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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2.	孫建, 徐華, 顧安曼, 等. 中國醫務人員職業暴露與防護工作的調查分析. 中國感染控制雜志, 2016, 15(9): 681-685.
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9.	袁素娥, 李映蘭, 譚德明. 醫務人員職業暴露監測分析. 中華醫院感染學雜志, 2015, 25(13): 3109-3111.
10.	吳婉云, 鄧活清, 陳波, 等. 2015—2017年廣州市某三甲醫院醫務人員血源性職業暴露調查. 職業與健康, 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, 李映蘭. 丙型肝炎病毒職業暴露處理與追蹤隨訪. 中國感染控制雜志, 2013, 12(6): 428-430.
15.	繆天養, 葉君榮, 肖愛祥, 等. 某精神病專科醫院醫務人員血源性職業暴露心理健康狀況及其影響因素研究. 廣州醫藥, 2019, 50(3): 91-95.

1. 中華人民共和國衛生部. 血源性病原體職業接觸防護導則: GBZ/T 213－2008, 2009.
2. 孫建, 徐華, 顧安曼, 等. 中國醫務人員職業暴露與防護工作的調查分析. 中國感染控制雜志, 2016, 15(9): 681-685.
3. 索瑤, 范珊紅, 高曉東. 陜西省11所醫院醫務人員銳器傷調查與分析. 中華醫院感染學雜志, 2011, 21(12): 2505-2507.
4. 周文華. 急診血源性病原體職業暴露后的評估、處理和隨訪. 中華護理雜志, 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. 李衛光, 徐華, 朱其鳳, 等. 山東省28所醫院醫務人員銳器傷現狀調查. 中華醫院感染學雜志, 2013, 23(7): 1605-1607.
7. 白雪, 楊莉莉, 竇學梅. 某綜合醫院醫務人員血源性病原體職業暴露情況. 中國感染控制雜志, 2017, 16(2): 176-178.
8. 周宏, 鄭偉, 韓方正, 等. 醫護人員職業暴露與防護措施的前瞻性監測研究. 中華醫院感染學雜志, 2010, 20(12): 1715-1716.
9. 袁素娥, 李映蘭, 譚德明. 醫務人員職業暴露監測分析. 中華醫院感染學雜志, 2015, 25(13): 3109-3111.
10. 吳婉云, 鄧活清, 陳波, 等. 2015—2017年廣州市某三甲醫院醫務人員血源性職業暴露調查. 職業與健康, 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, 李映蘭. 丙型肝炎病毒職業暴露處理與追蹤隨訪. 中國感染控制雜志, 2013, 12(6): 428-430.
15. 繆天養, 葉君榮, 肖愛祥, 等. 某精神病專科醫院醫務人員血源性職業暴露心理健康狀況及其影響因素研究. 廣州醫藥, 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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