医务人员血源性职业暴露监测分析

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1、医务人员血源性职业暴露监测分析王寿翠吴晓英黄才惠家廖娟刘虹利陈小玉重庆医科大学附属永川医院预防保健科四川外国语大学摘要：R的探讨医务人员血源性职业暴露情况，分析其暴露的危险因素，为制订医务人员防护措施和危险性评价提供依据。方法对2013-2015年本院血源性职业暴露人员监测资料进行回顾性分析，了解医务人员职业暴露的危险因素、暴露源、预防用药、定期检查和随访情况，以及职业防护培训后与职业暴露发生率之间的关系。结果2013-2015年，职业暴露者中女性多于男性，护士多于医生，30岁以下者居多。职业暴露主要发生环节是拔针时，其次是手术缝合时和医疗废物处置时;职业暴露主要发生在上午，其次是下

2、午，晚上最少。防护培训后职业暴露发生率明显低于防护培训前，差异有统计学意义（P<0.01）。暴露源依次为乙型肝炎、梅毒、艾滋、丙型肝炎，经过6*2个月的血清学和病毒学定期检查和随访，均无1例发生感染。结论对医务人员进行职业防护培训，严格遵守医疗操作规程，提高安全的防护意识，能够减少职业暴露的发生，有利于控制职业风险。关键词：医务人员；职业暴露率;相关性;作者简介：王寿翠，女，护师，主要从事预防保健及临床护理研究。作者简介：陈小玉，E-mail:cxy_8966@aliyun.com。收稿日期：2017-04-01Analysisonblood-borneoccupationalexp

3、osuremonitoringamongmedicalstaffsWangShoucuiWuXiaoyingHuangCaihuiBaiLianLiaoJuanLiuHongliChenXiaoyuDepartmentofpreventivehealthcare,AffiliatedYongchuanHospitalofChongqingMedicalUniversity;SichuanUniversityofForeignLanguages;Abstract：ObjectiveToinvestigatetheblood-borneoccupationalexposuresituat

4、ionofmedicalstaffsandtoanalyzeitsriskfactorsinordertoprovideabasisforworkingouttheprotectivemeasuresofmedicalstaffsandriskevaluation.MethodsThemonitoringdataofmedicalstaffswithblood-borneoccupationalexposureinourhospitalfromJanuary2013toDecember2015wereretrospectivelyanalyzedforunderstandingthe

5、occupationalexposureriskfactorsofmedicalstaffs,exposuresources，preventivedrugs，regularcheck-upandfollow-upsituationaswellastherelationshipbetweentheoccupationalprotectiontrainingandtheoccupationalexposureoccurrencerate.ResultsFemalesamongoccupationalexposurepersonsweremorethanmalesduring2013-20

6、15，nursesweremorethandoctors,whichweredominatedbypersonsunder30yearsold.Theoccupationalexposurelinksweremainlypullingoutneedle,followedbyoperationsutureandmedicalwasteshandling;theoccupationalexposuremainlyoccurredatmorning,fol1owedbyafternoon,nightwasminimal.Theoccupationalexposureoccurrencera

7、teafterprotectiontrainingwassignificantlylowerthanthatbeforetraining，thedifferencewasstatisticallysignificant（P<0.01）.TheexposuresourceswereinturnhepatitisB,syphilis,AIDSandhepatitisC.Noinfectioncaseoccurredafter6-12monthsregularc