Occupational exposure of medical staffs from a general hospital: a retrospective analysis of 684 cases

Hong ZHANG; Wei CHEN; Yufu LIU; Yiping SHU; Haolong JIN

doi:10.16016/j.1000-5404.201709081

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Occupational exposure of medical staffs from a general hospital: a retrospective analysis of 684 cases

Public Health and Preventive Medicine | 更新时间：2026-01-09

- Occupational exposure of medical staffs from a general hospital: a retrospective analysis of 684 cases
- Journal of Third Military Medical University Vol. 40, Issue 3, Pages: 264-269(2018)
- 作者机构：
  
  400038 重庆，陆军军医大学(第三军医大学)第二附属医院医院感染控制科
- 作者简介：
- 基金信息：
- DOI：10.16016/j.1000-5404.201709081
  CLC： R181.31;R192;R197.3
- Received：12 September 2017，
  
  Revised：2017-10-30，
  
  Published：15 February 2018
- 稿件说明：
移动端阅览
Hong ZHANG, Wei CHEN, Yufu LIU, et al. Occupational exposure of medical staffs from a general hospital: a retrospective analysis of 684 cases[J]. Journal of Third Military Medical University, 2018, 40(3): 264-269.
DOI：

Hong ZHANG, Wei CHEN, Yufu LIU, et al. Occupational exposure of medical staffs from a general hospital: a retrospective analysis of 684 cases[J]. Journal of Third Military Medical University, 2018, 40(3): 264-269. DOI： 10.16016/j.1000-5404.201709081.

摘要

目的

分析医务人员职业暴露流行病学特点。

方法

收集2012年至2016年684例医务人员职业暴露信息

根据其流行病学特点

分析职业暴露原因

提出防控措施。

结果

工作年限不超过5年的工作人员(76.46%)易发生职业暴露; 护士(65.64%)是主要的人群; 手术室的发生密度最高; 第3季度和每日10:00-10:59是高发季节和时段。锐器伤(79.39%)是主要的暴露方式; 处理治疗后污物、拔针、手术操作是职业暴露的高危操作。随访发现1例HCV感染

感染率为0.15%。

结论

护理人员与低年资工作人员是医务人员职业暴露的高危人群

手术室是职业暴露的高发地点

每年第3季度与每日交接班之前时段是职业暴露的高发季节和高发时段。构建安全工作环境

合理分配人力资源、优化工作流程、加强职业安全培训、规范操作过程、建立职业暴露“多学科协作(multidisciplinary-teamwork

MDT)”快速反应机制或可预防职业暴露发生。

Abstract

Objective

To analyze the epidemiological characteristics of occupational exposure in medical staffs.

Methods

The data of occupational exposure among medical staffs in a hospital from 2012 to 2016 were collected. According to the epidemiological characteristics

the main causes of occupational exposure were analyzed in order to bring forward to preventive and control measures.

Results

The medical staffs with length of working shorter than 5 years (523/684

76.46%) were prone to occupational exposure

and the nurses (64.65%) were the highest risk-taking group. Operation room was the most susceptible and centralized place. The third quarter was the main time of occupational exposure of the year

and 10:00 to 10:59 was the main duration during the day. Management of medical wastes

pulling out the needle

and surgical operation were high-risk operations for occupational exposure. One staff who exposed to HCV risk conditions developed acute HCV infection

with an infection rate of 0.015%.

Conclusion

Nurses and fresh staffs are high-risk population of occupational exposure. Operating room is high-risk area

the third quarter and the duration before shifting are main season and duration of occupational exposure. Therefore

safer working environment

rationale human resource

optimized workflow

well training for occupational safety and protection

standardized operative procedure and rapid response mechanism based on multidisciplinary-teamwork may effectively prevent occupational exposure.

关键词

Keywords

references

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