Characteristics of occupational exposure to bloodborne pathogens during operation / 中国感染控制杂志

ABSTRACT

Objective To analyze the characteristics of occupational exposure to bloodborne pathogens during op-eration,and provide reference for making the prevention and control measures.Methods Occupational exposure to bloodborne pathogens during operation in a tertiary first class hospital between June 2016 and January 2017 were surveyed,the survey included general information about health care workers(HCWs),modes of occupational expo-sure,exposure sources,types of sharp injuries,manipulation and so on.Results A total of 100 HCWs sustained occupational exposure to bloodborne pathogens during the operation,64(64.00%)were nurses,followed by doctors (n=30,30.00%).The main mode of exposure were sharp injuries(n=88,88.00%)and ocular mucosa exposure (n=10,10.00%).The main diseases of exposure source were hepatitis B(n=36,36.00%)and syphilis(n=11, 11.00%).The main sharp device that caused sharp injuries was transfusion system needle(n=31,35.23%),fol-lowed by syringe needle (n=24,27.27%)and suture needle(n=14,15.91%).The main manipulation resulting of sharp injury was intraoperative manipulation (n=31,35.23%).Conclusion Training about occupational exposure should be strengthened among HCWs,it is necessary to improve the record and report process of occupational expo-sure,strictly require HCWs,especially nurses in accordance with the standard operating procedure during the oper-ation process,so as to reduce the occurrence of occupational exposure to bloodborne pathogen during operation.