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Zaka�enia HIV w miejscach publicznych

Zaka�enia przenoszone przez krew i p�yny ustrojowe to powa�ne zagro�enie dla pacjent�w szpitali, poradni, gabinet�w kosmetycznych, fryzjerskich, a tak�e studi�w tatua�u. Tutaj zaka�enie mo�emy potraktowa� dwutorowo – zaka�enie przenoszone „od klienta na klienta”, a drugie to zagro�enie dla osoby wykonuj�cej zabieg.

W studiach tatua�u – nawet tych najnowocze�niejszych, robi�cy tatua� ma bezpo�redni kontakt z krwi� klienta. Orientacyjne dane, traktuj�ce, jakie jest zagro�enie zara�eniem si� wirusem HIV w takich miejscach mo�na odczyta� w Krajowym Centrum ds. AIDS. Okazuje si�, �e w miejscach, do kt�rych chodzimy si� upi�ksza� do zaka�e� dochodzi o wiele cz�ciej ani�eli zdajemy sobie z tego spraw�. Fakty przera�aj� – a� 75% wszelakich infekcji tudzie� zaka�e� w gabinetach tego typu, wynika najcz�ciej z efektu zaniedba� i nie przestrzegania podstawowych zasad higieny – nale�y doda�, ze r�wnie� ��taczka typu B mo�e by� przenoszona t� drog�.

Pierwszym kardynalnym b��dem jest bardzo cz�ste u�ywanie tych samych narz�dzi dla kilku klient�w – nagminne jest to u fryzjera, gdzie grzebienie, wa�ki, szczotki s� zupe�nie niedezynfekowane. Wszystkie raz u�yte sprz�ty powinny trafi� do autoklawu, oczywi�cie po uprzednim umyciu ich pod bie��c� wod�. W przypadku robienia tatua�u, narz�dzia musz� by� wysterylizowane, gdy� przy tym zabiegu wydostaje si� znaczna ilo�� krwi. Bardzo cz�sto w gabinetach kosmetycznych s� u�ywane pistolety do przek�uwania uszu. Niejednokrotnie jest tak, �e kosmetyczka po u�yciu urz�dzenia jedynie je przeciera i chowa bez wykonania �adnej sterylizacji.

Ludzie nie maj� �wiadomo�ci, gdzie i kiedy mogli zarazi� si� wirusem. Do tych miejsc, w kt�rych mo�emy si� zarazi� HIV nale�y do�o�y� tak�e gabinety stomatologiczne. Ka�dego roku w Polsce zaka�eniu ulega �rednio 700 os�b (ciemna liczba jest wed�ug fachowc�w oko�o 30 razy wi�ksza). Od niedawna wszelkie gabinety stomatologiczne musz� stosowa� si� do nowych zasad dzia�ania i wytycznych – obowi�zkowym wyposa�eniem s� autoklawy, a wszelkie narz�dzia musz� znajdowa� si� w �rodkach sterylizuj�cych. Inn� spraw� jest zdrowie os�b, kt�re wykonuj� zabiegi – jest to temat dra�liwy i trudny. Kto�, kto np. robi tatua�e ma ci�g�y kontakt z krwi� (w tym r�wnie� z krwi� os�b seropozytywnych) i �atwo mo�e zarazi� si� wirusem, a poniewa� wirus HIV po przedostaniu si� do krwioobiegu mo�e, ale nie musi wykazywa� typowych objaw�w, mo�na stwierdzi�, i� osoby te s� w pe�ni �wiadome ryzyka wykonywania swojego zawodu.

Problem z HIV/AIDS jest bardzo z�o�ony – nie�wiadomy nosiciel mo�e podczas wykonywania us�ugi zara�a� – r�kawiczki z lateksu czasami nie s� dobr� obron�. Rozwi�zaniem jest wym�g bada� w ramach medycyny pracy. Je�li chodzi o sterylno�� narz�dzi to najnowsze przepisy zwi�zane z nasz� aneksj� do UE s� bardziej restrykcyjne, a brak ich przestrzegania b�dzie skutkowa� nie tylko mandatem, ale mo�e zako�czy� si� nawet zakazem wykonywania zawodu i tym samym zamkni�ciem salonu.

Problem HIV/AIDS nie zniknie dop�ki, dop�ty nie znajdzie si� spos�b na uodpornienie (szczepionka) lub wyzbycie si� wirusa z organizmu (remedium) – nie oznacza to jednak, �e w�wczas w gabinetach mo�e zapanowa� radosny b�ogostan i brak sterylizacji narz�dzi – ��taczka typu B ( a tak�e C), bardzo zara�liwe grzybice b�d� n�ka� nadal, a coraz bardziej �wiadomi klienci, je�li zlokalizuj� �r�d�o zaka�enia, b�d� ��da� odszkodowa� i rent – coraz wi�cej publikowanych porad prawnych dotyczy tego problemu.
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