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