摘要
目的分析手术相关医务人员血源性职业暴露与职业防护情况。方法调查2015年10月至2017年12月间本院手术相关医务人员258例,收集其中发生血源性职业暴露者的个人信息、暴露方式、暴露发生过程、暴露后处理方式、血源性职业暴露源病原体构成、血源性职业暴露的认知情况;分析血源性职业暴露的相关影响因素。结果调查的258例手术相关医务人员中发生血源性职业暴露发生率为20.16%(52/258)。不同性别、年龄、血源性职业暴露认知情况、针刺伤次数、学历的手术相关医务人员血源性职业暴露发生率比较差异均有统计学意义(均P<0.05);多因素Logistic回归分析显示,年龄、血源性职业暴露认知情况、学历是血源性职业暴露的独立影响因素(均P<0.05)。52例血源性职业暴露的医务人员中,乙型肝炎病毒暴露比例明显高于丙型肝炎病毒、苍白密螺旋体、艾滋病病毒(HIV)暴露比例,差异均有统计学意义(均P<0.05);手术缝合操作刺伤、输液拔管刺伤比例明显高于其他血源性职业暴露环节,差异均有统计学意义(均P<0.05)。对发生血源性职业暴露者进行为期6个月的血液检测,均未受到暴露源病原菌感染。结论本院手术相关医务人员血源性职业暴露发生率偏高,但暴露后的处理方式科学合理,未出现暴露源病原菌感染。应加强对高危年龄段、认知情况、学历的医务人员进行职业防护培训,降低血源性职业暴露风险。
Objective To analyze the occupational exposure and occupational protection of surgical related medical personnel.Methods A total of 258 surgical-related medical staff in our hospital from October 2015 to December 2017 were investigated.The personal information,exposure mode,exposure process,post-treatment methods,pathogen composition of blood-borne occupational exposure source and knowledge of blood-borne occupational exposure were collected,and the blood-borne occupational exposure was analyzed.Factors related to blood-borne occupational exposure was also analyzed.Results The incidence of blood-borne occupational exposure was 20.16%(52/258)among 258 surgical-related medical staff.There were significant differences in the incidence of blood-borne occupational exposure among medical staff with different gender,age,blood-borne occupational exposure awareness,number of needle-stick injuries and educational background(P<0.05).Multivariate logistic regression analysis showed that age,blood-borne occupational exposure awareness and educational background were blood-borne occupational exposure independent factors.The proportion of hepatitis B virus in 52 medical staff with blood-borne occupational exposure was significantly higher than that of hepatitis C virus,Treponemapallidum and HIV(P<0.05),and the proportion of surgical suture stabbing and transfusion extubation stabbing was significantly higher than that of other blood-borne occupational exposure links(P<0.05).Blood tests were carried out for 6 months in occupational exposures of blood origin,and none of them were infected by pathogenic bacteria of exposure origin.Conclusion The incidence of blood-borne occupational exposure among medical staff in our hospital is high,but the treatment after exposure is scientific and reasonable,and there is no infection of pathogenic bacteria.To reduce the risk of blood-borne occupational exposure,it is necessary to strengthen occupational protection training for medical personnel of high-risk age,cognitive status and educational
作者
郝玉花
马洪灿
王艳红
HAO Yu-hua;MA Hong-can;WANG Yan-hong(Tengzhou Central People's Hospital,Tengzhou Shandong 277599,China)
出处
《中国卫生工程学》
CAS
2019年第2期211-213,共3页
Chinese Journal of Public Health Engineering
关键词
医务人员
手术
血源性职业暴露
职业防护
Medical personnel
Surgery
Blood borne occupational exposure
Occupational protection
