医务人员血源性病原体监测49例分析

Analysis of 49 cases of blood borne pathogens in medical staff

目的探求医务人员职业接触的高风险人群和高危环节,为改进措施提供依据。方法分析2012年1月至2016年12月血源性病原体监测49例数据,依据《血源性病原体防护导则》和北京市医院感染监控系统项目制定调查表,对每例职业接触人员进行详细调查并追踪。使用北京市医院感染监控系统软件对收集信息进行分析。结果 49例职业接触医务人员中,高发人群:护士(85.71%);高发工龄:<1年(26.53%)和6~<10年(28.57%);高发科室:急诊科(22.45%)、普外科(18.37%)、综合内科(10.20%)、高发环节:废弃物处理(53.06%)、拔输液针(22.45%);高发时间段:9:00~12:00(44.90%)、13:30~16:00(32.65%)。结论对医院内不同人群实行有针对性的培训、及时正确的应急处理、严格执行操作规程、调整高风险环节工作流程、有效的心理疏导,是保护医务人员免受职业接触伤害的有效措施。

Objective To explore the high.risk groups and high.risk links of medical workers'occupational exposure,and provide basis for improvement measures.Methods The high.risk groups and high risk links were explored to provide the basis for improving the measures.The data of 49 cases of blood borne pathogens from January 2012 to December 2016 were analyzed,according to the guidelines for the protection of blood mycoplasma and the project of the hospital infection monitoring system in Beijing,a detailed survey was made and tracked for each professional contact.The collected information was analyzed by using the Beijing hospital infection monitoring system software.Results Among the 49 professional contact medical staff,the high incidence of nurses(85.71%),high incidence of work age:<1 year(26.53%)and 6.<10 years(28.57%),high incidence department:emergency(22.45%),department of general surgery(18.37%),comprehensive internal medicine(10.20%);high incidence:Waste Treatment(53.06%),infusion needle(22.45%),age of high incidence:9:00-12:00(44.90%)and 13:30-16:00(32.65%).Conclusion It is an effective measure to protect the medical staff from the occupational contact injury by training the different people in the hospital,dealing with the emergency treatment timely and correctly,strictly executing the operating procedures,adjusting the work flow of the high risk link and the effective psychological guidance.