血源性病原体职业暴露特点及防控费用研究
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刘波

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R136

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江苏高校优势学科建设工程资助项目(JX10231802);江苏省医院协会医院管理创新研究课题(JSYGY-3-2017-198)


Characteristics as well as prevention and control costs of occupational exposure to bloodborne pathogens
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    摘要:

    目的研究血源性病原体职业暴露发生特点及防控费用,为医疗机构政策的制定提供依据。方法采用前瞻性研究方法,通过医院职业暴露上报系统,收集某院2016年6月1日—2017年5月30日发生职业暴露的医务人员上报及随访的数据。结果共发生95例次血源性职业暴露。职业暴露发生月份主要集中于6、7、11月,中午12点为高发时刻。职业暴露医务人员的职业类别分布主要为护士(41.05%)、医生(28.42%)和实习护士(15.79%)。科室分别主要为中心手术室(21.05%)、急诊(11.58%)、介入放射科(6.32%)。95例次职业暴露后防控费用合计33 235.20元,平均每例349.84元。人类免疫缺陷病毒(HIV)暴露后平均每例费用最高,为2 787.50元;梅毒暴露后平均每例费用最低,为58.88元。结论应加强对血源性病原体职业暴露高危时间、高危人群和高危科室的培训教育,尤其应重视HIV等防控费用较高职业暴露的预防。

    Abstract:

    ObjectiveTo study the characteristics of occupational exposure to bloodborne pathogens and the cost of prevention and control, and provide evidence for policy making in medical institutions.MethodsA prospective study was conducted to collect the data and followup data about occupational exposure of health care workers(HCWs) from the occupational exposure reporting system of a hospital between June 1, 2016 and May 30, 2017.ResultsThere were 95 cases of occupational exposure to bloodborne pathogens. Occupational exposure occurred mainly in June, July, and November, peak time for occurrence was 12∶00 at noon. The main occupations of HCWs who sustained occupational exposure were nurses (41.05%), doctors (28.42%), and practice nurses (15.79%). The main departments of occupational exposure were central operating room (21.05%), emergency department (11.58%), and interventional radiology department (6.32%). The total cost of prevention and control for 95 times of occupational exposures were 33 235.20 Yuan, with an average of 349.84 Yuan per case. The average cost per case after human immunodeficiency virus (HIV) exposure was the highest (2 787.50 Yuan); and cost of syphilis exposure was the lowest (58.88 Yuan).ConclusionIt is necessary to strengthen the training and education of highrisk time, highrisk population, and highrisk departments of occupational exposure to bloodborne pathogens, prevention of occupational exposure with high cost of prevention and control such as HIV should be especially paid attention.

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王斌华,李琳,等.血源性病原体职业暴露特点及防控费用研究[J]. 中国感染控制杂志,2018,17(11):979-982. DOI:10.3969/j. issn.1671-9638.2018.11.007.
WANG Binhua, LI Lin, et al. Characteristics as well as prevention and control costs of occupational exposure to bloodborne pathogens[J]. Chin J Infect Control, 2018,17(11):979-982. DOI:10.3969/j. issn.1671-9638.2018.11.007.

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  • 收稿日期:2017-12-11
  • 最后修改日期:2018-02-20
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  • 在线发布日期: 2018-11-28
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