医院职业性锐器伤害监测和处理

Management of occupational injury by sharp instrument at the hospital

目的 探讨医院职业性锐器伤害的管理方法及其防治措施。方法 收集 2 0 0 1年 6月 1日至 2 0 0 2年 5月 31日我院锐器伤害员工资料 2 4例 ,对受伤者的职业分布、锐器种类、锐器污染情况、伤后的处理措施、锐器伤害后追踪观察结果等进行分析。结果 受伤人员中受伤率最高者为护士 ,占 5 4 .2 % ;锐器的器具伤害率最高为注射器针头 ,占 6 6 .6 %。锐器明确污染的占 4 1.7% ,锐器伤害后初步和进一步处理达 10 0 % ,锐器伤害后追踪达 10 0 %。追踪结果 :我院锐器伤害的职工经处理后未发现感染的病例。结论 锐器伤害应以预防为主 ,加强管理 。

Objective To discuss the supervision and preventive measures of the sharp instrument injury on hospital staffs. Methods The data of 24 sharp instrument injuries occurred in a hospital from June 1, 2001 to May 31, 2002 were reviewed. The types of the sharp instrument, the occupational distribution of the injuried, the treatment measures after injury, the education about sharp instrument and the treatment results after injury were analysed. Results Among all the sharp instruments, the most common injury was caused by syringe needles, which accounting for 66.6% of the total injury,the highest occupational injury was from the nurses, which accounting for 54.2% of the total injury, all the injuries were treated and observed. There was no infection after the injuries were properly treated. Conclusion To avoid the sharp instrument injury, prevention should be the main measure which include strengthening of supervision and proper treatment.