Jepsen Michael Phill, Smith Else
Epidemiologisk Afdeling, Statens Serum Institut, Artillerivej 5, DK-2300 København S.
Ugeskr Laeger. 2003 May 26;165(22):2275-9.
The aim of the study was to investigate the frequency of percutaneous and mucocutaneous injuries sustained by fourth and fifth year medical students at the University of Copenhagen.
A questionnaire including questions on experience with invasive procedures, number and types of exposures, and post-exposure actions was mailed to 576 medical students. Enclosed was a prepaid return envelope, and a definition of percutaneous and mucocutaneous injuries was given in the introduction letter.
A total of 406 out of 568 (72%) responded. Out of them 90 (22%) had sustained percutaneous injuries, and 18 of these (20%) had experienced more than one percutaneous injury. A number of 89 of 406 (22%) had sustained mucocutaneous injury and of these 18 had experienced more than one mucocutaneous injury. Reporting of the accident was done by 59% of the 90 with percutaneous injury and 33% of the 89 with mucocutaneuos injury. 34% of the 82 that had reported the injury had not received an offer for testing and/or vaccination against HIV, hepatitis C and B.
Efforts need to be made to ensure greater awareness amongst Danish medical students about the risk of mucocutaneous and percutaneous injuries. It should be evaluated whether vaccination against hepatitis B should be offered to students before entering the clinical part of the study. Proper training in percutaneous procedures and how to act in case of injury should be made to reduce the number of injuries.
本研究的目的是调查哥本哈根大学四年级和五年级医学生遭受经皮和黏膜皮肤损伤的频率。
向576名医学生邮寄了一份问卷,其中包括有关侵入性操作经验、暴露的数量和类型以及暴露后采取的行动等问题。随附一个预付回邮信封,并在介绍信中给出了经皮和黏膜皮肤损伤的定义。
568名学生中共有406名(72%)回复。其中90名(22%)遭受了经皮损伤,其中18名(20%)经历了不止一次经皮损伤。406名中有89名(22%)遭受了黏膜皮肤损伤,其中18名经历了不止一次黏膜皮肤损伤。90名经皮损伤者中有59%报告了事故,89名黏膜皮肤损伤者中有33%报告了事故。报告损伤的82名学生中有34%未收到针对艾滋病毒、丙型肝炎和乙型肝炎的检测和/或疫苗接种提议。
需要努力确保丹麦医学生对黏膜皮肤和经皮损伤风险有更高的认识。应评估是否应在学生进入临床学习阶段之前为其提供乙型肝炎疫苗接种。应进行经皮操作以及受伤时如何应对的适当培训,以减少损伤数量。