首页|2017-2022年深圳市某三级甲等综合医院医务人员职业暴露发生情况的回顾性分析

2017-2022年深圳市某三级甲等综合医院医务人员职业暴露发生情况的回顾性分析

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目的 了解深圳市某三级甲等综合医院医务人员职业暴露发生的时间变化趋势及流行病学特征,为做好职业防护管理实践,优化职业暴露防控策略提供实践指导。方法 回顾性调查分析某院2017-2022年上报的813例职业暴露数据,分析内容包括暴露源、暴露者、暴露事件的基本情况等。结果 2017-2022年期间,职业暴露发生例次数呈现先增长后波动的趋势,职业暴露在第三季度及一天中8:00-11:00时发生例数最多。在813例职业暴露中,女性569人(占69。99%),护士占比最高(391人,占48。09%),工作年限1~5年发生职业暴露的人数最多(343人,占42。19%),初级职称的工作人员占比最高(324人,占39。85%),大多数为首次暴露(621人,占76。38%)。大多数职业暴露发生在病房(301例次,占37。02%),82。41%为锐器伤害,上肢如手指、手臂等的暴露比例最高(占87。21%),大多数为二级暴露(占49。45%)。有410例次(50。43%)的职业暴露源有明确的病原体,主要为乙肝(255例,占62。20%)和梅毒(119例,占29。02%)。结论 针对重点人群、重点场所以及重点时间实施重点管理,强调职业安全教育的重要性,积极开展相关的培训及应急演练,是有效减少职业暴露的发生及其造成的不良后果的关键。
Retrospective analysis of occupational exposure of medical staff in a general class a tertiary hospital in Shenzhen during 2017 to 2022
Objective To understand the time change trend and epidemiological characteristics of occupational exposure of medical personnel in a general class A tertiary hospital in Shenzhen,and to provide practical guidance for occupational protec-tion management practice and optimization of occupational exposure prevention and control strategies.Methods The data of 813 cases of occupational exposure reported from 2017 to 2022 in our hospital were retrospectively investigated and analyzed,inclu-ding the basic information of exposure sources,exposed persons and exposure events.Results During 2017 to 2022,the number of occupational exposure cases showed a trend of first increase and then fluctuation,with the largest number of occupational expo-sure cases occurring in the third quarter and 8-11 o'clock of the day.Among the 813 cases of occupational exposure,569 were female(69.99%),nurses accounted for the highest proportion(391,48.09%),the number of people with 1-5 years of working life experienced occupational exposure was the highest(343,42.19%),and staff with junior professional titles accounted for the highest proportion(324,39.85%).Most were exposed for the first time(621,76.38%).Most of the occupational exposure occurred in the ward(301 cases,37.02%),82.41%was acute injuries,the upper limbs such as fingers,arms,etc.,the high-est exposure ratio(87.21%),most of the secondary exposure(49.45%).In 410 cases(50.43%),the primary sources of oc-cupational exposure were hepatitis B(255 cases,62.20%)and syphilis(119 cases,29.02%).Conclusion The key to effec-tively reduce the occurrence of occupational exposure and its adverse consequences is to implement key management for key groups,key places and key times,emphasize the importance of occupational safety education,and actively carry out relevant training and emergency drills.

Occupational exposureMedical staffEpidemiologyRetrospective analysis

帅菲斐、吴文妍、王璐鑫、唐冬纯

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深圳市第二人民医院//深圳大学第一附属医院 广东 深圳 518035

职业暴露 医务人员 流行病学 回顾性分析

2024

现代医院
广东省医院协会

现代医院

影响因子:1.332
ISSN:1671-332X
年,卷(期):2024.24(12)