摘要
目的了解血源性病原体职业暴露状况,探寻职业暴露发生规律,促进医务人员树立正确的职业防护观念;建立完善的职业暴露报告流程和监测管理系统,为制定职业暴露防护对策提供科学依据。方法对医院所有临床工作人员进行为期1年的监测,对发生职业暴露的分布特征和相关因素进行分析评价。结果监测周期内发生血源性职业暴露63人次;护士发生率最高占61.9%,其次为医师占30.16%;职业暴露类型主要以锐器伤为主;锐器伤以操作后未及时正确处置锐器导致的损伤、手术操作中的锐器伤和治疗过程中患者躁动发生率最高;经追踪随访,无血源性病原体感染的发生。结论广泛地执行标准预防措施、职业安全教育培训、规范操作流程、建立监测系统、暴露后及时规范处理和干预,不失为减少医务人员职业暴露风险的有效手段。
OBJECTIVE To monitor the condition of occupational exposure concerning blood-borne pathogen,explore the current patterns of occupational exposure,accelerate the formation of corrective occupational protection within the medical staff,establish and perfect the monitoring and reporting program,provide scientific proof for the foundation of occupational exposure protective measures.METHODS All the clinical staff in our hospital for one year were monitored.The data on distribution characteristics and relevant factors regarding occupational exposure cases were analyzed and estimated.RESULTS During this time period 63 members of the medical staff were infected by occupational exposures with some staff being exposed numerous times.Nurses received the highest rate of incidence（61.9%）,with medical doctors（30.16%） in the second highest rate,most of the occupational exposure types were sharp instrument injuries occurring when patients became restless during the therapeutic process;none were infected during the follow-up period.CONCLUSION It is the crux to reduce the risk of occupational exposure appearance by implementing standard preventive measures,standard operating procedures with a monitoring system for medical staff.and dealing with the exposure incident timely.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2011年第12期2546-2547,共2页
Chinese Journal of Nosocomiology
关键词
医务人员
血源性职业暴露
锐器伤
Medical staff
Blood-borne occupational exposure
Sharp instrument injury
