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目的了解广西医疗机构医务人员锐器伤发生情况,为制定锐器伤防护措施及向卫生行政部门提供决策依据。方法在2011年9月以问卷形式对接触锐器的医务人员发生锐器伤进行调查,全部数据输入锐器伤基线调查系统。结果 96所医院参与调查,共调查40842名医务人员,其中2522人报告锐器伤,发生率6.18%,其中护士的发生率达到8.08%;发生锐器伤工作年限以21～25年的人群最高,发生率达到8.71%;注射器和输液器针头是引起锐器伤的最常见器具,构成比分别达到27.24%和23.71%;发生锐器伤的环节中拔除静脉输液针头的构成比达到14.54%;而在3331人次的锐器伤中,仅有479人次按处置流程向相关主管部门报告,主动报告率为14.38%。结论医院医务人员对锐器伤的重视程度不足,需加强宣传提高医务人员对锐器伤的正确认识,加强重点科室重点人群锐器伤防护和培训,并通过制定相关措施降低锐器伤的发生率。
Objective To understand the occurrence of sharp injuries among medical staffs in Guangxi medical institutions, and provide decision-making basis for the establishment of sharps injuries prevention measures and health administrative departments. Methods In September 2011, a questionnaire was used to investigate the occurrence of sharp injuries to the medical staff who touched the sharps. All the data were input into the baseline sharps investigation system. Results A total of 40,842 medical staff were investigated in 96 hospitals. Among them, 2522 reported sharp injuries, the incidence rate was 6.18%, of which the incidence rate of nurses reached 8.08%. The highest risk of sharp injury was 21-25 years , And the incidence rate reached 8.71%. Syringes and infusion needles were the most common instruments causing sharp wounds with the proportions of 27.24% and 23.71%, respectively. The ratio of the needles of intravenous fluids was 14.54% In the 3331 person-time sharp injuries, only 479 people according to the disposal process to the competent authorities to report, take the initiative to report a rate of 14.38%. Conclusions The medical staffs in hospital have not paid much attention to sharp injuries. Publicity should be strengthened to improve the correct understanding of medical personnel on sharp injuries, strengthen the protection and training of sharp injuries in the key people in key departments, and to reduce the occurrence of sharp injuries by formulating relevant measures rate.