113名医务人员血源性职业接触现状调查  

Occupational Exposure to Bloodborne Pathogens:A Survey among 113 Medical Staff

作　　者：夏娴[1] 王志刚[1] 樊林科[1] 卓晓[1] 李海峰[1] 

机构地区：[1]北京军区总医院感染控制科,北京100700

出　　处：《中华医院感染学杂志》2010年第16期2434-2436,共3页Chinese Journal of Nosocomiology

摘　　要：目的了解医务人员工作中血源性职业接触现状,为采取针对性的职业教育和防护措施,降低医务人员职业接触发生率提供科学依据。方法对113名医务人员进行问卷调查,内容包括血源性职业接触次数与血源性患者感染情况、职业接触途径和原因、既往参加相关培训情况和相关知识测评。结果所调查的113名医务人员中,有97人(85.8%)曾经有过血源性职业接触途径前4名分别是针刺伤占69.9%、破损皮肤占44.2%、眼和割伤分别占20.4%和17.7%;在学校受过相关教育的人员职业接触次数较未受过相关教育的人员少(χ2=11.48,P=0.009);医务人员对HIV、HCV相关知识及普遍预防概念掌握较差。结论加强对医务人员职业接触防护教育,进行消除风险、工程控制、管理措施和行为控制,是减少医务人员职业接触的关键。OBJECTIVE To investigate the present status of occupational exposure to bloodborne pathogens among medical staff and to provide evidence for implementing targeted education and valid intervention to decrease incidence of occupational exposure.METHODS A self-designed questionnaire was used to explore the exposure frequencies,source of infection,routes and causes of exposure,previous training and relevant knowledge among 113 medical staff.RESULTS A total of 97 objects （85.8%） had previous occupational exposure.The top 4 commonly reported routes of exposure were contaminated sharp,skin wound,eyes and incised wound.The exposure frequencies of medical staff who had been trained the professional education experience were significantly less,compared to those who had not（χ2=11.48,P=0.009）.The medical staff＇s knowledge about HIV,HCV and universal precaution was not well commanded.CONCLUSION Enhancing the education of occupational exposure protection,strengthening the elimination of risks,project control,management measures and behavior control are the essence of reducing the occupational exposures.

关 键 词：医务人员 血源性 职业接触 

分 类 号：R181.32[医药卫生—流行病学]