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Objective @#To investigate the occupational exposure to blood-borne pathogens among medical workers in a tertiary general hospital in Hangzhou City from 2010 to 2022, so as to provide the evidence for improving occupational protective measures among medical workers.@*Methods@#The registration and follow-up data of occupational exposure to blood-borne pathogens among medical workers from 2010 to 2022 were collected from the blood-borne occupational exposure monitoring system in a tertiary general hospital in Hangzhou City. The population distribution, occurrence, protection and disposal of occupational exposure to blood-borne pathogens were analyzed using a descriptive epidemiological method.@*Results@#A total of 1 230 cases were reported with occupational exposure to blood-borne pathogens among medical workers in the study hospital from 2010 to 2022, with the highest incidence in 2021 (4.67%) and the lowest incidence in 2010 (0.99%). The incidence of occupational exposure to blood-borne pathogens appeared a tendency forwards a rise from 2010 to 2022 (P<0.05). Of all cases with occupational exposure to blood-borne pathogens, there were 934 women (75.93%), 656 nurses (53.33%), and 514 cases with working experiences of one year and shorter (41.79%). Hand was the predominant site of occupational exposure to blood-borne pathogens (92.03%) and ward was the predominant place of exposure (35.37%), while scalp needle was the predominant mode of exposure (32.68%), and removal of needle was the predominant procedure of exposure (32.36%). A total of 1 106 cases were tested for the blood-borne pathogens in the exposure sources, and 448 cases were tested positive for blood-borne pathogens, with a detection rate of 40.51%. Hepatitis B virus, treponema pallidum and human immunodeficiency virus were the three most common blood-borne pathogens, and there were 739 cases (60.08%) with personal protective equipment during exposure. Following the follow-up surveillance for more than 6 months post-exposure, no infections occurred. @*Conclusions@#Junior nurses and hand exposure were predominant among medical workers with occupational exposure to blood-borne pathogens in the study hospital from 2010 to 2022, and hepatitis B virus was the predominant blood-borne pathogen. No post-exposure infections occurred.
RESUMO
AIM:To study and analyze the clinical effect of single incision and double incision phacoemulsification,foldable intraocular lens implantation combined with trabeculectomy triple surgery in the treatment of glaucoma with cataract.METHODS:The study was from January 2016 to February 2017 in our hospital including 68 patients (79 eyes) with glaucoma and cataract.All patients were divided into two groups (observation group and control group);the control group only take single incision surgery;the observation group was taken two incision triple operation method for treatment.The follicular formation,intraocular pressure (lOP) changes,visual acuity changes,anterior chamber depth and anterior chamber open degree were compared between the two groups.RESULTS:At 1mo after the surgery,functional follicular formation rate was 98％ in observation group,higher than the control group (71％) with significant difference (P＜0.05).The control group and the observation group the mean preoperative lOP,best corrected visual acuity,uncorrected visual acuity had no significant difference (P＞ 0.05).In observation group,postoperative mean lOP,best corrected visual acuity,uncorrected visual acuity was 12.45+3.01mmHg,0.17±0.03,0.19±0.02,significantly different compared control group (P＜ 0.05).Anterior chamber depth and anterior chamber open degree increased in the two groups at 1mo after operation.The changes of observation group were more than control groups (P＜0.05).In control group,there were 5 eyes with corneal edema,4 eyes with transient shallow anterior chamber,3 eyes with transient high lOP,3 eyes with inflammatory exudation.In observation group,there were 4 eyes with corneal edema,3 eyes with transient shallow anterior chamber,3 eyes with transient high lOP,2 eyes with inflammatory exudation.After one-week treatment,those side reaction recovered,without hyphema,pupillary capture or other severe complications.CONCLUSION:The two incision triple surgery in the treatment of glaucoma with cataract patients get better results,effectively reduce intraocular pressure,improve the patients' best corrected visual acuity and uncorrected visual acuity,more formation rate of function follicular,increase the anterior chamber depth,it is safe and reliable.