Investigation on the economic burden of occupational exposure of medical personnel in medical institution_West China Medical Journal

Authors：

ZHOU Ying ¹ ,  ZENG Qiang ²

1. Infection Management Department, the Third Hospital of Mianyang Hospital / Sichuan Provincial Mental Health Center, Mianyang, Sichuan 621000, P. R. China;
2. Department of Respiration, the Third Hospital of Mianyang Hospital / Sichuan Provincial Mental Health Center, Mianyang, Sichuan 621000, P. R. China;

Corresponding?author：

ZENG Qiang, Email: zengqiang66@126.com

Keywords：

Occupational exposure; Medical institution; Economic burden; Investigation and countermeasures

DOI：

10.7507/1002-0179.201811130

Video：

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Objective To investigate the economic burden of the disposal of medical personnel after occupational exposure in medical institution.Method A retrospective survey method was used to investigate and analyze the costs of inspection, treatment, and vaccination of 112 medical personnel after occupational exposure from January 2014 to December 2016.Results After the occupational exposure, the per capita economic burden on the medical institution for the exposed personnel was (331.80±66.16) yuan; the main expenditure item was the inspection expenses (93.53%); and the expenditure after the exposure of hepatitis B virus accounted for 75.40%, which ranked the top one in the expenditures of blood-derived infectious diseases. Occupational exposure was most likely to occur when dealing with sharps, and the cost of hospital spending accounted for 47.26%. After strengthening interventions such as standard prevention, the per capita cost of occupational exposures in the hospital from 2015 to 2016 showed a downward trend (P<0.05).Conclusions Occupational exposure of medical personnel may cause a certain economic burden on medical institution. It is necessary to strengthen occupational protection, raise awareness of standard prevention, and reduce occupational exposure.

Citation： ZHOU Ying, ZENG Qiang. Investigation on the economic burden of occupational exposure of medical personnel in medical institution. West China Medical Journal, 2019, 34(3): 280-284. doi: 10.7507/1002-0179.201811130 Copy

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15.	常紅娟, 梁艷, 秦霞, 等. 護理人員標準預防知﹣信﹣行現狀與影響因素的研究. 中國護理管理, 2010, 10(7): 26-29.
16.	吳曉英, 汪道瓊. 64例醫務人員血源性職業暴露調查分析. 重慶醫學, 2011, 40(31): 3191-3193.
17.	陳素貞, 江智霞, 周家梅, 等. 護理人員銳器傷漏報分析及對策. 中國醫學創新, 2014, 11(25): 93-96.
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1. 王曉艷, 平寶華, 林永杰, 等. 關于綜合醫院醫務人員血源性職業暴露現狀調查及倫理對策探討. 中國醫學倫理學, 2015, 28(3): 308-311.
2. 李映蘭. 美國護士預防經血液傳播疾病的意識和措施. 中華護理雜志, 2002, 37(8): 633-634.
3. 黃惠玲, 高曉東, 劉詩勤, 等. 全球醫護人員針刺傷的疾病經濟負擔文獻研究. 中國感染控制雜志, 2017, 16(7): 610-615.
4. 李曉玲, 余啟碧, 袁世平. 基于監測數據和回顧性調查分析的醫務人員針刺傷特點比較. 重慶醫學, 2018, 47(9): 1237-1238, 1296.
5. 李輝, 陳秀文, 彭操, 等. 中國護士靜脈采血針刺傷現狀調查. 中國感染控制雜志, 2017, 16(9): 816-819.
6. 周宏, 鄭偉, 韓方正, 等. 醫護人員職業暴露與防護措施的前瞻性監測研究. 中華醫院感染學雜志, 2010, 20(12): 1715-1716.
7. 張敏, 武汝廉. 血源性病原體職業接觸防護導則（GBZ/T 213－2008）實施應用指南. 北京: 科學出版社, 2018: 108-111.
8. 呂東紅, 李傳杰. 74例醫療相關職業暴露調查. 現代預防醫學, 2010, 37(16): 3023-3024.
9. 王斌華, 李琳, 劉娟, 等. 血源性病原體職業暴露特點及防控費用研究. 中國感染控制雜志, 2018, 17(11): 979-982.
10. Oh HS, Yoon Chang SW, Choi JS, et al. Costs of postexposure management of occupational sharps injuries in health care workers in the Republic of Korea. Am J Infect Control, 2013, 41(1): 61-65.
11. 李哲成, 陳朝霞, 吳昭頤. 乙肝患者及其家庭成員加強乙肝預防知識健康教育的意義. 中國社區醫師, 2016, 32(36): 189, 191.
12. 吳青清, 劉新敏. 乙肝表面抗原陽性孕婦肌肉注射乙肝免疫球蛋白預防母嬰傳播的臨床分析. 中國實用醫刊, 20l0, 37(21): 32-33.
13. Cvejanov-Kezunovi? L, Mustajbegovi? J, Milosevic M, et al. Occupational exposure to blood among hospital workers in Montenegro. Arh Hig Rada Toksikol, 2014, 65(3): 273-280.
14. 李蘭川, 付紅. 醫務人員血源性職業暴露監測分析與防護對策. 現代醫藥衛生, 2016, 32(4): 517-519.
15. 常紅娟, 梁艷, 秦霞, 等. 護理人員標準預防知﹣信﹣行現狀與影響因素的研究. 中國護理管理, 2010, 10(7): 26-29.
16. 吳曉英, 汪道瓊. 64例醫務人員血源性職業暴露調查分析. 重慶醫學, 2011, 40(31): 3191-3193.
17. 陳素貞, 江智霞, 周家梅, 等. 護理人員銳器傷漏報分析及對策. 中國醫學創新, 2014, 11(25): 93-96.
18. 張靜, 李旭清. 醫務人員職業暴露調查分析及防護對策. 華西醫學, 2013, 28(8): 1158-1161.

West China Medical Journal

Investigation on the economic burden of occupational exposure of medical personnel in medical institution

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