Effect of comprehensive measures based on nosocomial infection management system on improving reporting and follow-up of occupational exposure among medical staff_West China Medical Journal

Authors：

DENG Yuanyuan , TONG Yifan , WAN Qiong ,  ZHOU Bin

Hospital Infection Management Division, the First Hospital of Nanchang, Nanchang, Jiangxi 330008, P. R. China;

Corresponding author：

ZHOU Bin, Email: 1291558235@qq.com

Keywords：

Nosocomial infection management system; Occupational exposure; Report; Follow-up

DOI：

10.7507/1002-0179.201903010

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To enhance the management of occupational exposure, improve post-exposure reporting, promote post-exposure follow-up, reduce blood-borne infections caused by exposure, and ensure occupational safety among medical staff by using comprehensive measures based on nosocomial infection management system.Methods All the reported cases of occupational exposure were retrospectively collected from August 2012 to July 2018. The cases were divided into the control group (from August 2012 to July 2015) in which the data were reported in paper, and the observation group (from August 2015 to July 2018) in which the data were reported by nosocomial infection management system. The report and follow up results of occupational exposure in the two groups were compared and analyzed.Results After three years application of nosocomial infection management system, the occupational exposure report increased 95.8% (increased from 16.7 cases per year to 32.7 cases per year); the follow-up ratio of occupational exposure after one month,3 months and 6 months increased from 65.0% to 93.3% (χ²=15.184, P<0.001), 45.0% to 73.3% (χ²=9.033, P=0.003), and 25.0% to 53.3% (χ²=8.522, P=0.004), respectively.Conclusion Application of nosocomial infection management system can increase the report of occupational exposure and the follow-up ratio of occupational exposure significantly.

Citation： DENG Yuanyuan, TONG Yifan, WAN Qiong, ZHOU Bin. Effect of comprehensive measures based on nosocomial infection management system on improving reporting and follow-up of occupational exposure among medical staff. West China Medical Journal, 2019, 34(8): 944-947. doi: 10.7507/1002-0179.201903010 Copy

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9.	袁素娥, 李映兰, 谭德明. 医务人员职业暴露监测分析. 中华医院感染学杂志, 2015, 25(13): 3109-3111.
10.	吴婉云, 邓活清, 陈波, 等. 2015—2017年广州市某三甲医院医务人员血源性职业暴露调查. 职业与健康, 2019, 35(1): 69-71.
11.	Adams D, Elliott TS. Impact of safety needle devices on occupationally acquired needlestick injuries: a four-year prospective study. J Hosp Infect, 2006, 64(1): 50-55.
12.	Gershon RR, Pearson JM, Sherman MF, et al. The prevalence and risk factors for percutaneous injuries in registered nurses in the home health care sector. Am J Infect Control, 2009, 37(7): 525-533.
13.	Valls V, Lozano MS, Yánez R, et al. Use of safety devices and the prevention of percutaneous injuries among healthcare workers. Infect Control Hosp Epidemiol, 2007, 28(12): 1352-1360.
14.	袁素娥, 李映兰. 丙型肝炎病毒职业暴露处理与追踪随访. 中国感染控制杂志, 2013, 12(6): 428-430.
15.	缪天养, 叶君荣, 肖爱祥, 等. 某精神病专科医院医务人员血源性职业暴露心理健康状况及其影响因素研究. 广州医药, 2019, 50(3): 91-95.

1. 中华人民共和国卫生部. 血源性病原体职业接触防护导则: GBZ/T 213－2008, 2009.
2. 孙建, 徐华, 顾安曼, 等. 中国医务人员职业暴露与防护工作的调查分析. 中国感染控制杂志, 2016, 15(9): 681-685.
3. 索瑶, 范珊红, 高晓东. 陕西省11所医院医务人员锐器伤调查与分析. 中华医院感染学杂志, 2011, 21(12): 2505-2507.
4. 周文华. 急诊血源性病原体职业暴露后的评估、处理和随访. 中华护理杂志, 2017, 52(增刊 1): 17-19.
5. Kassa G, Selenic D, Lahuerta M, et al. Occupational exposure to bloodborne pathogens among health care workers in botswana: reporting and utilization of postexposure prophylaxis. Am J Infect Control, 2016, 44(8): 879-885.
6. 李卫光, 徐华, 朱其凤, 等. 山东省28所医院医务人员锐器伤现状调查. 中华医院感染学杂志, 2013, 23(7): 1605-1607.
7. 白雪, 杨莉莉, 窦学梅. 某综合医院医务人员血源性病原体职业暴露情况. 中国感染控制杂志, 2017, 16(2): 176-178.
8. 周宏, 郑伟, 韩方正, 等. 医护人员职业暴露与防护措施的前瞻性监测研究. 中华医院感染学杂志, 2010, 20(12): 1715-1716.
9. 袁素娥, 李映兰, 谭德明. 医务人员职业暴露监测分析. 中华医院感染学杂志, 2015, 25(13): 3109-3111.
10. 吴婉云, 邓活清, 陈波, 等. 2015—2017年广州市某三甲医院医务人员血源性职业暴露调查. 职业与健康, 2019, 35(1): 69-71.
11. Adams D, Elliott TS. Impact of safety needle devices on occupationally acquired needlestick injuries: a four-year prospective study. J Hosp Infect, 2006, 64(1): 50-55.
12. Gershon RR, Pearson JM, Sherman MF, et al. The prevalence and risk factors for percutaneous injuries in registered nurses in the home health care sector. Am J Infect Control, 2009, 37(7): 525-533.
13. Valls V, Lozano MS, Yánez R, et al. Use of safety devices and the prevention of percutaneous injuries among healthcare workers. Infect Control Hosp Epidemiol, 2007, 28(12): 1352-1360.
14. 袁素娥, 李映兰. 丙型肝炎病毒职业暴露处理与追踪随访. 中国感染控制杂志, 2013, 12(6): 428-430.
15. 缪天养, 叶君荣, 肖爱祥, 等. 某精神病专科医院医务人员血源性职业暴露心理健康状况及其影响因素研究. 广州医药, 2019, 50(3): 91-95.

West China Medical Journal

Effect of comprehensive measures based on nosocomial infection management system on improving reporting and follow-up of occupational exposure among medical staff

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