新形势下基层采供血机构职业暴露现状及预防

发布时间：2019-01-06 08:40

【摘要】：目的探讨新形势下基层采供血机构工作人员发生职业暴露的危险因素与预防措施。方法对采供血点2010-2014年的《职业暴露个案登记表》进行职业暴露情况统计分析。结果共发生职业暴露39例,所有工作人员均有职业暴露史,发生率100%。5年内发生率逐年下降;不同职业人员平均暴露率:工人医生护士检验人员,平均暴露率分别为25.64%、15.38%、10.26%和8.12%(48.72%/6);暴露发生岗位以采血岗、后勤岗和成分制备岗为主,分别达48.72%、25.64%和15.38%;暴露物种类以采血针头、血液、剪刀和玻璃为主,分别占41.03%、30.77%、12.82%和12.82%;发生环节以针头插入试管留样和血液喷溅最高,分别达25.64%和17.96,其它环节均10%;39例经检测均未发生传染病感染。结论基层采供血机构工作人员极易发生职业暴露,在血液安全面临严峻挑战的新形势下,管理者更应重视职业风险,做好职业暴露预防。
[Abstract]:Objective to explore the risk factors and preventive measures of occupational exposure for staff of blood collection and supply institutions at basic level under the new situation. Methods the occupational exposure case registration form from 2010 to 2014 was analyzed statistically. Results there were 39 cases of occupational exposure, all the staff had a history of occupational exposure, the incidence of occupational exposure decreased year by year within 100.5 years. The average exposure rates of workers, doctors and nurses were 25.6415.38% and 8.12% (48.72 / 6), respectively. Blood collection post, logistic post and component preparation post were the main posts of exposure, which reached 48.72% and 15.38% respectively. The main types of exposure were blood needle head, blood, scissors and glass, accounting for 30.77% and 12.82%, respectively. The highest rate of blood spatter and retention were found in the needle insertion test tube, which reached 25.64% and 17.96, respectively. All the other links were 1039 cases without infectious infection. Conclusion the staff of blood collection and supply institutions are prone to occupational exposure. In the new situation where blood safety is facing severe challenges, managers should pay more attention to occupational risks and do a good job of occupational exposure prevention.
【作者单位】：江山市人民医院;
【分类号】：R13

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