherence to treatment had not been improved yet over this time, around 16 percent in each of two years.