传染病医院职业暴露调查与管理  

Investigation and Management of Occupational Exposures in Infectious Diseases Hospital

作　　者：李可萍[1] 袁月[1] 贾红军[1] 管群[1] 汤紫荣[1] 庄英杰[1] 

机构地区：[1]解放军第302医院感染控制科,北京市100039

出　　处：《中国病案》2013年第12期38-40,共3页Chinese Medical Record

摘　　要：目的了解医务人员血源性职业暴露的特点和危险因素,探讨防范对策。方法对2012年登记的医务人员职业暴露卡片进行整理分析。结果 38名职业暴露中,护士29例,占76.32%;医生7例占18.42%;保洁员和陪护家属各1例,分别占2.63%。其中锐器伤37例,占97.36%。23例暴露源患者为HBV阳性,10例源患者为HCV阳性,3例暴露源不确定,药物性肝炎和酒精性肝炎各1例。结论必须加强医务人员职业暴露的安全防范教育培训,严格执行操作技术规范及采取标准预防措施,最大限度防止职业暴露的发生,降低职业风险。Objective To understand the characteristics ofhaematogenous occupational exposure and risk factors to medical staff,and investigate relevant countermeasure. Method The registered occupational exposure cards of the medical staff in 2012 were clear up and analyzed. Result There were 38 medical staff with different positions occurred occupational exposure, in which doctors accounting for 18.42%（7 cases）, nurses accounting for 76.32% （29 cases）, cleaners accounting for 2.63% （ 1 case） and caregivers accounting for 2.63% （lcase）. 37 cases were sharp injures which accounting for 97.36%, 23 cases were HBV positive, 10 cases were HCV positive, 3 cases were indeterminacy of exposure source, 1 case was drug hepatitis and 1 case was alcoholic hepatitis. Conclusion We should strengthen the security education and training against occupational exposure of medical staff, strictly enforce operation technology rules and adopt standard precautions to prevent the occurrence of occupational exposure and reduce the occupational risks as much as possible.

关 键 词：传染病医院 职业暴露 管理对策 

分 类 号：R135[医药卫生—劳动卫生]