|本期目录/Table of Contents|

[1]沈诗华.某三级甲等教学医院2012—2017 年职业暴露情况分析[J].传染病信息,2018,04:338-341.
 SHEN Shi-hua*.Analysis of occupational exposure in a tertiary teaching hospital from 2012 to 2017[J].Infectious Disease Information,2018,04:338-341.
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某三级甲等教学医院2012—2017 年职业暴露情况分析(PDF)

《传染病信息》[ISSN:1007-8134/CN:11-3886/R]

期数:
2018年04期
页码:
338-341
栏目:
论 著
出版日期:
2018-08-30

文章信息/Info

Title:
Analysis of occupational exposure in a tertiary teaching hospital from 2012 to 2017
作者:
沈诗华
236000,阜阳市人民医院医院感染管理科(沈诗华)
Author(s):
SHEN Shi-hua*
Department of Infection Management, Fuyang People's Hospital, 236000, China
关键词:
教学医院职业暴露危险因素
Keywords:
teaching hospital occupational exposure risk factors
分类号:
R13 
DOI:
10.3969/j.issn.1007-8134.2018.04.009
文献标识码:
A
摘要:
目的 了解该院职业暴露的情况和相关危险因素,为制定职业暴露防范对策提供参考。方法 采用回顾 性调查,对某三级甲等教学医院2012—2017 年上报的437 例职业暴露案例进行分析。结果 在发生职业暴露的人员 中,男、女比例为1∶3.37,暴露时平均年龄(27.2±0.4)岁。外科病区占35.0%,内科病区占34.3%,专科病区占 8.0%,医技科室占20.4%,后勤人员占2.3%。未取得职称占36.2%,初级职称占46.2%,中级职称占16.7%,高级职 称占0.9%。工作年限不超过1 年占49.4%,2 ~ 9 年占34.8%,10 年以上占15.8%。2012 年发生率为2.3%,2017 年 达5.6%,不同年度比较差异有统计学意义(P < 0.05)。护士的构成比最高,达52.4%。病原体中HBV 所占比例最高, 达48.7%,另有0.3% 的案例暴露于超过2 种传染源。51.9% 的案例暴露时体内抗HBs 阳性。案例的63.6% 暴露于病房, 25.6% 发生于手术室,23.3% 发生于手术过程。最多见于各种空心注射针头,其次为外科缝合针。95.9% 暴露者进行 了及时挤血,96.6% 用自来水冲洗,94.7% 进行了消毒。结论 医务人员应加强职业防护的培训与学习,规范上报及 处理流程,尽量减少职业暴露风险。 
Abstract:
Objective To observe the occupational exposure and risk factor, and provide evidence for formulating prevention measure to reduce occupational exposure. Methods A total of 437 cases with occupational exposure were collected from 2012 to 2017 in a tertiary teaching hospital and their data were retrospectively analyzed. Results Among the affected cases of occupational exposure, the male/female ratio was 1 ∶ 3.37 and the average age was (27.2±0.4) years at the onset. The constituent ratio of surgery was 35.0%, internal medicine 34.3%, specialist 8.0%, medical laboratory 20.4% and support crew 2.3%. The constituent ratio of those without professional title was 36.2%, primary professional title 46.2%, intermediate professional title 16.7%, and senior professional title 0.9%. The constituent ratio of those working less than 1 year was 49.4%, working for 2-9 years 34.8% and working for more than 10 years 15.8%. The incidence of occupational exposure was 2.3% in 2012 and 5.6% in 2017, there was statistical significance among different years (P < 0.05). The occupational exposure ratio was the highest in nurses, accounting for 52.4%. The occupational exposure rate of HBV was the peak among pathogens, accounting for 48.7%, 0.3% of cases were exposed to over 2 sources of infection. 51.9% cases were positive by anti-HBsAg upon exposure. A total of 63.6% exposure occurred in inpatient ward, 25.6% in operation room, and 23.3% during operations. Most of the exposure referred to injection needle, followed by suture needle. A total of 95.9% cases squeezed the blood after exposure, 96.6% flushed with tap water and 94.7% sterilized. Conclusions It is suggested to enhance the training and education of occupational prevention for medical staff, standardize reporting procedure and management process, and minimize the risk of occupational exposure.

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备注/Memo

备注/Memo:
[ 作者单位] 236000,阜阳市人民医院医院感染管理科(沈诗华) [ 通信作者] 沈诗华,E-mail: 85286259@qq.com
更新日期/Last Update: 2018-09-08