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本帖最后由 moveon 于 2011-12-9 22:29 编辑
关于这个问题，我想我可以向大家解释清楚，因为我查阅过很多相关资料，现在根据美国CDC及THEBODY的资料来分析一下：
www.thebody.com （美国最权威的HIV信息网站，有许多HIV专家在论坛解答）
这个地址是关于现任版主（也是HIV专家）对 丙肝合并HIV感染的回答：http://www.thebody.com/Forums/AIDS/SafeSex/Q217997.html
The only time that the three month window would change would be if there was a known exposure to Hep C and HIV and the person developed Acute Hep C infection. Then and only then, would the window period change 12 months.
唯一可能改变3个月窗口期说法的情况是同时职业暴露于丙肝和HIV，且该人之后又发生了急性丙肝发病，窗口期需要延迟到12个月。
下面为Dr Bob对于这个问题的解答：
http://www.thebody.com/Forums/AIDS/SafeSex/Q207199.html
This is the last time I'm going to go over this information with you, so pay attention! The Centers for Disease Control has published guidelines for health care workers who sustain a significant occupational exposure to a patient coinfected with HIV and hepatitis C viruses.The health care worker guidelines for occupational exposure to coinfected patients suggest HIV-antibody testing at baseline, six weeks and twelve weeks after exposure. There is a caveat, however: If, and I must stress this "if," the health care worker develops acute hepatitis C infection, then and only then (I also stress the "then and only then") would additional HIV-antibody testing be recommend. In this case, and only in this case, are HIV tests out to 12 months recommended. Put another way, if the health care worker does not get ill with acute hepatitis C infection, additional tests would not be recommended。
“这是我最后一次解答这个问题（老外们也有很多人问这个），请听好！
美国CDC发布了关于职业暴露的检测指导方案，对于医护人员如果发生职业暴露时，同时感染了丙肝和HIV，一般只建议6周，12周检测。
但是在以下特殊情况下，建议进行额外的HIV检测：
如果医护人员暴露后同时感染了丙肝和HIV，且该医护人员之后又发生了急性丙肝发病的情况，则需要额外的检测。
换句话说：：：如果这个一个人即使暴露在了HIV和丙肝下，但并没有急性丙肝发病，则不需要进行12月的检测。
很简单的回答就是：
1，这个指南只针对 职业暴露！
2，同时暴露在了丙肝和HIV下
3，且暴露后必须发生了急性丙肝发病的情况
满足 以上 三点才需要延长检测时间，而如果你发生了急性丙肝，你不可能不知道！
结论就是：大家完全不用担心
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发表于 2011-12-9 13:11
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