两类医疗机构医务人员结核病职业防护现况对比研究

发布时间：2018-06-25 10:58

本文选题：广泛耐药结核 + 医务人员　；参考：《中华疾病控制杂志》2015年11期

【摘要】：目的对比分析综合性医院、传染病防治医院的医务人员对结核病知识的知晓水平、职业防治行为,探讨两类医疗机构结核职业防护的管理策略。方法用横断面研究的方法,对河南某市一综合性医院和一传染病医院医务人员作结核医院管理现状的问卷调查,内容包括结核知识知晓、职业防护行为等,对纳入对象作结核菌素皮肤(tuberculin skin test,TST)试验或收集既往TST检测结果。结果综合性医院、传染病医院完成问卷调查的对象分别是333人、398人,有TST检测结果的分别是325人、312人;综合性医院人员TST阳性率(34.2%)低于传染病医院(48.7%)(χ~2=13.93,P0.001)。综合性医院人员对9个结核知识单项的正答率除一项外均低于传染病医院(均有P0.05);对职业防护各项措施的使用率低于传染病医院(P0.001);两医院对医院防护口罩的使用率均极低。结论两类医疗机构,尤其是综合性医院应重视医务人员结核杆菌感染的医院管理,以降低其医务人员结核感染的职业风险。
[Abstract]:Objective to compare and analyze the knowledge level of tuberculosis and the behavior of occupational prevention and treatment in general hospitals and infectious disease control hospitals, and to explore the management strategies of occupational protection against tuberculosis in two kinds of medical institutions. Methods A cross-sectional study was conducted to investigate the management status of tuberculosis hospitals in a general hospital and an infectious disease hospital in Henan province, including knowledge of tuberculosis, occupational protective behavior and so on. The participants were tested with tuberculin skin (tuberculin skin test or the results of previous TST tests were collected. Results the subjects of questionnaire investigation in general hospitals and infectious disease hospitals were 333 or 398 and 325 / 312 with TST, respectively, and the positive rate of TST in general hospitals (34.2%) was lower than that in infectious disease hospitals (48.7%) (蠂 ~ 2, 13.93, P 0.001), and the positive rate of TST in general hospitals (34.2%) was lower than that in infectious disease hospitals (48.7%). The positive answer rate of 9 tuberculosis knowledge items in general hospitals was lower than that in infectious disease hospitals except one item (P0.05); the utilization rate of occupational protection measures was lower than that of infectious disease hospitals (P0.001); the utilization rate of hospital protective masks was very low in both hospitals. Conclusion two types of medical institutions, especially general hospitals, should pay more attention to the hospital management of tuberculosis bacilli infection of medical staff in order to reduce the occupational risk of tuberculosis infection of medical staff.
【作者单位】：郑州大学公共卫生学院流行病与卫生统计学系;河南省传染病医院感染管理科;郑州市中心医院感染控制科;郑州人民医院整形外科;北京市疾病预防控制中心北京市预防医学研究中心性病艾滋病防治所;
【基金】：中国医学科学院病原生物学研究所基本科研业务费项目(IPB2011IPB104)
【分类号】：R52

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