Monitoring on nurses’occupational exposure to bloodborne pathogens dur-ing blood collection process
10.3969/j.issn.1671-9638.2014.08.011
- VernacularTitle:护理人员采血环节血源性病原体职业暴露监测
- Author:
Yun QIAN
;
Sue YUAN
;
Chunhui LI
;
Fen LIU
;
Shuhong WANG
- Publication Type:Journal Article
- Keywords:
occupational exposure;
occupational precaution;
bloodborne disease;
sharp injury;
venous blood col-lection;
arterial blood collection;
health care worker;
healthcare-associated infection
- From:
Chinese Journal of Infection Control
2014;(8):490-492
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the activities associated with nurses’occupational exposure to bloodborne pathogens and the source patients’infection status during blood collection process,so as to provide a basis for developing occupational exposure prevention strategies.Methods Data about occupational exposure to bloodborne pathogens during blood collection process in a hospital from August 2011 to September 2013 were monitored.Results A total of 89 times of bloodborne ex-posure occurred among HCWs,including 75 times of arterial blood collection and 14 venous blood collection.The top three procedures of occupational exposures were rebounding of needles after needles were pulled out (28.09%,n=25),concen-trated cleaning up of rubbish at the end of blood collection (20.22%,n=18),and touching blood and body fluids by skin and mucous membrane (14.61%,n=13).48.31% (n=43)source patients infected with at least hepatitis B virus,hepati-tis C virus ,hepatitis E virus,Treponema pallidum,and human immunodeficiency virus ,51.69%(n=46)source patients were not infected ,after proper handling,none of nurses were infected during blood collection .Conclusion Developing safe blood-withdraw needle,putting sharp instrument into sharp instrument container,wearing gloves,and intensifying training of standard and occupational precaution are important strategies for the reducing of the occurrence of bloodborne exposure of clinical nurses during blood collection process .