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目的了解陕西省商洛市市区二级以上医疗机构涉产人员血源性职业暴露发生情况,寻找危险因素,提出针对性的防控措施。方法采用回顾性调查研究方法,对商洛市城区所有医疗机构涉产人员职业暴露情况进行调查。结果血源性职业暴露发生率60.00%;16.30%能准确选择血源性传染性疾病和血源性暴露方式,工作年限、职称、岗位是血源性职业暴露知晓率的影响因素;涉产人员对血源性职业暴露重视程度不够,对职业暴露发生的原因认识不足,日常防护使用情况较差,培训效果不好;不同岗位血源性职业暴露特点不同,漏报率高,规范处置率低。结论加强制度建设,规范操作流程,建立督导机制,增加防护用品的种类和便捷的获取渠道是减少涉产人员血源性暴露的有效措施。
Objective To understand the occupational blood exposure of occupational workers in medical institutions in Shangluo City, Shaanxi Province, to find out the risk factors and to put forward targeted prevention and control measures. Methods A retrospective survey method was used to investigate occupational exposure among all medical institutions in Shangluo City. Results The incidence of hemorrhagic occupational exposure was 60.00%; 16.30% was able to accurately select the factors of hematogenous exposure and exposure to blood-borne diseases, working years, job title and post occupational exposure; Lack of attention to blood-based occupational exposure, lack of understanding of the causes of occupational exposure, poor daily use of protection and poor training effect. The occupational characteristics of blood-derived occupations in different posts are different, with a high omission rate and a low standardization rate . Conclusion Strengthening system construction, standardizing operational procedures, establishing supervision mechanism, increasing types of protective equipment and convenient access are effective measures to reduce blood exposure of personnel involved.