医学检验人员职业暴露调查
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尚秋美

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R136

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Survey on occupational exposure among medical laboratorians
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    摘要:

    目的了解某院检验人员职业暴露发生情况,提出预防控制措施。方法对该院2011年1月—2014年12月检验科发生的职业暴露情况进行统计分析。结果4年共有217名检验人员发生职业暴露72例,职业暴露发生率为33.18%,其中实习人员职业暴露发生率达46.23%,工作年限<1年的检验人员职业暴露发生率为49.56%。发生职业暴露的检验人员岗位主要是门诊采血室(占38.89%),暴露类型以采血针头刺伤、血液和体液污染皮肤黏膜为主,占76.39%。2011—2014年该院检验人员职业暴露发生率分别为53.66%(22/41)、41.67%(20/48)、26.23%(16/61)、20.90%(14/67),呈下降趋势(χ2 =12.286,P<0.01)。发生职业暴露后按感染管理科要求上报仅23例,漏报率达68.06%(49/72),正确规范处理率达80.56%(58/72)。结论应加强检验人员医院感染管理教育培训,提高安全防护意识,规范处理流程,强化上报意识,减少检验人员的职业暴露和暴露后感染的发生。

    Abstract:

    ObjectiveTo understand the occupational exposure among medical laboratorians in a hospital, and put forward prevention and control measures.MethodsOccupational exposure among medical laboratorians in the department of laboratory medicine of a hospital from January 2011 to December 2014 were analyzed statistically.ResultsA total of 72 cases of occupational exposure occurred among 217 laboratorians during 4 years, occupational exposure rate was 33.18%, the occupational exposure rate in interns was 46.23%, and in laboratorians with working seniority< 1 years was 49.56%. Occupational exposure mainly occurred in outpatient blood collection room(accounting for 38.89%),the main occupational exposure types were injuries by blood collection needles, skin contaminated by blood and body fluid(76.39%). Occupational exposure rates in medical laboratorians in this hospital during 2011-2014 were 53.66%(22/41), 41.67%(20/48), 26.23%(16/61), and 20.90%(14/67), respectively,which presented a declining tendency(χ2 =12.286,P<0.01). After occupational exposure, only 23 cases were reported according to the requirements of infection management department, the missing report rate was 68.06% (49/72), correct handling rate was 80.56%(58/72).ConclusionLaboratorians should strengthen education and training of healthcareassociated infection management, improve safety and prevention consciousness, standardize handling process, improve consciousness of reporting, so as to reduce the occurrence of occupational exposure and post exposure infection.

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尚秋美,李妙芳,薛彩霞,等.医学检验人员职业暴露调查[J]. 中国感染控制杂志,2017,16(1):87-88. DOI:10.3969/j. issn.1671-9638.2017.01.021.
SHANG Qiumei, LI Miaofang, XUE Caixia, et al. Survey on occupational exposure among medical laboratorians[J]. Chin J Infect Control, 2017,16(1):87-88. DOI:10.3969/j. issn.1671-9638.2017.01.021.

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  • 收稿日期:2016-03-20
  • 最后修改日期:2016-05-12
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  • 在线发布日期: 2017-01-22
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