论文部分内容阅读
目的了解手术相关人员发生血源性病原体职业暴露情况,为制定相应的职业防护措施提供依据。方法建立血源性病原体职业暴露监测报告系统,调查手术相关人员发生职业暴露的情况。结果2005年1月1日—2008年12月31日共收到197名相关工作人员发生血源性病原体职业暴露的报告。其中,破损的皮肤或黏膜暴露41人,锐器伤156人。医生发生职业暴露的比率最高,达78.05%;工龄较短(0～10年)者发生职业暴露的比率占70.73%;眼睛的血液或体液溅污暴露达92.68%,92.68%的暴露物是血液;导致伤害的锐器中,缝合针占58.33%;暴露源为乙型肝炎表面抗原(HBsAg)阳性血液占60.91%。对发生职业暴露的人员及时进行相关干预,经追踪随访,无人因暴露而发生感染。结论应加强针对性培训,提高使用防护眼镜的自觉性,在手术室安装紧急洗眼装置,正确使用、传递和处理锐器,暴露后进行主动干预以降低暴露后感染的危险,保护广大医务人员健康。
Objective To understand occupational exposure of blood-borne pathogens in operation-related personnel and provide basis for developing corresponding occupational protective measures. Methods The system of occupational exposure monitoring of blood-borne pathogens was established to investigate the occupational exposure of operation-related personnel. Results From January 1, 2005 to December 31, 2008, a total of 197 staff members were reported to have occupational exposure to blood-borne pathogens. Among them, 41 were damaged skin or mucous membranes exposed, sharp wounds 156 people. Occupational exposure was the highest among doctors (78.05%). Occupational exposure was 70.73% for those with short working years (0-10 years), 92.68% for eyes or body fluids, and 92.68% for blood exposure 58.33% of the suture needles caused by injury; 60.91% of the patients were exposed to hepatitis B surface antigen (HBsAg) positive blood. Intervention on occupational exposure occurred in a timely manner, followed up by follow-up, no one due to exposure to infection. Conclusion It is necessary to strengthen targeted training to improve the use of safety glasses, emergency eyewash installation in the operating room, the proper use, delivery and handling of sharps, after exposure to take the initiative to reduce the risk of post-exposure exposure and protect the health of medical staff .