Abstract
Object: HIV testing was implemented in Eastern Shizuoka Prefectural Public Health Center, but response to needlestick accidents was inadequate.
After 2005, a smoother system of treatment and procedure concerning needle incidents was developed through the cooperation between a medical institution and the public health center staff in the face of the increasing numbers of HIV tests.
Methods: The reception, consultation, examination, diagnosis and treatment in this hospital and the details from the time of accident-generation were reviewed to determine the cost for Numazu Municipal Hospital and the public health center, and a manual was created.
In addition, smooth treatment was carried out without exception after going to the hospital, with the manual incorporated into each in-hospital admissions PC terminal.
Results: In the public health center, weekly daytime inspections with and monthly night inspections have been implement, but no needle incident has occurred to date. However, it may be said that risk that a needle incident arises from the tendency for the number of HIV test examinees in public health centers to increase. We think that it is possibleto provide adequate support if such a cooperative system is put in place before a needle incident occurs.
Moreover, the fact that this hospital is specified by Shizuoka Prefecture as the medical organization to provide protection against AIDS, medical response to needle incidents was a major factor behind the arrangement of an early prevention system.
Conclusion: If a support system for the increasing number of HIV tests in public health centers is devised, quick support becomes possible and can reduce inquietude among public health center staff.
