首页|烟台市医疗机构工作人员血源性病原体职业暴露状况调查分析

烟台市医疗机构工作人员血源性病原体职业暴露状况调查分析

扫码查看
目的 调查分析烟台市医疗机构工作人员血源性病原体职业暴露知识知晓及暴露前后风险行为模式,为推进医疗机构职业安全工作提供参考.方法 于2023年采用分层抽样方法,抽取烟台市22所医疗机构的900名医疗机构工作人员开展问卷调查,设计医疗机构工作人员职业暴露状况调查问卷,分别从知识知晓、风险行为、暴露后关键行为三个角度调查分析区域医疗机构工作人员血源性病原体职业暴露认知水平及行为.结果 回收有效问卷884份.共发生血源性病原体职业暴露376名、678例次,5年累积职业暴露率为42.5%(376/884).一级医院报告体系知晓率(65.8%,279/424)低于二、三级医院(分别为95.8%、93.3%),36.2%(317/884)的医疗机构工作人员不知晓职业暴露报销方案.不同级别医疗机构工作人员对乙肝(66.9%,x2=28.5,P<0.01)、丙肝(55.6%,x2=20.8,P<0.01)、梅毒(51.2%,x2=12.7,P<0.01)职业暴露方案的知晓率差异有统计学意义;但HIV职业暴露方案知晓率(41.3%,365/884)整体较低,不同医疗机构间差异无统计学意义(x2=4.01,P>0.05).发生职业暴露者整体上报率为56.8%(213/376),及时评估率为38.6%(145/376),34.8%(131/376)的暴露者不随访或不清楚如何随访.结论 烟台市医疗机构工作人员在血源性病原体职业暴露知识知晓、风险环节应对方面均需强化;暴露后的处置方案整体报告率、风险评估水平、随访水平均不足,尤其以基层医疗机构工作人员为明显.
Investigation and analysis on occupational exposure to bloodborne pathogens among healthcare professionals in Yantai city
Objective To investigate and analyze the knowledge level and risk behaviors pertaining to occupational expo-sure to blood-borne pathogens among healthcare professionals in Yantai city,so as to provide a reference for enhancing oc-cupational safety within healthcare institutions.Methods The questionnaire was designed in 2023 on the occupational exposure status of medical personnel in Yantai city,which including the perspectives of knowledge level,risk behavior a-nalysis,and critical exposure after behavior.The survey was conducted among 900 medical staff from 22 medical institu-tions,to assess the level of awareness regarding knowledge on occupational exposure to blood-borne pathogens and risk be-havior among staff.Results A total of 884 valid questionnaires were gathered.There were 376 reported cases and 678 instances of occupational exposure to blood-borne pathogens.Over a period of 5 years,the calculated cumulative occupa-tional exposure rate was found to be 42.5%(376/884).The awareness rate of the reporting system in primary hospitals(65.8%,279/424)was comparatively lower than that observed in secondary and tertiary hospitals(95.8%and 93.3%,respectively).Furthermore,a significant proportion of medical staff(36.2%,317/884)demonstrated unfamiliarity with the occupational exposure reimbursement scheme.The awareness of occupational exposure schemes for HBV(66.9%,x2=28.5,P<0.01),HCV(55.6%,x2=20.8,P<0.01),and syphilis(51.2%,x2=12.7,P<0.01)differed signifi-cantly among medical institutions at different levels of care provision.However,the awareness rate of the HIV occupational exposure scheme(41.3%,365/884)was relatively low and did not show a significant difference across different medical insti-tutions(x2=4.01,P>0.05).The overall reporting rate of occupational exposure was 56.8%(213/376),the timely assessment rate stood at 38.6%(145/376),and a proportion of 34.8%(131/376)among the exposed workers did not pursue follow-up or lacked knowledge regarding appropriate proce-dures.Conclusion Medical institution staff in Yantai city need to strengthen their knowledge and risk response to occu-pational exposure to blood borne pathogens;The overall reporting rate,risk assessment level,and follow-up level of the disposal plan after exposure are insufficient,especially in primary medical institutions.

Medical institutionsMedical staffOccupational exposureBloodborne pathogensRisk

姜青青、李文卿、潘伟

展开 >

烟台市奇山医院医院感染管理科,山东 264001

烟台市奇山医院质量管理科

烟台市奇山医院办公室

医疗机构 医务人员 职业暴露 血源性病原体 风险

山东省烟台市科技计划项目

2022YD103

2024

预防医学论坛
中华预防医学会

预防医学论坛

影响因子:0.645
ISSN:1672-9153
年,卷(期):2024.30(5)