2008-2012年某医院职业暴露危险因素监控与防护对策分析

THE MONITORING AND ANALYSIS OF RISK FACTORS AND PROTECTIVE COUNTERMEASURES FOR OCCUPATIONAL EXPOSURE IN SOME HOSPITAL FROM YEAR 2008-2012

目的了解医务人员职业暴露现状及危险因素,提出预防对策。方法通过资料调查方法,对某医院2008-2012年连续5年医务人员职业暴露资料进行调查与分析。结果该医院临床医务人员连续5年共发生322例职业暴露,护士岗位人员占57.5%,其中锐器伤282例,黏膜暴露40例。在发生职业暴露的医务人员中,工作年限在5年以下的人员占60.6%。发生职业暴露最多的科室集中在病房,以一次性注射器损伤最多。暴露源以血源性传染性疾病为主。结论该医院临床医务人员职业暴露主要是锐器损伤,以护士为主,规范操作行为和严格管理应作为重点防护对策。

Objective To understand the status and risk factors of occupational exposure of medical staff so as to provide preventive measures. Methods The data investigation method was used to survey and analyze the occupational exposure of medical staff in a hospital for 5 consecutive years. Results There were totally 322 cases occupational exposure of clinical medical staff in the hospital for 5 consecutive years. The nurse staff accounted for 57.5% , including 282 cases by sharps injury and 40 eases via mucosa exposure. In the medical staff occurred occupational exposure, the staff that working less then 5 years accounted for 60.6%. The occupational exposures mainly happened in ward, and most were syringe injuries. The exposure sources were mainly blood borne infectious diseases. Conclusion The hospital occupational exposure of clin- ical medical staff is mainly sharp injury and most of the staff are nurses. Regulating the operation and strict management should be the focus of protection measures.