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目的:了解我院医务人员职业暴露相关因素,强化职业暴露防护管理。方法:回顾性调查2005-01/2007-12我院医务人员职业暴露相关因素,针对不同的暴露源、暴露者的情况采取相应的处理措施。结果:2 a共发生职业暴露26例,其中暴露源为乙肝14例,暴露源不明6例,梅毒3例,丙肝、尖锐湿疣各1例,暴露源不明1例。职业暴露发生的人员比例:护士助产士18例,医生6例,工人2例。结论:医务人员防护意识不强,应加强职业防护管理,针对易发生职业暴露的诊疗操作,制订规范的操作流程,加强职业暴露预防教育,执行标准预防措施,健全职业暴露保障体系。
Objective: To understand the occupational exposure of medical staff in our hospital related factors, and strengthen occupational exposure protection and management. Methods: The related factors of occupational exposure of medical staff in our hospital from January 2005 to December 2007 were retrospectively investigated. Corresponding treatment measures were taken according to different exposure sources and exposures. Results: A total of 26 cases of occupational exposure occurred in 2 years. Among them, 14 were hepatitis B, 6 were unknown, 3 were syphilis, 1 were hepatitis C and condyloma acuminatum, and 1 was unknown. Occupational exposure occurred in the proportion of staff: 18 nurses midwifery, doctors 6 cases, 2 workers. Conclusion: The awareness of medical personnel protection is not strong, and occupational protection and management should be strengthened. In view of the occupational exposure prone to medical treatment and operation, standard operating procedures should be established, prevention and control of occupational exposure should be strengthened, standard precautionary measures should be implemented, and occupational exposure guarantee system should be improved.