论文部分内容阅读
目的了解医务人员血源性职业暴露现状,为职业暴露制定防范措施提供依据。方法通过回顾性调查,了解某医院临床医务人员血源性职业暴露情况,建立医务人员本底血清库和监测报告系统,加强血源性职业暴露管理。结果该医院连续报告血源性职业暴露医务人员共355人次,包括锐器伤327人,黏膜暴露28人。在发生职业暴露医务人员中,护士占69.30%,医生占22.82%;低于5年工龄者占75.21%。在受到锐器损伤的人员中,注射器和输液器针头锐器伤占77.07%;主要损伤环节是输液拔针、针头回套和手术操作过程。结论医务人员血源性职业暴露人员主要是护士,低年资人员发生率较高,以针刺伤居首位,强化医疗操作规范化是重点防护措施。
Objective To understand the status quo of blood-based occupational exposure of medical staff and to provide basis for preventive measures for occupational exposure. Methods A retrospective survey was conducted to understand the blood-based occupational exposure of clinical medical staff in a hospital. The medical staff’s background serum database and monitoring report system were established to strengthen the management of blood-based occupational exposure. Results The hospital reported a total of 355 consecutive medical exposures to blood-derived occupational exposures, including 327 sharps injuries and 28 mucosal exposures. In the occupational exposure of medical staff, nurses accounted for 69.30%, doctors accounted for 22.82%; less than 5 years of service accounted for 75.21%. Among the persons injured by sharps, 77.07% were syringe and infusion needle sharps; the main injury was infusion pulling needle, needle retracting and operation procedure. Conclusion The main occupational blood exposure of medical staff is nurses. The incidence of junior staff is high, with acupuncture as the top priority. It is a key protective measure to strengthen the standardization of medical operation.