摘要
目的通过对医务人员发生血源性职业暴露情况进行统计,分析发生血源性职业暴露的危险因素,探讨改进措施,以减少医务人员血源性职业暴露的发生。方法对2012年1月-2014年12月宜宾市第一人民医院医务人员上报登记的血源性职业暴露数据进行分析。结果共发生血源性职业暴露129例次,护理人员是血源性职业暴露发生的高危人群(65.12%);工龄<5年的医务人员是发生血源性职业暴露的集中人群;操作环节居前3位的是拔针、穿刺、医疗废物处置;锐器伤109例(84.50%),是导致医务人员发生血源性职业暴露的主要因素。已知暴露源者92例次(71.32%);经检测,源患者确定感染79例次(61.24%),感染血源性病原体中的1项或多项。经科学处理,发生血源性职业暴露的医务人员目前均未发生感染。结论血源性职业暴露监测分析有利于确定重点科室、目标人群、高危因素,便于采取相应干预措施。
ObjectiveTo explore the risk factors for hematogenous occupational exposure by analyzing hematogenous occupational exposure in medical workers, and discuss countermeasures in order to reduce the occurrence of hematogenous occupational exposure in medical workers. MethodsWe summarized and analyzed the hematogenous occupational exposure reported by registered medical personnel in the First People＇s Hospital of Yibin City from January 2012 to December 2014. ResultsThere were 129 cases of hematogenous occupational exposure, and nurses were at high risk of such exposure （65.12%）.The exposure occurrence focused in medical personnel with working time shorter than 5 years.The top three high-risk operational procedures were needle injection, puncture, and medical waste disposal; sharp instrument injuries （109 cases, 84.50%） were the main factor leading to hematogenous occupational exposure in medical workers.Sources of exposure were detected and confirmed in 92 cases （71.32%）; after testing, 79 cases （61.24%） of infections were confirmed in the source patients with one or more blood-borne pathogens.Through scientific treatment, no infection after hematogenous occupational exposure was detected in the medical workers. ConclusionMonitoring and analysis of hematogenous occupational exposure can facilitate identification of key departments, target population and risk factors, which is important for taking appropriate interventions.
出处
《华西医学》
CAS
2016年第12期2017-2020,共4页
West China Medical Journal
关键词
职业暴露
职业防护
血源传播性疾病
锐器伤
医务人员
Occupational exposure
Occupational protection
Blood-borne diseases
Sharp instrument injuries
Medical staff
