Analysis on the Situation of Occupational Exposure to Bloodborne Pathogens and Its Risk Factors in A Top-class Hospital in Sichuan Province_West China Medical Journal

Authors：

 ZHAOLi ¹ , XIAYi-yin ² ,  ZHENGXi-lin ² , SHIHui ¹ , LIXue-mei ² , ZHOUBin-bin ² , GOUYang ²

1. Department of Prevention and Care, Yibin Second People's Hospital, Yibin, Sichuan 644000, P. R. China;
2. Office of Nosocomial Infection Management;Yibin Second People's Hospital, Yibin, Sichuan 644000, P. R. China;

Corresponding?author：

ZHENGXi-lin, Email: 793034049@qq.com

Keywords：

Occupational exposures; Medical staff; Sharp injury; Safety protection

DOI：

10.7507/1002-0179.20150068

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To know the status and risk factors of occupational exposure in a top-class hospital in Sichuan, and provide the basis for occupational safety and protective measures. Methods "Hospital Medical Staff Occupational Exposure Registration Form" was used in this retrospective study. Statistical analysis was performed on medical workers' exposure data between January 2011 and June 2014 in a top-class hospital in Sichuan Province. Results A total of 139 cases of occupational exposures were recorded in some of the medical staff. There were more females than males. Nurses had the most exposures (70.5%), and the exposure sources were mainly human immunodeficiency virus and hepatitis B virus (27.9% and 21.0%, respectively). The exposure type was mainly sharp injury (84.2%). Exposure occurred mainly in surgery (47.5%), and different job or places had different exposure types with significant differences (χ²=12.683, 20.897, P<0.05). Sharp injury was mainly caused by the scalp needle and syringe, and the injured sites were mainly upper limbs (98.3%). However, exposure to blood and body fluids occurred mainly on upper limbs (54.5%) or face (45.5%). Conclusion Occupational exposures are mainly sharp injuries, especially in surgeries. Women, nurses or medical staff with low qualifications had the highest exposure risk. Thus, occupational safety and protection training should be strengthened.

Citation： ZHAOLi, XIAYi-yin, ZHENGXi-lin, SHIHui, LIXue-mei, ZHOUBin-bin, GOUYang. Analysis on the Situation of Occupational Exposure to Bloodborne Pathogens and Its Risk Factors in A Top-class Hospital in Sichuan Province. West China Medical Journal, 2015, 30(2): 219-221. doi: 10.7507/1002-0179.20150068 Copy

1.	李清杰, 劉運喜. 醫院感染防控指南[M]. 北京:人民軍醫出版社, 2010.
2.	王煜, 龍燕, 苑曉微. 醫務人員醫院職業暴露現狀調查分析及對策[J]. 中華醫院感染學雜志, 2010(19):3013-3014.
3.	Talas MS. Occupational exposure to blood and body fluids among Turkish nursing students during clinical practice training:frequency of needle-stick/sharp injuries and hepatitis B immunization[J]. J Clin Nurs, 2009, 18(10):1394-1403.
4.	胡必杰, 高曉東, 索瑤, 等. 醫務人員血源性病原體職業暴露預防與控制最佳實踐[M]. 上海:上海科學技術出版社, 2012:19-20.
5.	方清永, 劉丁, 陳萍, 等. 重慶市36所醫院醫務人員職業暴露情況分析[J]. 重慶醫學, 2014, 43(13):1606-1607, 1610.
6.	朱萍兒, 黃曉明, 蔣桂娟, 等. 95名醫務人員職業暴露監測分析[J]. 中華醫院感染學雜志, 2013, 23(2):397-399.
7.	梁玉嬋, 趙擎宇, 朱潔梅. 5年腫瘤中心醫務人員發生職業暴露危險因素分析[J]. 中華醫院感染學雜志, 2012, 22(22):5052-5054.
8.	徐世蘭, 吳西億, 饒莉, 等. 840例醫務人員銳器傷現狀調查[J]. 中國循證醫學雜志, 2011, 11(6):636-639.
9.	US Public Health Service. Updatad US. Public Health Service guidelines for the management of occupational exposures to HBV, HCV, and HIV and recommendations for postexposure prophylaxisis[J]. MMWR Recomm Rep, 2001, 50(RR-11):1-52.
10.	王靜, 陳望忠, 張永, 等. 某三甲綜合性醫院職業暴露人群分布調查[J]. 職業與健康, 2013, 29(6):762-764.
11.	陳小燕, 徐春麗, 陳倩, 等. 156名醫務人員職業暴露調查分析及管理對策[J]. 中華醫院感染學雜志, 2011, 21(7):1390-1392.
12.	Zhang M, Wang H, Miao J, et al. Occupational exposure to blood and body fluids among health care workers in a general hospital, China[J]. Am J Ind Med, 2009, 52(2):89-98.
13.	趙倩. 98例臨床醫務人員職業暴露分析與干預[J]. 貴陽醫學院學報, 2013, 38(4):415-416.
14.	徐慧, 王紅霞. 基于軌跡交叉理論的護士銳器傷事故分析[J]. 實用臨床醫藥雜志, 2012, 16(24):174-176.

1. 李清杰, 劉運喜. 醫院感染防控指南[M]. 北京:人民軍醫出版社, 2010.
2. 王煜, 龍燕, 苑曉微. 醫務人員醫院職業暴露現狀調查分析及對策[J]. 中華醫院感染學雜志, 2010(19):3013-3014.
3. Talas MS. Occupational exposure to blood and body fluids among Turkish nursing students during clinical practice training:frequency of needle-stick/sharp injuries and hepatitis B immunization[J]. J Clin Nurs, 2009, 18(10):1394-1403.
4. 胡必杰, 高曉東, 索瑤, 等. 醫務人員血源性病原體職業暴露預防與控制最佳實踐[M]. 上海:上海科學技術出版社, 2012:19-20.
5. 方清永, 劉丁, 陳萍, 等. 重慶市36所醫院醫務人員職業暴露情況分析[J]. 重慶醫學, 2014, 43(13):1606-1607, 1610.
6. 朱萍兒, 黃曉明, 蔣桂娟, 等. 95名醫務人員職業暴露監測分析[J]. 中華醫院感染學雜志, 2013, 23(2):397-399.
7. 梁玉嬋, 趙擎宇, 朱潔梅. 5年腫瘤中心醫務人員發生職業暴露危險因素分析[J]. 中華醫院感染學雜志, 2012, 22(22):5052-5054.
8. 徐世蘭, 吳西億, 饒莉, 等. 840例醫務人員銳器傷現狀調查[J]. 中國循證醫學雜志, 2011, 11(6):636-639.
9. US Public Health Service. Updatad US. Public Health Service guidelines for the management of occupational exposures to HBV, HCV, and HIV and recommendations for postexposure prophylaxisis[J]. MMWR Recomm Rep, 2001, 50(RR-11):1-52.
10. 王靜, 陳望忠, 張永, 等. 某三甲綜合性醫院職業暴露人群分布調查[J]. 職業與健康, 2013, 29(6):762-764.
11. 陳小燕, 徐春麗, 陳倩, 等. 156名醫務人員職業暴露調查分析及管理對策[J]. 中華醫院感染學雜志, 2011, 21(7):1390-1392.
12. Zhang M, Wang H, Miao J, et al. Occupational exposure to blood and body fluids among health care workers in a general hospital, China[J]. Am J Ind Med, 2009, 52(2):89-98.
13. 趙倩. 98例臨床醫務人員職業暴露分析與干預[J]. 貴陽醫學院學報, 2013, 38(4):415-416.
14. 徐慧, 王紅霞. 基于軌跡交叉理論的護士銳器傷事故分析[J]. 實用臨床醫藥雜志, 2012, 16(24):174-176.

West China Medical Journal

Analysis on the Situation of Occupational Exposure to Bloodborne Pathogens and Its Risk Factors in A Top-class Hospital in Sichuan Province

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content