医院输血科生物安全管理现状及对策

Current management of biological safety in hospital blood transfusion and countermeasures

目的根据浙江省输血科(血库)生物安全建设的现状,探讨进行规范化管理的方法。方法随机调查浙江省30所医院输血科(血库)存在的生物安全隐患,探讨制定切实可行的管理措施。结果综合性医院输血科生物安全管理方面存在诸多隐患,其中管理制度、操作规程等完善的合格率仅60.0%,66.7%输血科工作区布局不够合理、工作人员感染防范意识较差、医疗废弃物处理不规范等,个人防护的基本配置>90.0%,但实际使用率欠佳。结论必须严格执行生物安全的法律法规,制定和健全规章制度,才能确保输血科生物安全,有效预防与控制医院感染。

OBJECTIVE To approach standardized management of biological safety in blood transfusion based upon the present situation in this field in Zhejiang.METHODS A randomized survey of hidden hazardous factors threatening biological safety was conducted among the departments of blood transfusion in 30 hospitals and the data were statistically analyzed.RESULTS Several risky issues were found in the management of blood transfusion and biological safety.The qualified rate of supervising system and operating rules was only 60.0%,unreasonable layout of workspace,poor awareness of prevention of infection,inadequate disposition of medical wastes accounted for 66.7%,staff′s body sheltering was equipped over 90.0%,but the actual using rate was unexpectedly low.CONCLUSION In order to ensure the biological safety in blood transfusion and effective prevention and control of hospital infection,the relevant laws and regulations concerning biological safety should be established and strictly carried out.