重庆市36所医院医务人员职业暴露情况分析

摘要

目的：了解重庆地区医务人员职业暴露现况，探讨防范对策。方法对2011年5月1日至9月30日参与调查的36所医院医务人员发生的职业暴露进行统计分析。结果本次调查共发生职业暴露554例，其中锐器伤456例，血液、体液暴露98例。二级医院比三级医院更易发生职业暴露；人群分布以护士为主，占总数的67．69％，发生地点主要在病房（41．52％）。锐器伤最常发生在锐器的使用后、处置前；血液、体液暴露中37．76％发生在面部。结论本地区医院对职业暴露重视程度不够，建立、健全相关制度，落实防护措施，加大经济投入，加强教育培训，提高医务人员意识，有利于提高职业暴露上报率和保证医务人员的职业安全。%Objective To understand the current status of occupational exposure of medical staffs in Chongqing area,and explore the countermeasures.Methods The occupational exposure of medical staffs occurred in 3 6 hospitals participating in the survey from May 1st,2011 to September 30th were counted and analyzed.Results 554 cases of occupational exposure have been collected,inclu-ding 456 cases of sharp injuries and 98 cases of exposure to blood and body fluids.The secondary hospitals were more susceptible to occupational exposure than the tertiary hospitals.Most of the occupational exposure populations were nurses(67.69%),and the highest risk departments were wards(41.52%).The moment when sharp injuries occurred was post-usage and pre-disposal.The proportion of exposure to blood and body fluids on face was 37.76%.Conclusion Scientific means and interventions should be con-ducted to enhance the recognition of medical staffs in chongqing area and to improve report rate,in order to ensure occupational safety of medical staffs.