2013年至2016年期间在马洛波尔斯卡地区一家医院工作的医务人员的职业暴露

Monika Walawska, A. Gniadek, Zuzanna Radosz
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摘要

简介:医务人员的专业暴露是一种不良事件,可能伴随着提供医疗服务的过程。研究目的:本研究的目的是评估2013年至2016年期间在马洛波尔斯卡地区一家医院提供医疗服务的医务人员的专业暴露发生率。材料与方法:为评估医务人员的暴露情况,对克拉科夫第5军事临床医院和综合诊所2013-2016年的病历进行分析。信息来源是职业接触个人卡,包括血液检查结果或其他潜在传染性污染物的检查结果。这项研究包括了在被调查的400个床位的医院中,在被调查期间出现的所有报告的职业接触病例。结果:2013-2016年共观察到职业暴露96例,其中女性多见(70.8%),护士多见(50%)。职业暴露的主要来源是手术室。可能造成最高职业接触风险的活动包括病人的治疗或手术,以及为医学测试收集材料。72.9%的病例有明显暴露,其中血液是最常见的暴露材料。结论:尽管有大量的专业接触污染物,特别是血液接触,但在接受检查的医务人员中未观察到乙型肝炎病毒(HBV)、丙型肝炎病毒(HCV)或人类免疫缺陷病毒(HIV)感染。耳鼻喉科、眼科、创伤科、骨科、麻醉科、
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Professional exposure of medical staff working in one of the hospitals of the Malopolska region between 2013 and 2016
Introduction: Professional exposure of medical staff is an adverse event that might accompany the procedure of providing medical care. Aim of the study: The objective of the study was the assessment of the incidence of professional exposure of medical staff providing medical care in one of the hospitals of the Malopolska region between 2013 and 2016. Material and methods: In order to assess the exposure of medical staff an analysis of medical records from the period of 2013-2016 was carried out in the 5 th Military Clinical Hospital and Polyclinic in Krakow. The source of information was an Individual Card of Professional Exposure including the results of blood tests or tests for other potentially infectious fomites. The study included all reported cases of professional exposure that appeared during the examined period in the examined 400-bed hospital. Results: In the years 2013-2016 as many as 96 cases of professional exposure were observed, and they were more common in women – 70.8% and nurses – 50%. The dominating source of professional exposure was the operating theatre. The activities that potentially pose the highest risk of professional exposure included patient’s treatment or surgery as well as collecting material for medical tests. An obvious exposure was observed in 72.9% of the cases, and blood was the statistically most common exposure material. Conclusions: Despite significant professional exposure to fomites, especially to blood, no hepatitis B virus (HBV), hepatitis C virus (HCV), or human immunodeficiency virus (HIV) infections were observed in the examined medical staff. otolaryngology, ophthalmology, traumatology, orthopaedics, anaesthesiology,
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