医院工作人员锐器伤相关因素调查与防护措施  

Sharp Injuries Among Medical Staff:Investigation and Preventive Measures

作　　者：郝彩琴[1] 常芳[1] 李晓玲[1] 

机构地区：[1]陕西延安大学附属医院感染管理科,陕西延安716000

出　　处：《中华医院感染学杂志》2010年第23期3750-3752,共3页Chinese Journal of Nosocomiology

摘　　要：目的了解医院工作人员锐器伤的相关因素,并进行整改对策。方法对登记的锐器伤相关资料进行回顾性调查,统计其相关因素。结果 107名锐器伤者,医师占21.50%,护士占62.62%,其他占15.88%;83名锐器伤是被血污染针头刺伤,其中44名证实患有血源性传染病,占53.01%;39名乙型肝炎感染的锐器伤仅22名注射了乙型肝炎免疫球蛋白,占56.41%。结论加强职业防护知识的培训,规范操作规程,强化标准预防理念及暴露后正确处理和干预,是降低职业暴露风险的关键。OBJECTIVE To explore the relevant factors of sharp injuries among medical staff and raise the rectification measures.METHODS The factors relevant to sharp injuries were analyzed through retrospective study of 107 cases reported with sharp-tool injuries among medical staff.RESULTS In all 107 sharp-tool injurie cases,21.50% were doctors,62.62% were nurses and 17.76% were others.Eighty-three cases were pricked by blood polluted needles,of which 44 cases had been confirmed to have hematogenous infectious diseases,made a proportion of 53.01%.Of 39 cases who had been confirmed hepatitis B infection after sharp-tool injuries,only 22（56.41%） cases had injected hepatitis B immune globulin.CONCLUSION Strengthening the trainings of vocational protection knowledge,strictly regulateing the clinical rules of diagnosis and treatment,standardizing the handling procedures of medical sharp tool waste,enhancing the management of key departments,improveing the standard precaution concepting and correct the treatment and interference after vocational exposure are the key measures to reduce sharp-tool injuries risks among medical staff.

关 键 词：医务人员 针刺伤 调查 防护措施 

分 类 号：R197.323[医药卫生—卫生事业管理]