Applied Study and Case Report
Risk factors analysis and intervention of blood-borne occupational exposure in medical staff
Li Hao, Wu Chaoxian, Yang Pingping
Published 2022-01-20
Cite as Chin Ind Hyg Occup Dis, 2022, 40(1): 53-56. DOI: 10.3760/cma.j.cn121094-20201217-00696
Abstract
ObjectiveTo analyze the risk factors of blood-borne occupational exposure among medical staff and explore the relevant intervention measures.
MethodsIn June 2020, the data of blood-borne occupational exposure and related factors reported by medical staff in a grade Ⅲ, Grade A general hospital from 2011 to 2019 were analyzed by retrospective investigation.
ResultsAmong 431 cases of blood-borne occupational exposure, 69.37% were nurses. It mainly occurred in medical staff with 0-4 years of service, accounting for 63.57%; The main place of occupational exposure was in the ward 47.56%; Sharp instrument injury was the main occupational exposure route 91.65%. Occupational exposure department was mainly surgery department 17.87%; The main source of exposure was hepatitis B virus (HBV) 37.12%, followed by treponema pallidum 20.19%. Statistical analysis results show that: Exposure sites (χ2=43.585, P<0.01) , exposure sources (χ2=22.693, P<0.01) , treatment methods after exposure (χ2=18.866, P<0.01) , Flushing (χ2=31.963, P<0.01) and disinfection (χ2=14.216, P<0.01) were significantly different.
ConclusionThe effective measures to reduce blood-borne occupational exposure are to strengthen occupational protection training of medical staff, standardize operation procedures, strengthen supervision of key groups and departments, improve reporting, monitoring and follow-up systems to realize informatization, and do a good job in risk control.
Key words:
Blood borne; Occupational exposure; Medical personnel; Occupational protection; Intervention countermeasures; Statistical analysis
Contributor Information
Li Hao
Preventive Health Division of Wenzhou People's Hospital, Wenzhou 325000, China
Wu Chaoxian
Preventive Health Division of Wenzhou People's Hospital, Wenzhou 325000, China
Yang Pingping
Preventive Health Division of Wenzhou People's Hospital, Wenzhou 325000, China