2010—2022年某三甲综合医院医务人员血源性职业暴露监测结果

doi:10.19485/j.cnki.issn2096-5087.2023.11.018

Preventive Medicine

2023, Vol. 35

Issue (11): 997-1000 DOI: 10.19485/j.cnki.issn2096-5087.2023.11.018

Surveillance

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Surveillance of occupational exposure to blood-borne pathogens among medical workers in a tertiary general hospital from 2010 to 2022

NIE Shijiao¹, MIAO Qun², WANG Shuying¹, ZHAO Hongfeng¹, FEI Ying¹

1. Department of Hospital Infection Control, Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang 310006, China;
2. Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang 310006, China

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Abstract Objective To investigate the occupational exposure to blood-borne pathogens among medical workers in a tertiary general hospital in Hangzhou City from 2010 to 2022, so as to provide the evidence for improving occupational protective measures among medical workers. Methods The registration and follow-up data of occupational exposure to blood-borne pathogens among medical workers from 2010 to 2022 were collected from the blood-borne occupational exposure monitoring system in a tertiary general hospital in Hangzhou City. The population distribution, occurrence, protection and disposal of occupational exposure to blood-borne pathogens were analyzed using a descriptive epidemiological method. Results A total of 1 230 cases were reported with occupational exposure to blood-borne pathogens among medical workers in the study hospital from 2010 to 2022, with the highest incidence in 2021 (4.67%) and the lowest incidence in 2010 (0.99%). The incidence of occupational exposure to blood-borne pathogens appeared a tendency forwards a rise from 2010 to 2022 (P<0.05). Of all cases with occupational exposure to blood-borne pathogens, there were 934 women (75.93%), 656 nurses (53.33%), and 514 cases with working experiences of one year and shorter (41.79%). Hand was the predominant site of occupational exposure to blood-borne pathogens (92.03%) and ward was the predominant place of exposure (35.37%), while scalp needle was the predominant mode of exposure (32.68%), and removal of needle was the predominant procedure of exposure (32.36%). A total of 1 106 cases were tested for the blood-borne pathogens in the exposure sources, and 448 cases were tested positive for blood-borne pathogens, with a detection rate of 40.51%. Hepatitis B virus, treponema pallidum and human immunodeficiency virus were the three most common blood-borne pathogens, and there were 739 cases (60.08%) with personal protective equipment during exposure. Following the follow-up surveillance for more than 6 months post-exposure, no infections occurred. Conclusions Junior nurses and hand exposure were predominant among medical workers with occupational exposure to blood-borne pathogens in the study hospital from 2010 to 2022, and hepatitis B virus was the predominant blood-borne pathogen. No post-exposure infections occurred.

Key words： medical worker blood-borne occupational exposure blood-borne pathogen occupational protection

Received: 05 June 2023 Revised: 12 October 2023 Published: 22 November 2023

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	NIE Shijiao
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Cite this article:

NIE Shijiao,MIAO Qun,WANG Shuying, et al. Surveillance of occupational exposure to blood-borne pathogens among medical workers in a tertiary general hospital from 2010 to 2022[J]. Preventive Medicine, 2023, 35(11): 997-1000.

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http://www.zjyfyxzz.com/EN/10.19485/j.cnki.issn2096-5087.2023.11.018 OR http://www.zjyfyxzz.com/EN/Y2023/V35/I11/997

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