摘要
目的了解医务人员血源性职业暴露的特点和危险因素,探讨防范对策。方法对四川省人民医院在2009-01月/2010-l2期间92名职业暴露医务人员的资料进行整理、分析。结果职业暴露发生率:护士4.91%,临床医师2.53%,检验和实验室研究人员1.19%,外科系统人群职业暴露率远高于内科系统和医技系统,护士的职业暴露率远远高于医生,差异有统计学意义(P<0.01);暴露方式以针刺伤为主(47.8%),其次是手术中锐器损伤(28.3%);暴露源前3位依次为乙型病毒性肝炎、丙型肝炎和梅毒,分别占53.7%、10.9%和9.8%。结论职业暴露是医务人员面临的职业问题,应加强职业暴露的安全管理和培训,提高医务人员的防控意识,最大限度防止职业暴露的发生,降低职业风险。
Objective To investigate and analyze the causes and factors of occupational exposure of hospital medical staff,so that preventive measures can be implemented.Methods Analyzing the data of all medical staff with the occupational exposure from Sichuan Provincial People＇s Hospital in the period from Jan 2009 to Dec.2010.Results Medical personnel occupation exposure rate was 4.91% for nurse 2.53% for clinician and 1.19% for research and laboratory testing staff.The occupational exposure rate for staff in surgical system was much higher than those working in the internal system and technical system.Nurses＇ occupational exposure rate was much higher than that for the doctors.The difference was statistically significant（P 0.01）.Exposure to needle injuries,which accounted for 47.8%,followed by sharps injuries during operation,which accounted for 28.3%,were the most common ways of infection.The top 3 sources of infection were hepatitis B,hepatitis C and syphilis,accounted for 53.7%,10.9%,9.8%,respectively.Conclusion Occupational exposure is one serious issue faced by medical staff.The management should be strengthened,with the improvement of the medical staff＇s safety awareness,to prevent the occurrence and reduce the occupational risks as much as possible.
出处
《预防医学情报杂志》
CAS
2012年第8期615-617,共3页
Journal of Preventive Medicine Information
关键词
医务人员
职业暴露
管理对策
medical staff
occupational exposures
management measures
