医务人员血源性传播疾病感染现状分析  

Analysis of current status of blood-borne diseases among medical staffs

作　　者：胡晓燕[1] 吴明辉[1] 简讯[1] 

机构地区：[1]川北医学院附属第二医院,四川绵阳621000

出　　处：《现代医药卫生》2010年第5期654-656,共3页Journal of Modern Medicine & Health

摘　　要：目的:探讨医务人员血源性传播疾病感染现状及预防措施。方法:对本院临床在职职工625名利用年度体检的机会进行血源性传播疾病的调查,同时对同时间段的出国体检、部分教师体检、其他单位体检1232名作为非医务人员健康人群对照作同样检测。并对结果加以分析。结果:医务人员乙肝感染率14.08%,其中外系感染率16.6%,内系感染率12.4%,后勤感染率9.0%,医务人员从业10年内感染率14.5%,10～20年内15.1%,20年以上15.7%。丙肝感染率0.16%,梅毒感染率0.32%,HIV感染率为0。非医务人员健康人群对照乙肝感染率8.85%,丙肝感染率0.73%,梅毒感染率0.97%,HIV感染率0。医务人员乙肝表面抗体阳性率38.7%,普通人群43.6%。医务人员和非医务人员健康人群血源性传播疾病感染率除HIV外差异均有显著性(P<0.05)。结论:医务人员的乙肝感染率明显高于健康人群,尤以外科性质工作人员感染率几乎是普通人群的2倍。有随着从业年限增长而增长的趋势。Objective：To investigate the current status of blood borne diseases among medical staffs and to discuss the preventive measures.Methods ：625 employees in our hospital were done the background investigation of blood borne diseases.Meanwhile, 1232 individuals accepted physical examination in outpatient clinic were enrolled in control group and investigated blood borne diseases.Results： The hepatitis B infective rate in medical staffs was 14.08%.The hepatitis B infective rate in surgery department, medical department and serve department were 16.6% , 12.4%,and 9.0%, respectively.The positive rate of hepatitis B in 10,10-20 and more than 20 years work period were 14.5%, 15.1% and 15.7%,respectively. The positive rate of hepatitis C,syphilis and HIV were 0.16%,0.32%,and 0,respectively. In normal people,the positive rate of hepatitis B,hepatitis C,syphilis and HIV were 8.85%,0.16% ,0.32% ,and 0,respectively. The positive rate of HbsAb in medical staffs and normal people were 38.7% and 43.6%, respectively.Except HIV, the infective rate of blood borne diseases of medical staffs was higher than that of normal people obviously （P〈0.05）.Conclusion：The infective rate of hepatitis B of medical staffs was higher than that of normal people obviously. The hepatitis B infective rate in surgery department was 2 times of normal people.The longer work period was, the higher the hepatitis B infective rate was.Occupational safety awareness should be emphasized, standardized procedures should be followed and intervention should be taken promptly to reduce the risk of infection from occupational exposure.

关 键 词：医务人员 乙肝病毒 丙肝病毒 梅毒 艾滋病毒 

分 类 号：R5[医药卫生—内科学]