【摘要】 目的探讨医务人员血源性病原体职业暴露状况,为制定医务人员职业暴露防护对策提供科学依据。方法监测2004年1月-2009年12月69名血源性职业暴露医务人员,对其职业、科室分布、职业暴露发生的操作环节、暴露源病种等进行分析。结果血源性职业暴露护士发生率最高,为55.07%,其次医师,为26.09%;外科发生职业暴露最多,占55.07%;手术中发生锐器伤占首位,占30.43%,其次为护士拔针操作,占23.19%;暴露源以乙型肝炎占首位,占60.87%。结论加强医务人员职业卫生安全操作培训,规范操作环节,正确使用个人防护用品,正确处理损伤性废物,积极接种乙型肝炎疫苗,接触后的应急处理、随访与咨询是降低职业暴露风险的关键。更多还原

【Abstract】 OBJECTIVE To observe the situation of the hematogenouse medical exposure for making the protective management measure.METHODS From Jan 2004 to Dec 2009,69 cases of hemaogenosis medical exposure occured.To analyze the occupation,distribution of department,operative detail.RESULTS Nurses were the most exposure occupation(55.07%);Second was doctors(26.09%).Surgeon was the most exposure occupation among the doctor(55.07%);Operative sharp instrument injury was the most common(30.43%),second was the withdrawing needle for nurses.(23.19%).Hepatitis B was the most Exposure pathogensis(60.87%).CONCLUSION Emphasis on the occupational operative safety training,using the protective the method,proper handle the injurying used instrument and needle and inoculating Hepatitis B are the keys for emergence treatment after medical exposure and following up.更多还原