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目的通过对医务人员发生的血源性职业暴露伤情况进行统计,探讨相关因素并制定相应的防护对策。方法采用回顾性分析法选择2012年1月-2014年12月在本院登记的发生血源性职业暴露伤的医务人员70例,对其人群分布、工龄、暴露源血源传播性疾病分布、血源性职业暴露医务人员乙型肝炎疫苗接种情况进行统计分析。结果70例医务人员职业暴露人群主要为护士(64.3%)和医生(22.9%);工龄≤5年的人数最多,占51.4%;暴露源乙型肝炎病毒居首位,占48.6%;血源性职业暴露医务人员乙型肝炎疫苗未接种占30.0%。结论应加强高风险医务人员的职业安全培训,规范操作流程;对新入职人员免费乙型肝炎疫苗接种,提高疫苗接种率;定期检测乙型肝炎病毒抗体滴度,及时强化免疫,降低乙肝病毒感染的危险。
OBJECTIVE To investigate the related factors and formulate corresponding protective measures through statistics on the occupational exposure to bloodborne occupational diseases among medical personnel. Methods A retrospective analysis method was used to select 70 medical staff registered in our hospital from January 2012 to December 2014. The distribution of medical staff, length of service, distribution of exposure source blood-borne diseases, Statistical analysis of Hepatitis B vaccination status among medical staff of blood-borne occupational exposure. Results The occupational exposure of 70 medical staffs was mainly nurses (64.3%) and doctors (22.9%). The number of workers who took less than 5 years accounted for 51.4% of the total, and the first place of exposure to hepatitis B virus was 48.6% Sexually-exposed medical staff Hepatitis B vaccine unoccupied 30.0%. Conclusions The occupational safety training of high-risk medical staff should be strengthened to standardize the procedure of operation. Free hepatitis B vaccination should be given to new recruits and the vaccination rate should be raised. The hepatitis B virus antibody titers should be checked regularly to promptly strengthen the immunity and reduce the hepatitis B virus infection danger.