内镜医院感染规范化管理-中华医院感染学杂志.DOC

临床医师血源性病原体职业暴露风险及干预文题(中文) 李桃作者姓名(中文) （南通市肿瘤XXX医院肿瘤内XX科，江苏XX省 南通XX市 邮编 226361） 摘要： 目的 了解临床医师血源性感染职业暴露风险的现状，进一步明确职业防护的重点，完善职业防护措施XXXXXXXX。 方法 采XXXXXXXX用自行设计问卷，调查160名临床医师在2009年7月—2011年6月血源性病原体职业暴露情况。 结果 51名医师发生63人次血源性病原体职业暴露，其中，血液/体液喷溅12例，锐器伤51例；血液为最常见的暴露物；普外科与胸外科医师发生锐器伤的比率最高，其次为肿瘤内科医师；锐器伤的种类主要是缝合针占21.6%、注射器针头占19.6%、手术刀占17.7%；主要在医护间配合传递器械占31.4%、注射或穿刺占21.6%、处理使用后锐器占19.6%等环节容易发生锐器伤；暴露源主要为乙型肝炎表面抗原（HBsAg）阳性患者，占46.0%，其次为梅毒抗体阳性患者，占14.3%，暴露后均进行了相关干预，经追踪随访，未发现有血源性传播性疾病感染者 XXXXXXXX。 结论 XXXXXXXX医师是血源性病原体职业暴露的高危人群，管理者应帮助消除风险，并进行操作规程控制，最大限度地减少职业暴露及暴露后感染的发生。 关键词：血XXX源性病原体；XXX锐器伤；XXX职业暴露；XXX医师；防范XXX Risk of occupational exposure of clinicians to blood-borne pathogens and its intervention文题(英文) 作者姓名(LI Tao英文) ( XXXNantong Tumor Hospital医院, XXX市Nantong , JiangsuXXX省 邮编226361, China) (英文) Abstract : OBJECTIVE To investigate the risk of occupational exposure of clinicians to blood-borne infection, further clarify the focus key issues of occupational protection and improve occupational protection measures XXXXXXX. METHODS XXXXXXX. By using Through self-designed questionnaire, the occupational exposure of 160 clinicians to blood-borne pathogens from Jul. 2009 to Jun. 2011 was investigated. RESULTS XXXXXXXTotally 63 case-times of occupational exposure to blood-borne pathogens occurred in 51 clinicians, among which 12 cases were the caused by blood or body fluid splash and 51 cases were by sharp instrument injuries; b. Blood exposure was most common risk; the i. Incidence of sharp instrument injuries was the highest in the clinicians of departments of general surgery and thoracic surgery, followed by the physicians of department of tumor medicine; t. The main categories of sharp instrument injuries were induced by suture needles(21.6%), syringe needles(19.6%), and scalpels(17.7%); the delivery of equipment between doctors and nurses(31.4%), injection or puncture(21.6%),and disposal after using sharp instrumentsuse (19.6%) were the links that were prone