医务人员血源性职业暴露调查分析  

Survey of blood-borne occupational exposures in medical staff

作　　者：刘静[1] 邓清华[1] 冯瑛[1] 

机构地区：[1]泸州医学院附属医院感染管理科,四川泸州646000

出　　处：《泸州医学院学报》2013年第1期87-88,共2页Journal of Luzhou Medical College

摘　　要：目的:探讨医务人员发生血源性职业暴露的危险因素与预防措施。方法:收集泸州医学院附属医院4年共191份血源性职业暴露登记表进行分析总结。结果:191名血源性职业暴露者中,医师、护士发生血源性职业暴露的次数最多(91.10%);暴露方式以锐器伤为主(60.73%),其中针头刺伤最多(43.98%);明确的污染源以HIV最多(38.73%),HBV其次(22.55%);暴露后采取正确的处理措施的占多数(80.63%)。结论:应加强医务人员岗前培训,增强职业暴露防护意识,按照操作常规进行规范安全的操作,有效减少职业暴露的发生。Objective：To analyze the risk factors and preventive measures of blood-borne occupational exposure in medical staff. Methods：Registration records of 191 blood-borne occupational exposures from 2007.10 to 2011.9 of our hospital were collected and analyzed. Results：Among 191 blood-borne occupational exposure cases, the highest rate of exposure occurred in doctor and nurses （91.10%）; exposure to sharp instrument injury accounted for 60.73%, to needle stabbing accounted for 43.98%; the infective source was identified in 81.86% of cases, the most common source was HIV infection, accounted for 38.73%, the second common was hepatitis Bvirus, accounted for 22.55%; most of the staff took right treatment measures after exposure ,accounted for 80.63%. Conclusion： The pre-job training of medical staff should be strengthened, the professional safety consciousness should be intensified,and operation should be performed under strict operating procedure to effectively reduce occupational exposures.

关 键 词：医务人员 血源性职业暴露 防护措施 

分 类 号：R195[医药卫生—卫生统计学]