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目的分析某综合医院医务人员发生血源性职业暴露情况,探讨针对性防护措施,减少职业暴露的发生。方法对某综合医院2010年1月1日～2010年12月31日上报登记的66例职业暴露进行分析。结果共收到66例医务人员发生血源性职业暴露报告。血源性职业暴露的人群集中于护士,占62.12%;工作年限低于5年者易发生职业暴露,占60.61%;锐器伤为导致暴露为主要形式,占到84.69%,致锐器伤操作环节多发生在输液、注射、采血后拔针时,占57.58%;所有职业暴露者均进行了紧急及相关干预处理,暂未发现因职业暴露而感染血源性传播疾病。结论增强医务人员职业暴露防护意识,规范操作规程,严格执行标准预防原则,采取有效预防措施,可预防或减少职业暴露的发生。
Objective To analyze the blood-based occupational exposure of medical personnel in a general hospital and to explore the targeted protective measures to reduce the occurrence of occupational exposure. Methods A total of 66 occupational exposures registered in a general hospital from January 1, 2010 to December 31, 2010 were analyzed. Results A total of 66 medical workers received blood-borne occupational exposure reports. Occupational exposure to blood was concentrated in nurses, accounting for 62.12%; occupational exposure was less likely to occur in less than 5 years, accounting for 60.61%; sharp injuries caused by exposure were the main forms, accounting for 84.69%, causing sharp injuries Occurred in the operation of the infusion, injection, pull the needle after blood collection, accounting for 57.58%; all occupational exposures were emergency and related interventions, yet found that occupational exposure to blood-borne diseases. CONCLUSIONS: It is necessary to strengthen awareness of occupational exposure protection among medical personnel, standardize operating procedures, strictly enforce the standard precautionary principle and take effective preventive measures to prevent or reduce occupational exposure.