医务人员职业暴露现状调查及对策
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姜亦虹

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R136

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Current status and strategies of occupational exposure among health care workers
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    摘要:

    目的了解医务人员职业暴露现状和特点,为制定预防对策提供依据。方法自行设计职业暴露问卷调查表,调查2015年1—12月全院医务人员职业暴露情况,并进行统计分析。结果调查1 888名工作人员,发生职业暴露共304例,全院平均职业暴露发生率为16.10%;发生职业暴露370例次,职业暴露例次率为19.60%。医生、进修实习人员和工作年限≤1年的工作人员职业暴露相对较高,分别为23.18%(102/440)、17.88%(49/274)、18.34%(95/518)。锐器伤为主要的职业暴露方式,占83.24%(308例),发生环节以器械使用后处理前、器械使用中为主,分别占37.99%(117例)和36.69%(113例)。370例次职业暴露中,可追溯到暴露源的有315例次。已知暴露源中,血源性病原体职业暴露占24.13%(76例次)。370例次职业暴露中,仅59例次实施了完整的局部处理和上报程序,职业暴露上报率为15.95%。  结论该院应采取综合措施最大程度地促进职业安全防护,降低职业暴露发生率。

    Abstract:

    ObjectiveTo understand the current situation and characteristics of occupational exposure(OE) among health care workers(HCWs), and provide basis for making preventive measures. MethodsSelfdesigned questionnaire about OE was adopted, OE among all HCWs in a hospital in JanuaryDecember 2015 were surveyed and statistically analyzed. ResultsA total of 1 888 HCWs were surveyed, there were 304 cases of OE, the mean OE rate in the whole hospital was 16.10%; OE occurred 370 times(19.60%). Doctors, trainees,and HCWs who worked for≤1 year had relatively higher OE rates, which were 23.18%(102/440), 17.88%(49/274), and 18.34%(95/518) respectively. Sharp injury is the main OE mode, accounting for 83.24%(n=308), sharp injuries mainly occurred before disposing the used devices and during the process of use, accounting for 37.99%(n=117) and 36.69%(n=113) respectively. Among 370 times of OE, 315 could be traced to the sources of exposure. Among the known exposure sources, OE of bloodborne pathogens accounted for 24.13% (n=76). 59 of 370 times of OE implemented complete local treatment and reporting procedures, reporting rate of OE was 15.95%. ConclusionHospital should take comprehensive measures to promote occupational safety precaution, and reduce the incidence of OE.

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张亚英,姜亦虹,钱静,等.医务人员职业暴露现状调查及对策[J]. 中国感染控制杂志,2017,16(7):658-661. DOI:10.3969/j. issn.1671-9638.2017.07.016.
ZHANG Yaying, JIANG Yihong, QIAN Jing, et al. Current status and strategies of occupational exposure among health care workers[J]. Chin J Infect Control, 2017,16(7):658-661. DOI:10.3969/j. issn.1671-9638.2017.07.016.

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  • 收稿日期:2016-08-25
  • 最后修改日期:2016-09-12
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  • 在线发布日期: 2017-07-20
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