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某口腔专科医院医务人员职业暴露回顾性分析

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目的 调查某省级口腔专科医院医务人员职业暴露的基本情况并分析相关危险因素,为加强口腔专业医务人员职业安全与健康防护管理提供参考.方法 采用回顾性调查的方法,对医院2019~2022年四年期间医务人员发生的职业暴露数据进行汇总分析,同时对职业暴露人员进行追踪和随访.结果 2019年1月至2022年12月,共134名医务人员发生150例次职业暴露.其中医生占40.00%,护士占58.67%,检验技师占1.33%.发生150例次的职业暴露中,操作或手术时锐器刺伤居首位,占46.00%;其次为诊疗后分拣器械或清洗器械,占42.67%.受伤类型全部为锐器伤,造成职业暴露的锐器主要为车针占29.33%、注射器针头占21.33%、洁刮治器工作尖16.00%、根管治疗器械9.33%等.结论 口腔专科医院医务人员职业暴露发生率处于较高水平,不同岗位的职业暴露发生率存在差异;低年资医务人员职业暴露发生率高,临床上应加强安全管理,提高医护人员防范措施,降低职业暴露发生率.
A retrospective analysis of occupational exposure among medical staff in a stomatological hospital
Objective To investigate the basic situation of occupational exposure of medical staff in a provincial stomatological hospital and analyze related risk factors,so as to provide reference for strengthening the occupational safety and health protection management of medical personnel specialized in dentistry.Methods The method of retrospective survey was used to summarize and analyze the occupational exposure data of medical staff in the hospital from January 2019 to December 2022,while occupationally exposed personnel were tracked and followed up.Results From January 2019 to December 2022,a total of 134 medical personnel had 150 occupational exposures during the 4-year period,Among them,40.00%were doctors,58.67%were nurses,and 1.33%were laboratory technicians.Among the 150 cases of occupational exposure,the sharp instrument stabbing injury during operation or surgery took the first place,accounting for 46.00%;followed by sorting instruments or cleaning instruments after consultation and treatment,accounting for 42.67%.The types of injuries were all sharp injuries,and the sharp objects that caused occupational exposure were mainly burs(29.33%),syringes(21.33%),cleaning tips/scraping tips(16.00%),and enlarged needles and other root canal instruments(9.33%).Conclusion The occupational exposure rate of medical staff in stomatological hospital is at a high level,and there are differences in the occupational exposure rate of different positions.The occupational exposure rate of medical staff with low seniority is high.Safety management should be strengthened clinically,and preventive measures should be improved to reduce the occupational exposure rate.

Occupational exposureStomatological hospitalMedical personnel

堵亚茹、陶然、赵菲、杨新光、赵凯佳、刘冰

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050017 石家庄,河北医科大学口腔医学院·口腔医院医院感染管理科,河北省口腔医学重点实验室,河北省口腔疾病临床医学研究中心

职业暴露 口腔专科医院 医务人员

河北省医学科学研究课题(2021)河北省医学科学研究课题(2024)

2021004820240106

2024

现代口腔医学杂志
河北医科大学口腔医学院

现代口腔医学杂志

CSTPCD
影响因子:0.536
ISSN:1003-7632
年,卷(期):2024.38(4)