211例医务人员锐器伤监测结果分析
作者:
作者单位:

作者简介:

刘聪

通讯作者:

中图分类号:

R136.4

基金项目:


Sharp injuries among 211 health care workers
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 文章评论
    摘要:

    目的分析医务人员锐器伤发生情况,为持续改进锐器伤安全管理工作提出建议。方法回顾性分析某院2006年8月—2015年7月上报的《锐器伤登记表》,分析统计相关资料。结果共上报211 例锐器伤,主要人群为护士(118例,55.92%)和医生(83例,39.34%);工龄主要为5 年及以下者(117例,55.45%);发生地点主要为外科病房(67例,31.75%)、内科病房(65例,30.81%)及门急诊(33例,15.64%);致伤物主要为注射器针头(91例,43.13%)、缝合针(34例,16.11%)和头皮针/输液器针头(27例,12.80%);主要致伤操作为各种注射(40例,18.95%)、静脉输液(38例,18.00%)、手术缝合/剪断(36例,17.06%)。主要致伤环节为操作中(治疗、检查、手术),共109例(51.66%)。血源性病原体污染的器械中,HBV污染95例(76.61%),HCV污染25例(20.16%),HIV污染4例(3.23%)。无血源性病原体感染病例发生。211例医务人员接种乙肝疫苗者155例(73.46%)。结论应重点针对工作时间≤5年的护士和医生,外科病房、内科病房及门急诊的医务人员,注射、静脉输液、缝合/剪断等操作时做好锐器伤防护工作。医院相关部门完善上报流程,加强追踪。

    Abstract:

    ObjectiveTo analyze the occurrence of sharp injuries among health care workers(HCWs), and put forward suggestions for safety management of sharp injuries.MethodsRecorded form of sharp injuries reported in a hospital in August 2006July 2015 were analyzed retrospectively, relevant data were analyzed statistically. ResultsA total of 211 sharp injuries occurred among HCWs were reported, sharp injuries mainly occurred among nurses(n=118, 55.92%) and doctors(n=83, 39.34%); 117(55.45%)sharp injuries occurred in HCWS whose length of service was ≤5 years; the main occurrence locations of sharp injuries were surgical ward(n=67, 31.75%), internal medicine ward(n=65, 30.81%), and outpatient as well as emergency departments(n=33,15.64%);the main devices causing sharp injuries were syringe needle(n=91, 43.13%), suture needle(n=34,16.11%), and scalp needle/transfusion needle(n=27,12.80%);the main injuryrelated manipulations were all types of injection(n=40, 18.95%), intravenous transfusion (n=38,18.00%), and surgical suturing/cutting (n=36,17.06%). The main opportunities of injuries was during manipulation(treatment, examination, operation, n=109, 51.66%). Among bloodborne pathogens contaminated devices, contaminated by HBV, HCV, and HIV were 95(76.61%),25(20.16%),and 4 cases(3.23%) respectively. There was no bloodborne pathogen infection occurred. 155(73.46%)of 211 HCWs were inoculated hepatitis B vaccine. ConclusionPrevention of sharp injuries should be focused on nurses and doctors who work for ≤5 years, HCWs in surgical ward, internal medicine ward, and outpatient as well as emergency departments. Prevention of sharp injuries during manipulations such as injection, intravenous transfusion, suturing/cutting should be intensified. Related hospital departments should improve the reporting process and intensify followup.

    参考文献
    相似文献
引用本文

张华, 刘聪.211例医务人员锐器伤监测结果分析[J]. 中国感染控制杂志,2017,16(7):662-665. DOI:10.3969/j. issn.1671-9638.2017.07.017.
ZHANG Hua, LIU Cong. Sharp injuries among 211 health care workers[J]. Chin J Infect Control, 2017,16(7):662-665. DOI:10.3969/j. issn.1671-9638.2017.07.017.

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2016-04-20
  • 最后修改日期:2016-06-12
  • 录用日期:
  • 在线发布日期: 2017-07-20
  • 出版日期: