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陈逸群.手术人员血源传染性疾病职业暴露预防与控制[J].中国医药科学,2020,(1):275-277        基金项目:
手术人员血源传染性疾病职业暴露预防与控制
Occupational exposure prevention and control of blood-borne infectious diseases in surgical personnel
  
DOI:
中文关键词:  手术人员;血源传染性疾病;职业暴露;预防与控制
英文关键词:Surgical personnel; Blood-borne infectious diseases; Occupational exposure; Prevention and control
作者单位
陈逸群 广东省普宁市中医医院医院感染管理科,广东普宁 515300 
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中文摘要:
      [摘要] 目的 观察手术人员血源传染性疾病职业暴露预防与控制分析。 方法 将在我院手术室 2016 年 10月~ 2018 年 1 月接收血源性疾病患者总计 233 例(台手术),其中 83 人手术人员参与,设为对照组,其中发生 7 例(8.43%)职业暴露,分析暴露的传染性疾病情况、方式、处理办法、预后等情况,分析高危因素,并制定相应的控制措施。将 2018 年 2 月~ 2019 年 2 月我院接收的血源性疾病患者总计 197 例(台手术),其中79 人手术人员参与,设为实验组。比较两组患者手术室内手术人员对血源传染性疾病相关知识评分、预防职业暴露方法评分、对血源传染性疾病态度评分,并比较两组暴露率。 结果 实验组手术人员对血源传染性疾病相关知识评分、预防职业暴露方法评分、对血源传染性疾病态度评分明显高于对照组,而实验组手术人员职业暴露率为 1.27%,对照组为 8.43%,差异具有统计学意义(P < 0.05)。7 例职业暴露的医务人员在发生职业暴露后均进行伤口处理、风险评估、预防性用药及暴露后血清学检测,检测结果全部为阴性。 结论手术人员血源传染性疾病职业暴露,多因对相关知识认识与重视性不到位所致,而护士为职业暴露发生率较高者,因此应加强手术室医护人员相关知识与态度的教育,获得理想效果。
英文摘要:
      [Abstract] Objective To observe prevention and control of occupational exposure of blood-borne infectious diseases in surgical personnel. Methods 233 patients (operations) with blood-borne infectious diseases who were treated in operation room in our hospital from October 2016 to January 2018 were selected. 83 surgical personnel were involved in it and they were set as the control group. Among them, occupational exposure occurred in 7 cases (8.43%). The condition, methods, treatment methods, prognosis of exposed infectious diseases and high-risk factors was analyzed and corresponding control measures were formulated. The other 197 patients (operations) with bloodborne infectious diseases who were treated in operation room in our hospital from February 2018 to February 2019 were selected. 79 surgical personnel were involved in it and they were set as the experimental group. Scores of surgical personnel in the operating room on the blood-borne infectious disease related knowledge score, the prevention of occupational exposure method score, score on the blood-borne infectious disease attitude score of patients in two groups were compared. The exposure rate was compared between the two groups. Results Scores of surgical personnel in the operating room on the blood-borne infectious disease related knowledge score, the prevention of occupational exposure method score, score on the blood-borne infectious disease attitude score of the experimental group were hjgher than those of the control group. The occupational exposure rate was 1.27% in the experimental group and 8.43% in the control group, and the difference was statistically significant (P < 0.05). After occupational exposure, 7 occupational exposure medical staff underwent wound treatment, risk assessment, preventive medication and postexposure serological test, and the test results were all negative. Conclusion Occupational exposure of blood-borne infectious diseases of surgical personnel are mostly due to the lack of knowledge and attention to relevant knowledge, and nurses have a higher incidence of occupational exposure. Therefore, it is necessary to strengthen education on the knowledge and attitude of surgical personnel in the operating room to achieve the desired results.
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