Analysis on the Situation of Occupational Exposure to Bloodborne Pathogens and Its Risk Factors in A Top-class Hospital in Sichuan Province_West China Medical Journal

Authors：

 ZHAOLi ¹ , XIAYi-yin ² ,  ZHENGXi-lin ² , SHIHui ¹ , LIXue-mei ² , ZHOUBin-bin ² , GOUYang ²

1. Department of Prevention and Care, Yibin Second People's Hospital, Yibin, Sichuan 644000, P. R. China;
2. Office of Nosocomial Infection Management;Yibin Second People's Hospital, Yibin, Sichuan 644000, P. R. China;

Corresponding author：

ZHENGXi-lin, Email: 793034049@qq.com

Keywords：

Occupational exposures; Medical staff; Sharp injury; Safety protection

DOI：

10.7507/1002-0179.20150068

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Objective To know the status and risk factors of occupational exposure in a top-class hospital in Sichuan, and provide the basis for occupational safety and protective measures. Methods "Hospital Medical Staff Occupational Exposure Registration Form" was used in this retrospective study. Statistical analysis was performed on medical workers' exposure data between January 2011 and June 2014 in a top-class hospital in Sichuan Province. Results A total of 139 cases of occupational exposures were recorded in some of the medical staff. There were more females than males. Nurses had the most exposures (70.5%), and the exposure sources were mainly human immunodeficiency virus and hepatitis B virus (27.9% and 21.0%, respectively). The exposure type was mainly sharp injury (84.2%). Exposure occurred mainly in surgery (47.5%), and different job or places had different exposure types with significant differences (χ²=12.683, 20.897, P<0.05). Sharp injury was mainly caused by the scalp needle and syringe, and the injured sites were mainly upper limbs (98.3%). However, exposure to blood and body fluids occurred mainly on upper limbs (54.5%) or face (45.5%). Conclusion Occupational exposures are mainly sharp injuries, especially in surgeries. Women, nurses or medical staff with low qualifications had the highest exposure risk. Thus, occupational safety and protection training should be strengthened.

Citation： ZHAOLi, XIAYi-yin, ZHENGXi-lin, SHIHui, LIXue-mei, ZHOUBin-bin, GOUYang. Analysis on the Situation of Occupational Exposure to Bloodborne Pathogens and Its Risk Factors in A Top-class Hospital in Sichuan Province. West China Medical Journal, 2015, 30(2): 219-221. doi: 10.7507/1002-0179.20150068 Copy

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1. 李清杰, 刘运喜. 医院感染防控指南[M]. 北京:人民军医出版社, 2010.
2. 王煜, 龙燕, 苑晓微. 医务人员医院职业暴露现状调查分析及对策[J]. 中华医院感染学杂志, 2010(19):3013-3014.
3. Talas MS. Occupational exposure to blood and body fluids among Turkish nursing students during clinical practice training:frequency of needle-stick/sharp injuries and hepatitis B immunization[J]. J Clin Nurs, 2009, 18(10):1394-1403.
4. 胡必杰, 高晓东, 索瑶, 等. 医务人员血源性病原体职业暴露预防与控制最佳实践[M]. 上海:上海科学技术出版社, 2012:19-20.
5. 方清永, 刘丁, 陈萍, 等. 重庆市36所医院医务人员职业暴露情况分析[J]. 重庆医学, 2014, 43(13):1606-1607, 1610.
6. 朱萍儿, 黄晓明, 蒋桂娟, 等. 95名医务人员职业暴露监测分析[J]. 中华医院感染学杂志, 2013, 23(2):397-399.
7. 梁玉婵, 赵擎宇, 朱洁梅. 5年肿瘤中心医务人员发生职业暴露危险因素分析[J]. 中华医院感染学杂志, 2012, 22(22):5052-5054.
8. 徐世兰, 吴西亿, 饶莉, 等. 840例医务人员锐器伤现状调查[J]. 中国循证医学杂志, 2011, 11(6):636-639.
9. US Public Health Service. Updatad US. Public Health Service guidelines for the management of occupational exposures to HBV, HCV, and HIV and recommendations for postexposure prophylaxisis[J]. MMWR Recomm Rep, 2001, 50(RR-11):1-52.
10. 王静, 陈望忠, 张永, 等. 某三甲综合性医院职业暴露人群分布调查[J]. 职业与健康, 2013, 29(6):762-764.
11. 陈小燕, 徐春丽, 陈倩, 等. 156名医务人员职业暴露调查分析及管理对策[J]. 中华医院感染学杂志, 2011, 21(7):1390-1392.
12. Zhang M, Wang H, Miao J, et al. Occupational exposure to blood and body fluids among health care workers in a general hospital, China[J]. Am J Ind Med, 2009, 52(2):89-98.
13. 赵倩. 98例临床医务人员职业暴露分析与干预[J]. 贵阳医学院学报, 2013, 38(4):415-416.
14. 徐慧, 王红霞. 基于轨迹交叉理论的护士锐器伤事故分析[J]. 实用临床医药杂志, 2012, 16(24):174-176.

West China Medical Journal

Analysis on the Situation of Occupational Exposure to Bloodborne Pathogens and Its Risk Factors in A Top-class Hospital in Sichuan Province

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