Investigation of 603 medical staff occupational exposure with blood-borne pathogens
10.3760/cma.j.cn121094-20190510-00191
- VernacularTitle:603例医务人员血源性病原体职业接触调查
- Author:
Xiaozhou SONG
1
;
Xu FANG
;
Jie DING
;
Lin JIN
;
Jing YOU
Author Information
1. 650032 昆明，云南省第一人民医院感染管理科，国家卫生健康委员会委毒品依赖和戒治重点实验室
- Keywords:
Medical staff;
Blood-borne pathogens;
Occupational exposure;
Factors;
Protect strategy
- From:
Chinese Journal of Industrial Hygiene and Occupational Diseases
2020;38(5):349-352
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the occupational exposure with blood-borne pathogens of medical staff, and explore the protective strategy.Methods:Using cluster sampling method, 603 medical staff with occupational exposure with blood-borne pathogens were analyzed, from July 2014 to July 2018 in a tertiary hospital.Results:In total of 603 occupational exposure incidents, 70.98% (428/603) were freshmen younger than 30 years old. 48.92% (295/603) nurses. The most cases of occupational exposure were in surgery (35.16%, 212/603) . Sharp injury was the major contact manner (86.90%, 524/603) . Hands were the main contact parts (90.38%, 545/603) . Ward (53.57%, 323/603) and the operating room (22.72%, 137/603) were the high-risk place. The most dangerous actions were needle injection (34.83%, 210/603) , surgery (20.89%, 126/603) and finishing/cleaning items (19.73%, 119/603) . The main items lead to injuries were scalp needles (34.73%, 182/524) . The most exposure source was hepatitis B virus (HBV) which occupied 39.30% (237/603) . Exposure source mainly comes from medical devices containing blood (81.92%, 494/603) . To compared the groups (χ 2=19.940, P<0.01) and titer ( t=-8.592, P<0.01) of hepatitis B surface antibody (HBsAb) before and after used prophylactics, the differences were statistically significant. Conclusion:Comprehensive strategies of occupational exposure protection education, operation norms and monitoring management were effective methods to reduce the occupational exposure in the medical staff with blood-borne pathogens.
