135例血源性病原体职业暴露调查
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唐艳琴

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R136

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Survey on 135 cases of occupational exposure to bloodborne pathogens
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    摘要:

    目的了解血源性病原体职业暴露发生状况,提出预防策略。方法对两所医院2008年1月—2010年12月间发生的135例血源性病原体职业暴露案例进行调查分析。结果职业暴露人群居前3位的依次为:护士54.81%,医生25.19%,工勤人员16.30%;暴露方式以锐器伤为主,占91.11%,常见于拔针及手术缝合时被刺伤;血源性病原体中,乙型肝炎病毒占20.18%,丙型肝炎病毒占2.63%,人免疫缺陷病毒占2.63%,梅毒螺旋体占6.14%。暴露者均及时进行了局部处理及预防性干预,经追踪检测无一例因此发生感染。结论加强职业安全防护教育,实施标准预防,规范操作行为,暴露后正确处理局部,及时上报并采取相应干预措施,能有效降低血源性病原体职业暴露感染风险。

    Abstract:

    ObjectiveTo investigate the occurrence of occupational exposure to bloodborne pathogens, and put forward preventive measures.Methods135 cases of occupational exposure to bloodborne pathogens among  healthcare workers (HCWs) in two hospitals from January 2008 to December 2010 were investigated and analyzed.ResultsThe top 3 exposure rates were observed among nurses (54.81%), doctors (25.19%) and housekeeping staff (16.30%); sharp injuries were the most common causes (91.11%), which occurred frequently during needlewithdrawing and suturing; among bloodborne pathogens, hepatitis B virus, hepatitis C virus, human immunodeficiency virus, and Treponema pallidum accounted for 20.18%,  2.63%,  2.63% and 6.14% respectively. None of HCWs was infected after taking proper preventive measures following exposure.ConclusionStrengthening occupational safety education, carrying out standard prevention, standardizing manipulation, local treating for injured site correctly, and reporting the occurrence of injury timely following exposure can  reduce the risk of occupational infection with bloodborne pathogens.

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唐艳琴,宋秀婵,卫肖云,等.135例血源性病原体职业暴露调查[J]. 中国感染控制杂志,2012,11(3):196-198.
TANG Yanqin, SONG Xiuchan, WEI Xiaoyun, et al. Survey on 135 cases of occupational exposure to bloodborne pathogens[J]. Chin J Infect Control, 2012,11(3):196-198.

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  • 收稿日期:2011-08-26
  • 最后修改日期:2011-10-12
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  • 在线发布日期: 2012-05-30
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