医务人员职业暴露的监测分析与风险防范

Monitoring analysis and risk prevention of occupational exposure of medical staff

目的监测、分析医务人员职业暴露,建立完整的监测报告系统,为制订职业暴露防控策略提供科学依据。方法对2007年5月至2011年7月83名职业暴露上报资料进行统计分析。结果 83名职业暴露中,发生锐器伤53名,发生率为63.86%,血液和体液暴露30名,发生率为36.14%;他们均接受相应的干预措施,无1人发生血源性传播疾病感染。结论职业暴露是医务人员面临的高危职业风险,建立完整监测报告系统及暴露后实施干预措施可最大限度地降低职业暴露的风险。

Objective To monitor and analyze the occupational exposure of medical staff,establish an integrated monitoring report system,and provide scientific basis for working out the strategies of prevention and control of occupational exposure.Methods Reported material of 83 cases of occupational exposure from May 2007 to July 2011 were subjected to statistical analysis.Results Among 83 cases of occupational exposure,there were 53 cases of sharp injuries with incidence of 63.86%,30 cases of blood and body fluid exposure with incidence of 36.14%.Corresponding intervention measures were conducted on them and no blood-borne disease occurred.Conclusion Occupational exposure is a high professional risk faced by medical staff.Establishing integrated monitoring report system and conducting intervention measures after exposure can minimize the risk.