上海市70所医院医务人员锐器伤情况分析

Sharp Injuries Among Healthcare Workers in 70 Shanghai Hospitals

目的了解上海市医务人员锐器伤害的人群、部门分布及危险因素。方法建立在线锐器伤登记系统,要求二甲以上70所医院的医务人员发生的职业暴露均须在24 h内填写报表,并录入在线登记系统。结果 2009年7月-2010年3月共登记380人锐器伤的数据,人群分布以护士为主,占总数的60.8%;发生部门以普通病房(53.7%)和手术室(20.5%)为主;近60.0%发生在锐器使用后处理前和器械使用中;55.0%的锐器伤人员未戴手套。结论上海市医务人员对锐器伤报告的重视程度不足,亟需通过加强宣传和督查等综合措施,提高医务人员对锐器伤的正确认识,建立健全锐器伤报告、登记制度,并通过制定相关措施降低锐器伤的发生率。

OBJECTIVE To understand the distribution of populations, location and risk factors of sharp injuries among medical staffs. METHODS Network reporting system for sharp injuries among medical personnel in 70 Shanghai hospitals was established. The sharp injury and related information should be entered to this system within 24 hours hy infection control professionals of injured worker＇s hospital. All infection control professionals were trained in definition, data collection and reporting. RESULTS From Jul 2009 to Mar 2010, 380 cases of sharp injuries have been collected. Most of the sharp injuries populations were nurses （60. 8%）, and dominant departments were general wards （53.7%） and operation room （20.5%）. About 60% of the sharp injuries were happened in use or after use, 55. 0% of the medical staffs chanced the sharp injuries without gloves. CONCLUSIONS The recognition to report sharp injuries need to be enhanced by many means, and certain intervention methods should be conducted to decline the sharp injuries.