摘要
目的调查分析118例血源性职业暴露医务人员的暴露情况。方法选择2011年1月—2014年8月在吉安市中心人民医院登记的血源性职业暴露医务人员118例,对其人群分布、暴露场所、高危环节、暴露源、暴露部位及暴露方式进行调查分析。结果 118例血源性职业暴露医务人员主要为护士、医生和实习工作人员,分别占54.23%、22.03%和13.57%。血源性职业暴露的主要场所为病房和手术室,占57.63%和27.12%。引起血源性职业暴露的高危环节主要为拔针与拔针后处理、手术操作和急诊抢救,分别占37.29%、32.20%和16.95%。暴露源中最多的是乙型肝炎病毒(HBV),占37.29%;暴露部位最常见的是手部,占77.97%;暴露方式最常见的是锐器伤,占66.10%。血源性职业暴露医务人员局部处理率为100.00%,其中52.54%(62/118)的患者展开预防用药。结论护士是医务人员血源性职业暴露的主要人群,建议根据血源性职业暴露的方式、暴露源、暴露部位和高危环节做好有针对性的预防措施。
Objective To investigate the exposure conditions of 118 medical staff wit, h hematogenous occupational exposure. Methods A total of 118 medical staff with hematogenous occupational exposure registered in the People＇s Central Hospital of Ji＇an were selected from January 2011 to August 2014, the occupational distribution, exposure places, high -risk operations, exposure sources, exposure parts, exposure ways were retrospectively investigated. Results The occupations included nurses （54.23%） , physicians （22.03%） and internship staff （ 13.57% ） ; the main exposure places were bed - ward （57. 63% ） and operating room （27. 12% ）; the high -risk operations were withdrawal of needles and treatment after withdrawal of needles （37.29%）, surgical operation （32. 20% ） , emergency rescue （ 16. 95% ） ; the most exposure source was hepatitis B virus （37. 29% ） ; the most exposure part was hand （77. 97% ） ; the most exposure way was sharp instrument injury. （66. 10%）. All of the 118 cases received local treatment （100.00%）, and 62 of them received prophylactic （52. 54% ）. Conclusion Nurses are the main medical staff of hematogenous occupational exposure, targeted prevention measures should carry out according high - risk operations, exposure sources, exposure parts and exposure ways.
出处
《实用心脑肺血管病杂志》
2015年第1期95-97,共3页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
关键词
职业暴露
医务人员
横断面研究
OccupatiOnal exposure
Medical staff
Cross- sectional studies
