医务人员感染性暴露后预防措施干预效果分析.docxVIP

医务人员感染性暴露后预防措施干预效 果分析 吴燕郭金凤马玲薛倩倩李宁岳霞 济宁医学院附属医院质量与安全管理办公室 摘要： 口的监测员工发生感染性职业暴露后预防措施落实情况，提高员工对暴露后防 控措施的认知水平，减少职业感染的发生。方法从医院异常事件上报管理系统 中收集2014年1月一2015年12月感染性职业暴露上报数据进行统计分析。结 果2014和2015年每100张床位发牛职业暴露人次为5. 2和4. 9,发牛职业暴露 的例数降低。乙型肝炎病毒为主要暴露源;暴露中以女性、护士、工作年限小于 5年为主，分别占81.8%、52.4%、60. 1%;发生地点主要集屮于病区、手术间。暴 露后立即局部处理、上报以及分别在基线检查、1个月、3个月、6个月及1年 进行相关血源性疾病检验及随访的比例明显提高。失访人数明显减少，且集中在 实习及进修的医护人员。结论发牛职业暴露后选择恰当检查与预防措施是减少 职业感染的保障。 关键词： 医务人员;感染性职业暴露;现状;职业感染; 基金：山东省医药卫生科技发展计划项目(2016WS0171) Effect Analysis of Preventive Measures for Medical Staff After Infection Exposure WU Yan GUO Jinfeng MA Ling XUE Qianqian LI Ning YUE Xia Quality andSafety Controlling Office, The Aff订iated Hospitol of Jining Medical University; Abstract： Objective To monitor the implementation of preventive measures for employees after occupational exposure, to improve their awareness of the prevention and control measures, and to reduce the incidcncc of occupational infection. Methods The infectious occupational exposure data from January 2014 to December 2015 was collected according to the hospital abnormal event reporting system. Results The number of occupational exposure per 100 beds was 5. 2 in 2014 and 4. 9 in 2015, which mcan the number of occupational exposure decreased. Hepatitis B virus was the main source of occupational exposure, most of the exposures were happened in women (81. 8%)、nurses (52. 4%) and who worked less than 5 years (60. 1%) , occupational exposure occurred mainly in the ward and opera ting room. The rates of reporting and partial treatment after occupational exposure, as well as, taking test of blood-transmitted diseases and follow-up at baseline, one month, three months, six months and one year were significantly improved. The number of lost to follow-up was decreased, and mainly in in terns and advanced study medical stuff. Conclusion Taki ng correct inspection and preventive measures after occupational exposure could reduce occupational infection. Keyword： medicnl stuff; infectious occupat