骨外科医师血源性病原体职业暴露风险与对策  

The Risks and Preventive Measure about the Blood-borne Pathogens among Orthopedic Surgeons

作　　者：叶志军[1] 张小娟[1] 吴峰[1] 王文秋[1] 

机构地区：[1]广东省佛山市中医院医院感染管理科,528000

出　　处：《实用全科医学》2007年第9期816-817,共2页Applied Journal Of General Practice

摘　　要：目的了解骨外科医师感染经血液传播疾病的潜在危险因素,制定预防对策。方法收集从2004年1月1日-2006年6月30日所有发生血源性病原体职业暴露(简称职业暴露)的骨外科医生登记资料45例,对职业暴露者暴露源血源性传播性疾病情况;锐器种类;职业暴露前乙肝疫苗接种情况;锐器伤害后的处理措施;锐器伤害后追综观察结果等进行分析。结果116名骨外科医生在2年内发生职业暴露的有45人次,占38.79%;被乙型肝炎病毒污染的锐器最多,占55.56%;导致职业暴露的锐器种类最高为骨科器械,占46.67%;发生职业暴露后初步和进一步处理达100%;发生职业暴露后追综观察达100%。追综结果:我院骨外科医生发生职业暴露后未发现感染的病例。结论职业暴露应以预防为主,加强管理,可减少发生职业暴露后的感染。Objective To investigate the potential risks of the blood-infected diseases on the orthopedic surgeons and make preventive measures. Methods The recorded information of 45 orthopedic surgeons who＇have encountered the occupational exposure to blood-derived pathogen （i. e. occupational exposure） have been accumulated from Jan 1st 2004 to Jun 30th 2006. The condition of the accident, category of the acumination,hepatitis B vaccine inoculation before the occupational exposure,the disposal after the hurt and the follow-up after the acumination hurt were analyzed. Results 45 cases （38.79%） had the occupational exposure during the past two years. 25 cases （55.56%） were contaminated by sharp instrument with HBV. The orthopedic instrument was the main sharp instrument （46.67%） resulting in the occupational exposure. The rate of instant and subsequent disposal after the occupational exposure and the follow-up had reached 100%. No infected case was found after the occupational exposure in the orthopedic surgeons in our hospital. Conclusions The strict preventions and administration can reduce the rate of infection after the occupational exposure.

关 键 词：骨外科医师 血源性疾病 职业暴露 职业防护 

分 类 号：R195[医药卫生—卫生统计学]