中国感染控制杂志
中國感染控製雜誌
중국감염공제잡지
Chinese Journal of Infection Control
2015年
11期
780-782
,共3页
朱小艳%吴安华%傅蓉%陈哲%曾蕾
硃小豔%吳安華%傅蓉%陳哲%曾蕾
주소염%오안화%부용%진철%증뢰
医学研究生%医学生%职业暴露%职业防护%锐器伤%医院感染
醫學研究生%醫學生%職業暴露%職業防護%銳器傷%醫院感染
의학연구생%의학생%직업폭로%직업방호%예기상%의원감염
medical postgraduate%medical student%occupational exposure%occupational precaution%sharp inju-ry%healthcare-associated infection
目的:了解医学研究生职业暴露的基本情况,为制定职业防护措施提供理论依据。方法回顾性分析某三级甲等教学医院2011年1月—2013年12月在院研究生职业暴露监测资料。结果共监测3362名在院研究生,发生职业暴露56例,职业暴露率为1.67%。最常见的职业暴露部位为左手大拇指(15例,占26.79%),职业暴露环节以手术中最高(29例,占51.79%),手术和诊疗操作过程中共发生职业暴露40例(71.43%),均属于锐器伤。暴露源患有血源性传播疾病者46例,占82.14%。发生职业暴露者以外科学研究生居多(37名,占66.07%),硕士研究生的职业暴露率(2.31%)高于博士研究生(0.28%),差异有统计学意义(χ2=18.325,P <0.001)。经及时处理及预防用药,发生职业暴露的研究生无1人感染。结论加强研究生尤其是硕士研究生的职业安全教育,提高防护意识;规范各项操作流程,实施标准防护;暴露发生后及时有效的处理是减少医学研究生发生职业暴露的重要措施。
目的:瞭解醫學研究生職業暴露的基本情況,為製定職業防護措施提供理論依據。方法迴顧性分析某三級甲等教學醫院2011年1月—2013年12月在院研究生職業暴露鑑測資料。結果共鑑測3362名在院研究生,髮生職業暴露56例,職業暴露率為1.67%。最常見的職業暴露部位為左手大拇指(15例,佔26.79%),職業暴露環節以手術中最高(29例,佔51.79%),手術和診療操作過程中共髮生職業暴露40例(71.43%),均屬于銳器傷。暴露源患有血源性傳播疾病者46例,佔82.14%。髮生職業暴露者以外科學研究生居多(37名,佔66.07%),碩士研究生的職業暴露率(2.31%)高于博士研究生(0.28%),差異有統計學意義(χ2=18.325,P <0.001)。經及時處理及預防用藥,髮生職業暴露的研究生無1人感染。結論加彊研究生尤其是碩士研究生的職業安全教育,提高防護意識;規範各項操作流程,實施標準防護;暴露髮生後及時有效的處理是減少醫學研究生髮生職業暴露的重要措施。
목적:료해의학연구생직업폭로적기본정황,위제정직업방호조시제공이론의거。방법회고성분석모삼급갑등교학의원2011년1월—2013년12월재원연구생직업폭로감측자료。결과공감측3362명재원연구생,발생직업폭로56례,직업폭로솔위1.67%。최상견적직업폭로부위위좌수대무지(15례,점26.79%),직업폭로배절이수술중최고(29례,점51.79%),수술화진료조작과정중공발생직업폭로40례(71.43%),균속우예기상。폭로원환유혈원성전파질병자46례,점82.14%。발생직업폭로자이외과학연구생거다(37명,점66.07%),석사연구생적직업폭로솔(2.31%)고우박사연구생(0.28%),차이유통계학의의(χ2=18.325,P <0.001)。경급시처리급예방용약,발생직업폭로적연구생무1인감염。결론가강연구생우기시석사연구생적직업안전교육,제고방호의식;규범각항조작류정,실시표준방호;폭로발생후급시유효적처리시감소의학연구생발생직업폭로적중요조시。
Objective To realize basic status of occupational exposure among medical postgraduates,and provide theoretical evidence for making occupational precaution measures.Methods Data about occupational exposure among medical postgraduates in a teaching hospital between January 2011 and December 2013 were analyzed retro-spectively.Results A total of 3 362 medical postgraduates were monitored,56 (1 .67%)sustained occupational ex-posure.The most common occupational exposure sites were left hand thumbs(n=15,26.79%),occupational expo-sure most frequently occurred during operation(n=29,51 .79%),a total of 40(71 .43%)occupational exposure oc-curred during the process of operation and invasive procedure,all were sharp injuries.46(82.14%)exposure sources were with bloodborne-transmitted diseases.Surgery students accounted for 66.07%(n =37)of students sustained occupational exposure,exposure rate in master’s candidates was higher than doctoral candidates(2.31 % vs 0.28%,χ2 =18.325,P <0.001 ).After timely treatment and preventive medication,none of the students were infected. Conclusion It is necessary to strengthen the occupational safety education for medical postgraduates,improve pre-caution awareness,standardize all kinds of procedures,and implement standard precaution;timely and effective treatment after exposure is important for reducing occupational injury among medical postgraduates.