医务人员锐器伤职业暴露预防控制措施的监测分析  

Monitoring analysis on prevention and control measures of occupational exposure of sharp instrument injury in medical staff

作　　者：相立英[1] 佟青[2] 藏东钰 白璐[4] 

机构地区：[1]辽宁医学院附属第三医院人事处,辽宁锦州121000 [2]辽宁医学院附属第三医院感染控制处,辽宁锦州121000 [3]辽宁医学院附属第三医院胸外科,辽宁锦州121000 [4]辽宁医学院附属第三医院消化内科,辽宁锦州121000

出　　处：《中华医院感染学杂志》2014年第19期4926-4927,4930,共3页Chinese Journal of Nosocomiology

基　　金：辽宁省自然科学基金资助项目(2012010188-401)

摘　　要：目的评价医务人员锐器伤职业暴露多种预防干预措施实施的有效作用。方法对医院2011年(干预前)、2012年(干预后)各898名医务人员锐器伤发生情况进行回顾性调查,并依据医院2年医务人员血源性职业暴露监测数据直报系统计数据进行分析。结果干预前后锐器伤分别发生56、29人次,发生率分别为6.2%、3.2%,上报率为33.9%、55.2%;实习生和护士发生锐器伤所占比例较高,干预前分别为10.8%、8.2%,干预后为5.5%、4.2%;干预前手术室锐器伤发生最多,占42.8%;其次为普通病房占39.3%,干预后普通病房锐器伤发生最多,占34.5%,其次为手术室、ICU均为24.1%,其他科室均为14.2%;干预前后锐器伤发生以整理及传递手术器械最多,分别占19.6%及20.7%,经χ2检验,差异有统计学意义(P<0.05)。结论实施多种干预措施,对医务人员锐器伤职业暴露的发生具有明显的预防控制作用。OBJECTIVE To assess the effect of the combined interventions on the prevention and control of sharp injuries to the medical personnel.METHODS The retrospective survey on sharp injury of 898 medical staff was carried out in 2011（before intervention）and 2012（after intervention）,and the monitoring data of blood-borne occupational exposure on medical staff of the two years from the straight reporting system were analyzed.RESULTS There were 56 persons occurred sharp injury accounting for 6.2% before intervention and 29 persons occurred sharp injury accounting for 3.2%after intervention,with reported rates of 33.9%and 55.2%.It mostly happened to the intern and nurse with incidence of 10.8%and 8.2%before intervention and 5.5%and 4.2%after intervention.Before intervention sharp injury was mostly happened in operating room,accounting for 42.8%,and secondly in general ward accounting for 39.3%.After intervention,sharp injury mostly happened in general ward accounting for 34.5%and secondly in operating room and ICU both accounting for 24.1%,and the other divisions all accounted for 14.2%.Sharp injury mostly happened during the arrangement and delivery of surgical instrument accounting for 19.6% and 20.7%,and the difference was clinically significant byχ^2 test（P〈 0.05）.CONCLUSIONS Implementation of a variety of interventions can prevent and control the occupational exposure of sharp injury to the medical personnel.

关 键 词：锐器伤 职业暴露 控制措施 监测分析 

分 类 号：R197.323[医药卫生—卫生事业管理]