Monitoring and Analysis of Hematogenous Occupational Exposure in Medical Staff_West China Medical Journal

Authors：

 TangYan ,  ChenLiping , SunRui , TanMuyang , ZhongYanyu

Department of Hospital Infection Management, the First People's Hospital of Yibin City, Yibin, Sichuan 644000, P. R. China;

Corresponding?author：

ChenLiping, Email: 1837639492@qq.com

Keywords：

Occupational exposure; Occupational protection; Blood-borne diseases; Sharp instrument injuries; Medical staff

DOI：

10.7507/1002-0179.201600552

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To explore the risk factors for hematogenous occupational exposure by analyzing hematogenous occupational exposure in medical workers, and discuss countermeasures in order to reduce the occurrence of hematogenous occupational exposure in medical workers. Methods We summarized and analyzed the hematogenous occupational exposure reported by registered medical personnel in the First People's Hospital of Yibin City from January 2012 to December 2014. Results There were 129 cases of hematogenous occupational exposure, and nurses were at high risk of such exposure (65.12%).The exposure occurrence focused in medical personnel with working time shorter than 5 years.The top three high-risk operational procedures were needle injection, puncture, and medical waste disposal; sharp instrument injuries (109 cases, 84.50%) were the main factor leading to hematogenous occupational exposure in medical workers.Sources of exposure were detected and confirmed in 92 cases (71.32%); after testing, 79 cases (61.24%) of infections were confirmed in the source patients with one or more blood-borne pathogens.Through scientific treatment, no infection after hematogenous occupational exposure was detected in the medical workers. Conclusion Monitoring and analysis of hematogenous occupational exposure can facilitate identification of key departments, target population and risk factors, which is important for taking appropriate interventions.

Citation： TangYan, ChenLiping, SunRui, TanMuyang, ZhongYanyu. Monitoring and Analysis of Hematogenous Occupational Exposure in Medical Staff. West China Medical Journal, 2016, 31(12): 2017-2020. doi: 10.7507/1002-0179.201600552 Copy

1.	胡必杰, 劉榮輝, 陳文森. SIFIC醫院感染預防與控制臨床實踐指引[M].上海:上海科學技術出版社, 2013.
2.	羅偉強, 伍飄雁, 楊忠偉, 等.臺山市2010-2012年吸毒人群HIV、梅毒和丙肝感染狀況調查分析[J].熱帶醫學雜志, 2012, 12(12):1514-1516.
3.	中華人民共和國衛生部.聯合國艾滋病規劃署, 世界衛生組織. 2011年中國艾滋病疫情估計[J].中國艾滋病性病, 2012, 18(1):1-5.
4.	張浩軍, 張映華, 楊亞紅, 等.甘肅省11 358名醫務人員銳器傷現狀調查[J].中國感染控制雜志, 2014, 13(9):548-551.
5.	中華人民共和國衛生部. GBZ/T 213-2008血源性病原體職業接觸防護導則[S]. 2008.
6.	符湘云, 李瑞, 王惠芳, 等.某院醫務人員血源性職業暴露的流行病學研究[J].中國感染控制雜志, 2014, 13(2):105-108.
7.	王娟, 曾芹.醫務人員職業暴露情況分析及防護措施[J].中國社區醫師:醫學專業, 2012, 14(4):408.
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.	胡欣, 楊柳青, 劉永芳, 等.醫務人員銳器傷報告的調查與分析[J].華西醫學, 2013, 28(8):1162-1164.
10.	侯艷玲, 馬靜.醫院職業暴露分析及預防[J].華西醫學, 2013, 28(2):292-294.
11.	李六億, 劉玉村.醫院感染管理學[M].北京:北京大學醫學出版社, 2010.
12.	許慧瓊, 潘曉平.醫務人員職業防護現狀調查及對策分析[J].現代預防醫學, 2010, 37(1):29-31, 41.
13.	范珊紅, 王線妮, 雷巧玲, 等.銳器傷行為控制的實踐與進展[J].中國感染控制雜志, 2013, 12(2):157-160.
14.	錢云, 袁素娥, 李春輝, 等.護理人員采血環節血源性病原體職業暴露監測[J].中國感染控制雜志, 2014, 13(8):490-492.
15.	Stringer B, Haines T, Goldsmith CH, et al. Hands-free technique in the operation room:rduction in body fluid exposure and the value of a training video[J]. Public Health Rep. 2009, 124(Suppl):169-179.

1. 胡必杰, 劉榮輝, 陳文森. SIFIC醫院感染預防與控制臨床實踐指引[M].上海:上海科學技術出版社, 2013.
2. 羅偉強, 伍飄雁, 楊忠偉, 等.臺山市2010-2012年吸毒人群HIV、梅毒和丙肝感染狀況調查分析[J].熱帶醫學雜志, 2012, 12(12):1514-1516.
3. 中華人民共和國衛生部.聯合國艾滋病規劃署, 世界衛生組織. 2011年中國艾滋病疫情估計[J].中國艾滋病性病, 2012, 18(1):1-5.
4. 張浩軍, 張映華, 楊亞紅, 等.甘肅省11 358名醫務人員銳器傷現狀調查[J].中國感染控制雜志, 2014, 13(9):548-551.
5. 中華人民共和國衛生部. GBZ/T 213-2008血源性病原體職業接觸防護導則[S]. 2008.
6. 符湘云, 李瑞, 王惠芳, 等.某院醫務人員血源性職業暴露的流行病學研究[J].中國感染控制雜志, 2014, 13(2):105-108.
7. 王娟, 曾芹.醫務人員職業暴露情況分析及防護措施[J].中國社區醫師:醫學專業, 2012, 14(4):408.
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. 胡欣, 楊柳青, 劉永芳, 等.醫務人員銳器傷報告的調查與分析[J].華西醫學, 2013, 28(8):1162-1164.
10. 侯艷玲, 馬靜.醫院職業暴露分析及預防[J].華西醫學, 2013, 28(2):292-294.
11. 李六億, 劉玉村.醫院感染管理學[M].北京:北京大學醫學出版社, 2010.
12. 許慧瓊, 潘曉平.醫務人員職業防護現狀調查及對策分析[J].現代預防醫學, 2010, 37(1):29-31, 41.
13. 范珊紅, 王線妮, 雷巧玲, 等.銳器傷行為控制的實踐與進展[J].中國感染控制雜志, 2013, 12(2):157-160.
14. 錢云, 袁素娥, 李春輝, 等.護理人員采血環節血源性病原體職業暴露監測[J].中國感染控制雜志, 2014, 13(8):490-492.
15. Stringer B, Haines T, Goldsmith CH, et al. Hands-free technique in the operation room:rduction in body fluid exposure and the value of a training video[J]. Public Health Rep. 2009, 124(Suppl):169-179.

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