助产士丙型肝炎病毒职业暴露现状及危险因素调查  

Current status and risk factors of the interns’occupational exposure to hepatitis C virus

作　　者：李卢新[1] 丁汀[2] 郑少银[3] 陈罗佳 余旭霞 

机构地区：[1]杭州师范大学附属医院妇产科,浙江杭州310015 [2]杭州师范大学附属医院医院感染管理科,浙江杭州310015 [3]杭州师范大学附属医院医院检验科,浙江杭州310015 [4]杭州师范大学健康管理学院预防医学系,浙江杭州310036

出　　处：《中华医院感染学杂志》2013年第9期2140-2142,共3页Chinese Journal of Nosocomiology

摘　　要：目的了解助产士丙型肝炎病毒(HCV)职业暴露现状,探讨医源性感染HCV危险因素和防护措施。方法问卷调查156名发生过丙型肝炎病毒职业暴露的助产士。结果 156名丙型肝炎病毒职业暴露助产士中,3名血源性感染HCV,感染率1.9%;可见血液污染、静脉注射或抽吸血标本、中重度损伤程度及未佩戴手套为医源性感染HCV的危险因素。结论助产士职业暴露HCV感染机遇较大,应实施有效的管理对策,加强HCV职业防护知识培训,提供有效措施防护HCV血源性感染,制定安全可行的操作程序,改善助产士工作条件,降低HCV职业暴露发生率和医源性感染率。OBJECTIVE To understand the current status of the interns＇ occupational exposure to hepatitis C virus and explore the risk factors of iatrogenic HCV infections so as to put forward the prevention measures.METHODS A questionnaire survey was conducted for 156 medical interns who suffered from the occupational exposure to HCV.RESULTS Of 156 interns investigated,HCV infections occurred in 3 interns with the incidence of 1.9%.The blood contamination,intravenous injection or pumping blood samples,moderate or severe injury,and not wearing gloves were the risk factors of the iatrogenic infections.CONCLUSION The medical interns are at high risk of the occupational exposure to the HCV infection.It is necessary to carry out the effective countermeasures,including strengthening the occupational protection training of HCV,developing effective protective measures of the iatrogenic HCV infection,implementing safe and feasible operation procedures,and improving the work condition,so as to reduce the incidence of occupational exposure to the HCV or the incidence of iatrogenic infections.

关 键 词：助产士 丙型肝炎病毒 职业暴露 职业防护 

分 类 号：R512.63[医药卫生—内科学]