摘要
目的:探讨医务人员职业暴露情况,制定相应的防范措施。方法:通过回顾性查阅2007~2009年度职业暴露登记本的方式,分析全院医务人员职业暴露发生及处理方法,制定相应的防范措施。结果:共发生职业暴露93人,其中2007年38人(4.44%),2008年30人(3.09%),2009年25人(2.35%),呈逐年下降趋势(χ2=6.694,P〈0.05);不同医疗职业中,职业暴露发生率差异具有显著性(χ2=37.498,P〈0.05),以护士发生率最高(5.72%);暴露类型以针刺伤(84.95%)最多见,暴露方式以输液后拔针(47.31%)占首位;暴露源病种以乙型肝炎(17.20%)占首位;发生职业暴露后均能正确处理伤口,无一人发生血源性感染。结论:医务人员在工作中应采取防范措施,将职业暴露风险降到最低,避免医源性感染。
Objective:To analyze the occupational exposure condition among medical staffs and to give the corresponding preventive measures.Methods:The records of 93 cases of occupational exposure were retrospectively analyzed according to the registered items from Jan.2007 to Dec.2009.Results:Among all 93 cases,there were 38 cases in 2007(4.44%),30 in 2008(3.09%),25 in 2009(2.35%)) respectively,showing a descending trend year by year(χ2=6.694,P0.05).Among different medical occupations,the incidence of occupational exposure had significant difference(χ2=37.498,P0.05).Nurse had the highest incidence(5.72%).The stab wound by needles was the most common type of the occupational exposure to blood source(84.95%),and most appeared at needle extraction after transfusion(47.31%).For pathogens of source of exposure,HB virus was the most common(17.20%).After occupational exposure,all suspects could deal the wound correctly,and no one got infection.Conclusion:In routine work,correct prevention taken by medical staffs can effectively cut down the risk of occupational exposure and prevent medical staff from getting nosocomial infection.
出处
《现代医药卫生》
2011年第5期660-662,共3页
Journal of Modern Medicine & Health
关键词
医务人员
职业暴露
防范措施
Medical staff
Occupational exposure
Preventive measures