摘要
Abstract
Objective To understand the population distribution characteristics and risk links of sharp injuries among health care workers (HCWs)in a hospital,and provide basis for making effective protection measures. Methods Occupational exposure of HCWs in a tertiary first class hospital between January and December 2014 were retrospectively surveyed.Occupations of HCWs sustained sharp injuries,exposure locations and links,expo-sure sources and so on were analyzed.Results A total of 2 643 HCWs were monitored in January-December 2014, 61 cases of sharp injuries occurred,43(70.49%)sharp injuries occurred in nurses,13 (21 .31 %)in doctors.Sharp injuries mainly occurred in HCWs in department of orthopedics(n=9,14.75%),the major device causing sharp in-juries was transfusion needles (n = 33,54.10%),the main manipulation was pulling out the needles (n = 21 , 34.43%),the main exposure source was hepatitis B virus(n=36,59.01 %);34(55.74%)HCWs with sharp inju-ries didn’t wear gloves during manipulation.54 (88.52%)HCWs performed local treatment following sharp inju-ries,only 18(29.51 %)HCWs received medication(including preventive medication),43(70.49%)HCWs with oc-cupational exposure were followed up and didn’t develop infection.Conclusion Hospital should establish compre-hensive monitoring system for occupational exposure injuries,strengthen the training of sharp injuries among high risk population,improve standard prevention,monitor and intervene risk links,so as to effectively reduce the inci-dence of sharp injuries among HCWs.关键词
医务人员/锐器伤/风险环节/职业防护/职业暴露Key words
health care worker/sharp injury/risk link/occupational precaution/occupational exposure分类
医药卫生
