Occupational exposure to bloodborne pathogens among health care workers in a general hospital in Shenzhen in recent five years
Objective:To characterize the blood-borne occupational exposures among healthcare workers in a tertiary general hospital in Shenzhen from 2019 to 2023 and determine the influencing factors,aiming to provide insights for continuously improving the management of occupational exposures and strengthening the protective measures.Methods:An observational descriptive study was performed by a retrospective retrieval of five-year data of exposures to blood among healthcare workers in a tertiary general hospital in Shenzhen.The demographic distribution,exposure routes and exposure sources were descriptively statistically analyzed.Results:From 2019 to 2023,a total of 359 cases of blood-borne occupational exposures were reported.The annual incidence rate fluctuated,of which the highest was 3.59％in 2019 and the lowest was 1.53％in 2022.The exposure mainly occurred in the second half of the year.The majority of the affected individuals were female and nurses,with 79.39％of them having less than 5 years of work experience.84.68％of occupational exposures were caused by sharp instrument injuries,mainly occurring during needle withdrawal and disposal(22.70％)and surgery(21.05％).The main exposure sites included ward(42.34％)and operation rooms(20.61％).Most of exposure sources were tested negative for blood-borne pathogens except for 131 cases.The top three pathogens were hepatitis B virus,Treponema pallidum and hepatitis C virus.Follow-up monitoring suggested that 77.78％of the exposed individuals completed the recommended preventive medication and no post-exposure infection occurred after exposure.Conclusion:The blood-borne occupational exposure reported in this hospital during 2019 and 2023 was mainly needle stick injuries in junior nurses,and the main pathogen exposed was hepatitis B virus.No post-exposure infection occurred.Nurses are high-risk group of occupational exposure,and the prevention of needle-stick injury calls for our great concern.Meanwhile,vaccination against pathogens from occupational exposure especially hepatitis B,should be paid great attention as an effective protective measure.
万方数据
维普
