摘要
目的了解临床医务人员锐器伤发生现状,分析原因,为医务人员预防锐器伤提供参考依据。方法对2007年7月-2016年6月发生锐器伤医务人员的职业类别、操作环节、血源性传播疾病、年度发生趋势等数据进行回顾性调查分析。结果监测上报锐器伤378例次,其中护士、实习生占72.22%;低年资医务人员占39.15%;不规范操作占所有操作环节的61.09%;手指受伤占所有受伤部位的90.21%;阳性暴露占所有锐器伤的71.43%。2008-2016年锐器伤总体呈上升趋势,2011-2012年监测数值出现显著高峰,2013-2016年较2012年有减少趋势。4种血源性病原体年度检出总数呈缓慢上升的线性趋势。结论护士、低年资医务人员锐器伤风险高;阳性暴露与锐器伤上报有相关性;应持续提高医护人员防护意识和技能,规范操作流程和锐器伤的紧急处理程序,以降低锐器伤的发生率。
Objective To know the status of sharp instrument injuries among medical staff and analysis cause,provide the reference for taking effective measures to reduce incidence of the sharp instrument injuries. Methods Retrospective investigation was used to survey and analyze the occupation category,operation link,blood borne diseases,annual trend of medical staff with sharp injuries from July 2007 to June 2016. Results A total of 378 Medical staff were wounded by needle,the nurses and interns accounted for 72. 22% of all personnel. Low seniority medical staff accounted for 39. 15%. Non- standard operation accounted for 61. 09% of all operations. Finger injuries accounted for 90. 21%. Positive exposure accounted for all 71. 43% sharp injuries. Sharp instrument injuries from 2008 to 2016 in general was increase,and decrease from 2013 to 2016. Four kinds of blood- borne pathogens linear trend of annual total number of detected was slowly rising. Conclusion Risk of sharp instrument injuries mostly happen in nurses and low seniority medical staff. Positive exposure has a correlation with sharp injury. We should improve the occupational protection awareness and protection skills,standard operation process and emergency handling procedure of sharp instrument injuries.
出处
《中国消毒学杂志》
CAS
北大核心
2017年第2期161-163,共3页
Chinese Journal of Disinfection
基金
2015年中华医院感染控制研究基金(ZHYY2015-0029)
2012年青岛市卫生局立项项目(2012-WSZD048)
关键词
医务人员
锐器伤
职业防护
干预
对策
medical staff
sharp instrument injury
occupational protection
intervene
strategy
