某院工作人员血源性职业暴露基线调查及分析  

Investigation and analysis of blood-borne occupational exposure of medical staff

作　　者：马春华[1] 赵跃[1] 李艳萍[1] 赵海燕[1] 张秀玲[1] 

机构地区：[1]四川省绵阳市中心医院医院感染管理科,621000

出　　处：《重庆医学》2013年第10期1139-1141,1145,共4页Chongqing medicine

摘　　要：目的了解该院工作人员血源性职业暴露状况,建立医务人员血源性职业暴露报告流程和监测管理系统,为制定职业暴露防护对策提供科学依据。方法监测出2011年8月该院163例工作人员发生了血源性职业暴露,对其高危因素、职业、工龄、致锐器伤操作环节、暴露后的风险评估以及预防用药等进行分析。结果血源性职业暴露护士发生率最高(79.14%),其次是医师(15.95%);血源性职业暴露类型主要是锐器伤。结论加强医务人员培训教育、规范操作流程、实施标准预防、建立监测系统、完善报告流程及暴露后正确有效处理和干预是降低职业暴露风险的关键。Objective To know the blood-borne occupational exposure situation of medical staff,construct the reporting process and monitoring system,and provide scientific basis for its preventive measures.Methods There were 163 cases of blood-borne occupational exposure in Aug,2011,and the high risk factor,occupation,job seniority,element of sharp instrument injury,the evaluation of risk after exposure and preventive medicine were statistically analyzed.Results Nurses had the highest incidence rate of blood-borne occupational exposure（79.14%）,the next was doctors（15.95%）.And the sharp instrument injury was the most common type of blood-borne occupational exposure.Conclusion It is the crucial to cut down the risk of occupational exposure by enhancing the training of work staffs,especially medical staffs,specifying the procedure,enforcing standard precautions,establishing monitoring system,strengthening the report and handling effectively after exposure.

关 键 词：血源性职业暴露 危险因素 防护对策 

分 类 号：R13[医药卫生—劳动卫生]