目的 描述安徽省医务人员血源性职业暴露特征,为医务人员血源性职业暴露的预防及策略制定提供参考依据。方法 借助问卷星平台,调查安徽省医疗机构医务人员血源性职业暴露发生情况。收集血源性职业暴露人群基本特征、暴露科室、暴露的血(体)液分类、暴露的病原因子及暴露后处置措施等信息。结果 共收集调查问卷33 156份,其中15 212人发生过血源性职业暴露,发生率为45.9%。多因素logistic回归分析显示医院等级为三级、职业为护士,文化程度为本科及以上,职称为中级,年龄组在26~55岁,从业时间为3年及以上,产房、手术室发生血源性职业暴露的风险高(P均＜0.05)。血源性职业暴露的病原因子主要是乙型肝炎病毒,其次为梅毒螺旋体。医务人员发生血源性职业暴露前3位原因为紧急处理患者、防护意识不足及日常工作繁忙。结论 安徽省医务人员血源性职业暴露的发生率较高,存在职业暴露感染风险。
Abstract
Objective To describe the characteristics of blood borne occupational exposure of medical personnel in Anhui Province,and to provide reference for the prevention and strategy formulation of blood borne occupational exposure of medical personnel. Methods Questionnaire star platform was used to investigate the incidence of blood borne occupational exposure of medical personnel in medical institutions in Anhui Province.Information on blood borne occupational exposure population,departments,the kind of blood-brone,types of pathogens exposed and post exposure disposal measures were collected. Results A total of 33 156 questionnaires were collected,of which 15 212 (45.9%) had been exposed to blood (body) fluid.Multivariate logistic regression analysis showed that tertiary hospital ,nurse,bachelor degree or above,medium grade professional title,26-55 years old age group,working time more than 3years,delivery room and operating room were the high risk factors for blood-borne occupational exposure,and the differences were statistically significant (P＜0.05).Blood borne occupational exposure pathogens were mainly hepatitis B virus,and the second was syphilis virus.The top three reasons for blood borne occupational exposure of medical personnel were emergency treatment of patients,insufficient awareness of protection and busy daily work. Conclusions The incidence of blood borne occupational exposure among medical personnel in Anhui Province is high,and there is a risk of occupational exposure infection.
关键词
血源性职业暴露 /
医务人员 /
院感防控
Key words
Blood-borne occupational exposure /
Medical personnel /
Nosocomial infection prevention and control
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基金
基于PDCA循环理论的医务人员职业暴露管理策略研究(2021xkj288)
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