某三级医院卫生专业人员5年锐器伤害评价

IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Klimik Journal Pub Date : 2023-03-06 DOI:10.36519/kd.2023.3865
Rezan Harman-Gunerken
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引用次数: 0

摘要

目的:本研究旨在评估我院医护人员接触患者血液和体液五年的职业伤害情况。方法:根据“体液暴露登记和随访表”,对2013-2017年期间医疗保健专业人员向感染控制委员会(ICC)提出的申请进行回顾性分析。结果:175名人员向ICC提出申请,申请者的平均年龄为31.5±8岁。男性占58.5%,女性占41.5%。护士占申请者的大多数,占37.7%,其次是护理人员,占21.7%,实习生占17.1%。大多数受伤发生在手术室22.3%,急救服务18.8%,重症监护室18.3%,外科诊所12.6%。62.5%的病例是针刺伤,24.0%是锐器伤,13.5%是粘膜暴露伤。在144例(82%)中确定了来源患者,而在31例(%18)中,无法确定来源患者。16名来源患者HBsAg阳性,5名抗-HCV阳性,1名抗-HIV阳性。没有一名人员因受伤而受到感染。结论:可以通过雇佣更多的人员、减少工作时间和鼓励使用个人防护装备来减少尖锐伤害的数量。除了提供基本的医学知识外,培训项目还应鼓励对艾滋病毒/艾滋病持积极态度。
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Evaluation of Sharps Injuries of Health Professionals Working in a Tertiary Care Hospital During Five Years
Objective: This study aims to evaluate occupational injuries in healthcare professionals exposed to the blood and body fluids of patients in our hospital for five years. Methods: A retrospective analysis of applications of healthcare professionals to the Infection Control Committee (ICC) between 2013-2017 was conducted based on the “registry and follow-up form for exposure to body fluids.” Results:175 personnel applied to the ICC, and the average age of applicants was 31.5±8. 58.5% of the cases were male, and 41.5% were female. Nurses constituted the majority of applicants at 37.7%, followed by caregivers at 21.7% and interns at 17.1%. Most injuries were inflicted in operating rooms 22.3%, emergency services 18.8%, intensive care units 18.3% and surgical clinics 12.6%. 62.5% of the cases were needlestick injuries, 24.0% were due to sharps, and 13.5% were due to mucosal exposure. The source patient was identified in 144 cases (82%), whereas in 31 cases (%18), the source patient could not be identified. Sixteen of the source patients were HBsAg positive, five were anti-HCV positive, and one was anti-HIV positive. None of the personnel was infected due to the injuries. Conclusion: The number of sharp injuries can be reduced by employing more personnel, reducing work hours, and encouraging the use of personal protective equipment. In addition to providing fundamental medical knowledge, training programs should also encourage a positive attitude toward HIV / AIDS.
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Klimik Journal
Klimik Journal MEDICINE, GENERAL & INTERNAL-
CiteScore
0.60
自引率
33.30%
发文量
39
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