"Side" effects of HAART: decreasing and changing occupational exposure to HIV-infected patients.
To investigate percutaneous exposures to HIV in the highly active antiretroviral therapy (HAART) era, we performed an analysis of all percutaneous exposures reported from January 1994 to December 1998 in 18 Italian acute-care hospitals. Frequency and rate per 100 prevalent AIDS cases of HIV exposures decreased by 40% (from 4.3% to 2.6%, and from 1.0% to 0.6%, respectively; p<0.001), which were mainly those related to the insertion/manipulation of peripheral vascular access devices (from 7.2% to 4.8%; p=0.05). We conclude that the benefits of HAART have changed the complexity of care required and therefore, the number and type of procedures performed on HIV patients that place the HCW at risk of injury.
De Carli
G
G
Epidemiologic Department, National Institute for Infectious Diseases Lazzaro Spallanzani-IRCCS, Rome, Italy. craids@tiscalinet.it
Puro
V
V
Petrosillo
N
N
Finzi
G
G
Ferraresi
I
I
Daglio
M
M
Amoddeo
C
C
Bombonato
M
M
Bertucci
R
R
Maccarrone
S
S
Raineri
G
G
Desperati
M
M
Contegiacomo
P
P
Penna
C
C
Fulgheri
M
M
Nelli
M
M
Rebora
M
M
Fasulo
G
G
Bonaventura
M E
ME
Segata
A
A
Marchegiano
P
P
Mercurio
V
V
Ippolito
G
G
D023241:Antiretroviral Therapy, Highly Active; D015658:HIV Infections / Q000517:prevention & control* / Q000635:transmission; D006282:Health Personnel; D006801:Humans; D016273:Occupational Exposure