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2、nowickiMorris, Bronowicki?4 4? HBVHBV?20122012?20142014?3232? ?1111?1.1.?Patient-to-patient transmission of hepatitis C virus during colonoscopy. -?1997;337?237-240 ?19951995?3 3?1616? ? ? 10:10-10:30 10:10-10:30 ? ? 11:00-11:3011:00-11:30 ? ? ?12:00-12:30 12:00-12:30 ? ?1010? ? ? ? ? 5 5? ? ?199519
3、95?1111?: : ?PCRPCR?A A?B B?C C?2012 2012?20142014?2 2?3232?1111?100100?A 21st century nosocomial issue with endoscopes?BMJ 2014?Table 2 Ratio of patients exposed to patients contaminated by type of interventionInterventionNumber of outbreaksNumber of patients exposedNumber of patients contaminated%
4、 contaminatedArthroscopy1352720Bronchoscopy1510012706.7Cystoscopy2773253.2Endoscopic retrograde cholangiopancreatography4554386.9Lower gastrointestinal endoscopy44179421.0Upper gastrointestinal endoscopy311301079.5Total2910?thin?9894894.4Note: Data only include outbreaks tha report patients exposed
5、and patients contaminated. Adapted from: Seoane-Vazquea E, Rodriguez-Monguio R, Visaria J, Carison A. Exogenous endoscopy-related infection, pseudo-infections, and toxic reaction clinical and economic burden. Curt Med Res Opin 2006,22:2007-21?HP) HP) ?(HIV)(HIV)?(HBV(HBV? HCV)HCV)2.2.?3.3.? ? ? ? ? ? ? ?4.4.? ?5.5.? ?, ,? ? ? ? ? ?/ /? 3mm3mm5mm5mm? ?/ /? ?/ /? ?1/151/15? ? ? ? ? ? ?6.6.? ? ? ?1.1.?ATPATP? ? 1.1.? 1.1.? 6 6? 3
