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目的:了解产科医护人员在血源性病原体感染孕产妇助产过程中的职业暴露情况。方法:选取2009年1月~2011年12月本科发生血源性职业暴露的医务人员25名进行监测与随访,分析暴露源病种、暴露类型、暴露发生场合。结果:25例血源性职业暴露源病种以乙型肝炎占首位,职业暴露类型主要是锐器伤造成,暴露发生场合主要为手术时。结论:提高医护人员整体防护能力,重视医疗职业安全教育,牢固掌握职业暴露的正确处理方法,准确监测,加强医院防护基础建设,执行标准预防措施,规范防护流程,是避免产科医护人员在血源性病原体感染孕产妇诊疗助产过程中发生医源性感染的有效措施。
OBJECTIVE: To understand the occupational exposure of obstetric medical staff in the process of midwifery of pregnant women with blood-borne pathogens. Methods: Twenty-five medical staffs who underwent blood-based occupational exposure from January 2009 to December 2011 were selected for surveillance and follow-up. The types of exposure, exposure types and exposure were analyzed. Results: Hepatitis B accounted for the top 25 cases of hemorrhagic occupational exposure, and the occupational exposure was mainly caused by sharp wounds. Occurrence was mainly at the time of surgery. Conclusion: To improve the overall protection ability of medical staff, attach importance to medical occupational safety education, firmly grasp the correct treatment of occupational exposure, accurately monitor and strengthen the hospital’s protective infrastructure, implement standard precautionary measures and standardize the prevention process, Effective pathogens infected with maternal diagnosis of iatrogenic infection during the midwifery effective measures.