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目的了解某大型综合性教学医院的工作人员血源性职业暴露中锐器伤发生的情况,分析原因,为预防锐器伤的发生提供科学依据。方法选择2011年—2014年所有发生锐器伤的一线工作人员,共计1 180人。建立和完善医院工作人员血源性病原体职业暴露的监控体系和防护体系,规范医院工作人员职业暴露的报告、处置流程,开展锐器伤的目标性监测,系统收集并分析2011年—2014年发生锐器伤的情况。结果 2011年—2014年,全院共有1 180名医院工作人员发生锐器伤,其中乙型肝炎的职业暴露比例最高(41.06%),其次为梅毒(13.35%)。注射器针头(27.54%)、缝合针(24.15%)和头皮针(19.58%)是造成伤害最多的锐器,所有发生锐器伤的人员均建立了职业暴露健康档案,定期随访,未发现因锐器伤感染血源传播性疾病的情况。结论医疗机构中锐器伤的发生仍很常见,应建立和完善职业暴露的监控体系和防护体系,及时规范地处置暴露者,以降低医院工作人员职业暴露的危险性。
Objective To understand the occurrence of sharp injury in bloodborne occupational exposure of a staff member in a large general teaching hospital and to analyze the reasons for providing a scientific basis for the prevention of sharp injury. Methods Select all the 2011 front-line workers who experienced sharp injuries from 2011 to 2014, totaling 1,180. Establish and improve occupational exposure monitoring system and protective system for blood-borne pathogens in hospital staff, standardize occupational exposure reports and disposal procedures for hospital staff, carry out targeted monitoring of sharp injuries, systematically collect and analyze the occurrence of 2011-2014 Sharp injury situation. Results A total of 1 180 hospital staff from 2011 to 2014 experienced sharp injuries. Among them, occupational exposure to hepatitis B was the highest (41.06%), followed by syphilis (13.35%). Syringe needles (27.54%), suture needles (24.15%) and scalp needles (19.58%) were the most frequently injured sharps. All staff with sharp injuries had established occupational exposure health records. Regular follow-up was not found Injuries infected with blood-borne diseases. Conclusion The incidence of sharp injuries in medical institutions is still very common. Occupational exposure monitoring and prevention system should be established and perfected so as to reduce the risk of occupational exposure to hospital staff.