Monitoring and protection strategies for blood-borne occupational exposure in a tertiary traditional Chinese medicine hospital from 2014 to 2023
10.12138/j.issn.1671-9638.20246431
- VernacularTitle:某三级甲等中医医院2014-2023年血源性职业暴露监测与防护策略研究
- Author:
Wen-qin YANG
1
;
Lin HAN
;
Qiang ZHANG
;
Hai-tao LI
;
Zhi-pei YANG
;
Zhi-gang ZHANG
Author Information
1. 陕西中医药大学公共卫生学院,陕西 咸阳 712046
- Publication Type:Journal Article
- Keywords:
occupational exposure;
sharp device injury;
damaged skin;
mucosal exposure;
retrospective analysis;
traditional Chinese medicine hospital
- From:
Chinese Journal of Infection Control
2024;23(12):1544-1551
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the epidemiological characteristics,causes and disposal of blood-borne occupa-tional exposure of health care workers(HCWs)in a tertiary traditional Chinese medicine hospital,and provide ref-erence for reducing exposure risks.Methods Data on blood-borne occupational exposure reported by a traditional Chinese medicine hospital from January 2014 to December 2023 were collected retrospectively,and analyzed descrip-tively.Results The reported incidence of blood-borne occupational exposure among HCWs from 2014 to 2023 was 3.08％(527/17 098).Among them,55 cases had damaged skin or mucous membrane exposure,with an incidence of 0.32％;472 cases had sharp device injuries,with an incidence of 2.76％.Difference between the two was statis-tically significant(x2=335.125,P＜0.001).The main characteristcs of blood-borne occupational exposures were sharp device injuries(89.56％),female(83.49％),HCWs with less than 5 years of service(42.69％)and inter-mediate professional titles(67.93％).Damaged skin or mucous membrane exposure mainly occurred in doctors(58.18％),while sharp device injury occurred mainly in nurses(73.73％).Department of internal medicine had the highest exposure to sharp device injuries(42.80％),and operating room had the highest damaged skin or mucous membranes exposure(47.27％).The main occurrence timing of sharp device injuries were needle pulling(21.82％),disposal of used sharp devices and randomly placed sharp devices(20.34％),as well as injection,puncture,acu-puncture,tube sealing or blood collection(19.49％).71.73％exposure sources were clear,and the top three detec-ted blood-borne pathogens were hepatitis B virus(70.86％),hepatitis C virus(11.92％),and Treponema pallidum(9.27％).The correct disposal rate after exposure was 88.05％.Conclusion From 2014 to 2023,blood-borne oc-cupational exposure in this traditional Chinese medicine hospital was mainly caused by sharp device injuries.Nurses experienced more incidents during needle pulling and sharp device handling.Damaged skin or mucous membrane ex-posure was mainly due to splashing patient's blood into the eyes of doctors during surgery.
