問題詳情

3.醫療人員為AIDS病人抽血時，不小心一滴血液接觸到其皮膚的傷口，下列何種預防性治療最正確？
(A) 立即口服tenofovir至少一週
(B) 立即口服tenofovir至少四週
(C) 立即給予口服lamivudine 及zidovudine至少一週
(D) 立即給予口服lamivudine及zidovudine至少四週

參考答案

答案：D
難度：適中0.560836
統計：A(46),B(132),C(240),D(1180),E(0)

用户評論

【Celeste】評論

預防性藥物要越早使用越好，最好是 ≦ 6 小時內，超過 48 小時以上效果差，最晚不應超過 3 日在意外暴露後的適當的預防性投藥（postexposureprophylaxis，PEP）

【MJ Chang】評論

Basic two-drug postexposure prophylaxis(PEP) is generally recommended for less severe percutaneous exposures (solid needle or superficial injury) from an HIV-positive patient who is suppressed on antiretrovirals, a patient with an unknownHIV statuswho has HIV risk factors, or formucous membrane exposures. Basic two-drug PEP generally consists of two NRTIs such as zidovudine, stavudine, or tenofovir with lamivudine or emtricitabine.Expanded three-drug PEP is recommended for more severe percutaneous exposures (large-bore hollow needle or deep puncture wound) from suppressed HIV-positive patients...

【H.W. C】評論

-暴露後四小時內有最佳預防效果，盡量在48/72 hr內投藥，持續四週-drug: TDF/FTC (or 3TC/ZDV)  +RAL BID  or  +DRV/r QD   or   +LPV/r BID或者 TDF/FTC + DTG QD